Journals / Acta Orthopaedica et Traumatologica Turcica / 2021 / Cilt: 55 - Sayı: 3

Relationship between Scheuermann disease and symptomatic thoracic spinal stenosis: A retrospective study

Pages
253–257
DOI
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SD was found to be a risk factor for TDH (P 0.05).Conclusion: Evidence from this study indicated that SD might be a risk factor for OLF and TDH but not for OPLL.Conclusion: Level III, Diagnostic Study

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: This study aimed to investigate the possible relationship between Scheuermann disease (SD) and the pathophysiological factorsof thoracic spinal stenosis (TSS), including ossification of the ligamentum flavum (OLF), ossification of the posterior longitudinal ligament(OPLL), and thoracic disc herniation (TDH) in patients with symptomatic TSS.Methods: Demographic and radiological data from 66 consecutive patients diagnosed with symptomatic TSS from 2013 to 2018 were retrospectively collected and divided into 3 groups depending on the underlying pathomechanism of TSS: TDH group (18 patients; 6 women;mean age ± standard deviation [Sd] = 59.89 ± 11.34), OPLL group (12 patients; 8 women; mean age ± Sd = 56.08 ± 14.74), and OLF group(36 patients; 20 women; mean age ± Sd = 58.69 ± 9.77).
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Key Findings & Data:A total of 41 age-matched healthy individuals (19 women; mean age ± Sd = 54.88 ±13.63) were designated as the control group.
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Conclusion & Impact:SD was found to be a risk factor for TDH (P 0.05).Conclusion: Evidence from this study indicated that SD might be a risk factor for OLF and TDH but not for OPLL.Conclusion: Level III, Diagnostic Study
🔬Design:Research Article
📍Scope:2013 Verileri
⚙️Variables:Domain Parameters

Özet

Objective: This study aimed to investigate the possible relationship between Scheuermann disease (SD) and the pathophysiological factorsof thoracic spinal stenosis (TSS), including ossification of the ligamentum flavum (OLF), ossification of the posterior longitudinal ligament(OPLL), and thoracic disc herniation (TDH) in patients with symptomatic TSS.Methods: Demographic and radiological data from 66 consecutive patients diagnosed with symptomatic TSS from 2013 to 2018 were retrospectively collected and divided into 3 groups depending on the underlying pathomechanism of TSS: TDH group (18 patients; 6 women;mean age ± standard deviation [Sd] = 59.89 ± 11.34), OPLL group (12 patients; 8 women; mean age ± Sd = 56.08 ± 14.74), and OLF group(36 patients; 20 women; mean age ± Sd = 58.69 ± 9.77). A total of 41 age-matched healthy individuals (19 women; mean age ± Sd = 54.88 ±13.63) were designated as the control group. In each group, both typical and atypical SD criteria were radiologically examined. The demographic data and presence of SD between the control group and 3 subgroups of TSS pathomechanisms were evaluated.Results: SD characteristics were identified in 83.33% (15/18) of patients in the TDH group, 44.44% (16/36) in the OLF group, 25% (3/12) in theOPLL group, and 17.07% (7/41) of the control individuals. When analyzed by the chi-squared test and logistic regression analysis, the presence ofSD was significantly associated with TDH (P 0.05). Patients with TDH and OLF showed peak involvement of T10/11, and patients with OPLL did not. Furthermore, we determined that age, sex, body-mass index, and smoking status were not therisk factors for TDH, OPLL, and OLF (P > 0.05). SD was found to be a risk factor for TDH (P 0.05).Conclusion: Evidence from this study indicated that SD might be a risk factor for OLF and TDH but not for OPLL.Conclusion: Level III, Diagnostic Study

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Cite This Article

DING, Y., LV, S., DONG, S., CUI, J., CAO, Z., CHEN, Y. (2021). Relationship between Scheuermann disease and symptomatic thoracic spinal stenosis: A retrospective study. Acta Orthopaedica et Traumatologica Turcica, Cilt: 55 - Sayı: 3, 253–257. https://ajindex.com/articles/353941

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