Scheuermann's Disease
Scheuermann's Disease
Scheuermann’s Disease, also known as Juvenile Kyphosis, is a developmental disorder of the spine that primarily affects adolescents. It results in an abnormal forward curvature of the thoracic spine (kyphosis), leading to a hunchbacked appearance. The condition is caused by wedge-shaped vertebrae that develop abnormally during the growth spurt of puberty. Unlike postural kyphosis, Scheuermann’s Disease is a structural deformity, meaning the abnormal curvature is rigid and does not correct with posture, requiring clinical evaluation and, in some cases, surgical correction. Prevalence and Relevance in Bangladesh In Bangladesh, Scheuermann’s Disease is frequently underdiagnosed, often mistaken for poor posture, nutritional kyphosis, or spinal tuberculosis. Increasing awareness and access to X-ray and MRI imaging are helping identify more cases, especially in teenagers complaining of back pain or deformity. Dr. Md. Nafaur Rahman, one of the leading pediatric neurosurgeons in the country, has managed numerous cases of Scheuermann’s kyphosis through early detection, conservative treatment, and when necessary, spinal correction surgery using child-specific techniques. Causes and Risk Factors Although the exact cause is unknown, the following factors may contribute: Genetic predisposition Rapid bone growth during adolescence Abnormal vertebral endplate development Poor posture during skeletal growth Nutritional deficiency in early years (vitamin D, calcium) Family history of spinal deformities Signs and Symptoms of Scheuermann’s Disease Noticeable hunchback or round back (kyphosis) Back pain, especially after prolonged sitting or physical activity Tight hamstring muscles Spinal stiffness and reduced flexibility Fatigue and discomfort in the upper back Cosmetic concerns and low self-esteem in teens In severe cases, difficulty breathing due to thoracic compression The kyphotic curve is most commonly seen in the thoracic spine (mid-back) but can also affect the lumbar spine in some variants. Diagnostic Evaluation Dr. Nafaur Rahman emphasizes early evaluation, especially for adolescents with visible spinal deformity. The following tools are used for diagnosis: Standing lateral X-rays – Shows wedge-shaped vertebrae and measures the Cobb angle MRI spine – To assess disc degeneration and spinal cord compression CT scan – In surgical planning or complex deformities Neurological examination – To detect any nerve compression A diagnosis is typically confirmed when three or more consecutive vertebrae show wedge deformity of 5 degrees or more. Treatment Approaches in Bangladesh Treatment depends on the severity of the curvature, presence of pain, and age of the child. Dr. Nafaur Rahman offers a comprehensive and individualized approach. ✅ Non-Surgical (Conservative) Treatment – For Mild to Moderate Kyphosis Physiotherapy – Spinal extension exercises and postural correction Bracing – Custom thoracolumbosacral orthosis (TLSO) in growing children Pain management – Anti-inflammatory medications as needed Nutritional support – Calcium and vitamin D supplements Lifestyle guidance – Avoidance of heavy lifting, proper seating posture Conservative treatment can stop progression and improve appearance and pain in early cases. ✅ Surgical Treatment – For Severe Kyphosis or Neurological Symptoms Surgery may be needed if: Kyphosis exceeds 70–75 degrees Progressive deformity despite bracing Presence of neurological deficits or spinal cord compression Severe back pain affecting daily life Cosmetic or psychological distress Surgical procedures include: Posterior spinal fusion – Most common approach using rods and screws Anterior-posterior spinal fusion – For more rigid curves Osteotomy and deformity correction – For very stiff spines Dr. Md. Nafaur Rahman uses modern techniques with child-friendly implants to ensure safe correction, early mobilization, and long-term spinal stability. Recovery and Long-Term Outlook Hospital stay: 5–7 days post-surgery Return to school: 3–4 weeks Return to sports: After 3–6 months, depending on healing Long-term follow-up with X-rays for spinal alignment monitoring With early diagnosis and appropriate care, most children recover well and lead active, normal lives. Why Choose Dr. Md. Nafaur Rahman for Scheuermann’s Disease Treatment? 🩺 National expert in pediatric spine deformities 🧠 Over 10 years of experience in child-specific spinal surgery 🔍 Special focus on accurate diagnosis and imaging 🛌 Availability of minimally invasive and deformity correction techniques 🏥 Dedicated care at NINS and Bangladesh Paediatric Neurocare Centre 🤝 Family counseling and postoperative rehabilitation support Book an Appointment for Evaluation 📌 Dr. Md. Nafaur Rahman Assistant Professor, Department of Pediatric Neurosurgery, National Institute of Neurosciences & Hospital (NINS) Chief Consultant, Bangladesh Paediatric Neurocare Centre 📞 For Serial or Consultation: 📱 +8801912988182 | +8801607033535 🌐 www.neurosurgeonnafaur.com
