scholarly journals Neurological symptoms in Scheuermann’s disease: review of rare clinical observations

2021 ◽  
Vol 18 (2) ◽  
pp. 6-19
Author(s):  
M. V. Mikhaylovskiy ◽  
A. A. Alshevskaya ◽  
V. V. Stupak
Keyword(s):  
Spinal Canal ◽  
Bone Cyst ◽  
Cord Compression ◽  
Anterior Wall ◽  
Neurological Symptoms ◽  
Scheuermann’S Disease ◽  
Scheuermann's Disease ◽  
Clinical Observations ◽  
Spinal Epidural ◽  
Preoperative Examination

Neurological symptoms in Scheuermann’s disease are very rare, only a few dozen cases have been described. The main causes of spinal cord compression with the development of neurological symptoms in spinal deformities due to Scheuermann’s disease are compression by the anterior wall of the spinal canal, together with the dorsal leaflet of the dura mater, intervertebral hernia, and extradural bone cyst. The review provides a description of 38 clinical observations found in the literature. Compressing factors can also be spinal epidural lipomatosis and a displaced fragment of the annular apophysis. Scheuermann’s disease can be combined with syringomyelia. The magnitude of the kyphotic deformity does not correlate with the severity of neurological symptoms. Preoperative examination of a patient with Scheuermann’s disease should include methods that allow visualizing the condition of the spinal canal and its contents.

scholarly journals Neurological symptoms in Scheuermann’s disease: review of rare clinical observations

2021 ◽  
Vol 18 (2) ◽  
pp. 6-19
Author(s):  
M. V. Mikhaylovskiy ◽  
A. A. Alshevskaya ◽  
V. V. Stupak
Keyword(s):  
Spinal Canal ◽  
Bone Cyst ◽  
Cord Compression ◽  
Anterior Wall ◽  
Neurological Symptoms ◽  
Scheuermann’S Disease ◽  
Scheuermann's Disease ◽  
Clinical Observations ◽  
Spinal Epidural ◽  
Preoperative Examination

Neurological symptoms in Scheuermann’s disease are very rare, only a few dozen cases have been described. The main causes of spinal cord compression with the development of neurological symptoms in spinal deformities due to Scheuermann’s disease are compression by the anterior wall of the spinal canal, together with the dorsal leaflet of the dura mater, intervertebral hernia, and extradural bone cyst. The review provides a description of 38 clinical observations found in the literature. Compressing factors can also be spinal epidural lipomatosis and a displaced fragment of the annular apophysis. Scheuermann’s disease can be combined with syringomyelia. The magnitude of the kyphotic deformity does not correlate with the severity of neurological symptoms. Preoperative examination of a patient with Scheuermann’s disease should include methods that allow visualizing the condition of the spinal canal and its contents.

scholarly journals Thoracic cord compression caused by disk herniation in Scheuermann’s disease

2006 ◽  
Vol 15 (S5) ◽  
pp. 553-558 ◽  
Author(s):  
George A. Kapetanos ◽  
Paraskevas T. Hantzidis ◽  
Kleovoulos S. Anagnostidis ◽  
John M. Kirkos
Keyword(s):  
Cord Compression ◽  
Disk Herniation ◽  
Scheuermann’S Disease ◽  
Scheuermann's Disease ◽  
Thoracic Cord

scholarly journals P.132 Post-traumatic spinal pseudomeningocele with delayed neurological deterioration

2016 ◽  
Vol 43 (S2) ◽  
pp. S50-S51
Author(s):  
VA Karapetyan ◽  
MD Staudt ◽  
BC Shettar ◽  
HA Faizal ◽  
NP Wai
Keyword(s):  
Spinal Cord ◽  
Brachial Plexus ◽  
Spinal Cord Compression ◽  
Spinal Canal ◽  
Fluid Collection ◽  
Cord Compression ◽  
Neurological Symptoms ◽  
Neurological Dysfunction ◽  
Avulsion Injury ◽  
Post Traumatic

Background: Post-traumatic spinal pseudomeningoceles are uncommon sequelae of brachial plexus injuries. These cerebrospinal fluid (CSF) collections have rarely been described to occur within the spinal canal with resultant cord compression and neurological deficit. We present the case of an intracanalicular pseudomeningocele causing spinal cord compression and progressive radiculomyelopathic weakness more than a decade after the original injury. Methods: Case report and review of the literature. Results: A 34 year old man presented with progressive cervical radiculomyelopathy 16 years after sustaining a brachial plexus avulsion injury. Magnetic resonance imaging revealed an anterior epidural intracanalicular fluid collection from C3 to L3, with focal compression at the cervicothoracic junction. Surgical intervention involved a C7 to T3 laminectomy and fenestration of the anterior dura to permit communication of CSF between the dural space and pseudomeningocele. His strength and dexterity improved dramatically post-operatively. Conclusions: Spinal pseudomeningoceles following a traumatic brachial avulsion injury are typically found outside the spinal canal and are usually not associated with any neurological symptoms. There are few reported cases of post-avulsion intracanalicular pseudomeningoceles which present with delayed spinal cord compression and neurological dysfunction. Therefore, patients with a history of a traumatic avulsion injury and delayed neurological symptoms should warrant additional investigations.

Radiation-induced malignant triton tumor associated with severe spinal cord compression

2004 ◽  
Vol 100 (3) ◽  
pp. 298-302 ◽  
Author(s):  
Melike Mut ◽  
Oğuz Çataltepe ◽  
Figen Söylemezoğlu ◽  
Nejat Akalan ◽  
Tunçalp Özgen
Keyword(s):  
Spinal Canal ◽  
Bone Cyst ◽  
Left Lung ◽  
Cord Compression ◽  
Subtotal Resection ◽  
Content Type ◽  
Malignant Triton Tumor ◽  
Peripheral Nerve Sheath Tumors ◽  
Paravertebral Muscles ◽  
Radiation Induced

✓ Malignant triton tumor (MTT) is a variant of malignant peripheral nerve sheath tumors. The authors report a case of radiation-induced MTT in a patient with severe cervicothoracic cord compression and review the related literature. This 36-year-old man presented with pain and weakness in his left arm. His medical history was significant for a biopsy procedure involving the sampling of an aneurysmal bone cyst located at T1–3 near the left lung apex; this was performed 6 years prior to presentation and was followed by radiotherapy. Neurological examination demonstrated radicular findings involving the left C-8 and T-1 nerve roots. Neuroimaging studies revealed a large mass lesion extending from C-6 to T-2 along the vertebral column, invading the upper thoracic cavity and the adjacent lung apex, and infiltrating the paravertebral muscles. A subtotal resection was performed, but the tumor regrew extensively within a short time. It invaded the spinal canal and caused significant cord compression. The patient underwent surgery two more times for tumor debulking and to relieve progressive airway and spinal canal compromise. He eventually became quadriplegic, however, and died 13 months after diagnosis of MTT. This is the seventh case of radiation-induced MTT and the fifth of MTT with spinal canal involvement to be reported in the literature.

Scheuermann's Dorsal Kyphosis and Spinal Cord Compression: Case Report

Neurosurgery ◽  
1986 ◽  
Vol 18 (5) ◽  
pp. 628-631 ◽  
Author(s):  
David M. Klein ◽  
Richard L. Weiss ◽  
James E. Allen
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Neurological Complications ◽  
Cord Compression ◽  
Posterior Fixation ◽  
Childhood And Adolescence ◽  
Disc Protrusion ◽  
Scheuermann’S Disease ◽  
Scheuermann's Disease ◽  
Thoracic Disc

Abstract Although Scheuermann's disease (juvenile dorsal kyphosis) is a common problem of late childhood and adolescence, its potential for neurological complications is not widely appreciated. In rare instances, spinal cord compression appears to be produced by the kyphotic protrusion alone, and we present an example of this unusual problem. Although the results of surgical treatment in this situation cannot be substantiated, anterior spondylotomy and decompression followed by posterior fixation appear to offer the best mechanical relief. Spinal cord compression can also be produced by extradural cysts, with which Scheuermann's disease is frequently associated. Scheuermann's disease also is reported to occur in combination with thoracic disc protrusion, but the coincidence here may be random. Pertinent literature is reviewed.

Dorsolumbar Kyphosis or Scheuermann’s Disease

1986 ◽  
Vol 5 (2) ◽  
pp. 343-351 ◽  
Author(s):  
Philip G. Wilcox ◽  
Curtis W. Spencer
Keyword(s):  
Scheuermann’S Disease ◽  
Scheuermann's Disease

Spinal Epidural Compression Secondary to Osteoblastic Metastatic Vertebral Expansion

Neurosurgery ◽  
1988 ◽  
Vol 23 (5) ◽  
pp. 662-665 ◽  
Author(s):  
Alan Hirschfeld ◽  
William Beutler ◽  
Juliet Seigle ◽  
Herbert Manz
Keyword(s):  
Computed Tomography ◽  
Radiation Therapy ◽  
Spinal Canal ◽  
Surgical Decompression ◽  
The Other ◽  
Precise Nature ◽  
Osteoblastic Metastasis ◽  
Neurological Improvement ◽  
Epidural Compression ◽  
Spinal Epidural

Abstract We present two cases in which spinal epidural compression was caused by the expansion of bony elements into the spinal canal as a result of osteoblastic metastases. The precise nature of the compression was appreciated only on computed tomography. One patient had immediate and sustained neurological improvement after laminectomy. The other benefited temporarily, but widespread involvement of his spine ultimately led to paraplegia despite two more decompressive procedures. We think that bony expansion of the spine secondary to osteoblastic metastasis is not reversible with radiation therapy alone and is, therefore, an absolute indication for surgical decompression.

scholarly journals A study of vertebral geometry before and after conservative treatment in thoracic Scheuermann's disease

Scoliosis ◽  
2009 ◽  
Vol 4 (S2) ◽  
Author(s):  
AG Aulisa ◽  
V Guzzanti ◽  
C Perisano ◽  
G Mastantuoni ◽  
L Aulisa
Keyword(s):  
Conservative Treatment ◽  
Scheuermann’S Disease ◽  
Scheuermann's Disease ◽  
Before And After
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