Chiropractic management of a patient with Scheuermann's kyphosis

Clinical Chiropractic Pub Date : 2012-03-01 DOI:10.1016/j.clch.2012.01.005

James C. Boysen , Steven L. Silverman

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引用次数: 1

Abstract

Background

To describe the chiropractic management of a patient with Scheuermann's kyphosis.

Case presentation

An 18-year-old male sought care for thoracic spine pain of over 6 weeks’ duration. Thoracic flexion and lumbar spine flexion/extension were decreased. Digital postural analysis showed postural kyphosis, anterior head carriage, shoulder protraction and posterior translation of the thorax relative to the pelvis. Radiographs demonstrated multiple spinal levels with endplate irregularities, suggestive of Schmorl's nodes primarily involving the thoracic spine with associated reduced anterior vertebral body heights. Thoracic kyphosis measured 90° from T1 to T11, with a left thoracic list and right rotation with right lateral lumbar curvature.

Conclusions

An 18-year-old man with Scheuermann's kyphosis was successfully managed using a combination of chiropractic adjustments and postural exercises. This suggests a role for chiropractic care for Scheuermann's kyphosis. Further research is necessary to examine this in more detail.

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舒尔曼后凸症患者的整脊治疗

背景:描述一例舒尔曼后凸症患者的整脊治疗。病例介绍一名18岁男性因胸椎疼痛超过6周而求医。胸椎屈曲和腰椎屈伸均减少。数字式体位分析显示体位性后凸、头部前移、肩部前伸和胸腔相对于骨盆后移。x线片显示多个脊柱节段伴终板不规则，提示主要累及胸椎的Schmorl淋巴结，并伴有前椎体高度降低。胸后凸从T1到T11测量为90°，左胸单位和右旋转伴右侧腰椎外侧弯曲。结论:一名18岁的男子通过捏脊调整和体位练习的结合成功地治疗了舒尔曼后凸症。这表明整脊治疗对舒尔曼氏后凸症有一定作用。需要进一步的研究来更详细地检验这一点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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