Spinal Deformity for Residents-Scheuermann's Disease (Kyphosis)

Video Transcription

Video Summary

The video is a lecture on Shuman's kyphosis, a specific type of kyphosis that causes disabling back pain in juvenile males. The lecturer explains that Shuman's kyphosis is a disease of the end plates that leads to a specific type of deformity in the upper or mid thoracic spine. The lecture covers the differences between normal kyphosis, postural kyphosis, and Shuman's kyphosis. Postural kyphosis is a common issue where people have a rounded shoulder posture, while Shuman's kyphosis worsens when the person bends forward. The lecturer discusses the non-operative and operative treatment options for Shuman's kyphosis, including bracing, skeletal casting, and surgery. Posterior-only surgery is generally favored, but there is some controversy over whether to use anterior-posterior combined surgery. The lecture concludes by discussing the outcomes and natural history of Shuman's kyphosis, noting that long-term studies show no significant difference in pain or daily activities between observation, bracing, and surgery.

Asset Subtitle

Presented by Daniel M. Sciubba, MD

Keywords

Shuman's kyphosis

disabling back pain

end plates

postural kyphosis

operative treatment

surgery