銅筋鐵肋的秘密基地

From AuntMinnie.com:

Teenager with back pain:

• Scheuermann's disease is categorized as an "osteochondrosis"
• Typically 13-17 yr old with back pain
• Possibly a growth disorder of the vertebral bodies (cause poorly understood)
• Lower thoracic spine involved most frequently
• Radiographs:
  • Narrowing of the disk space
  • Anterior wedging, endplate irregularities
  • Changes seen in >3 vertebral bodies (with at least five degrees anterior wedging in each)
  • Multiple Schmorl's nodes
  • Kyphosis usually >35 degrees
• Treatment is conservative therapy to reduce stress and support back, rarely surgical