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Rehabilitation Practice and Science

Translated Title

Scheuermann 氏病引起之下背痛：病例報告

Abstract

Scheuermann's disease is one of the common causes of structural abnormality in the thoracic or thoracolumbar spines. Many theories have been proposed for the etiologies of Scheuermann's disease, but the true etiology remains unclear. The disease has a strong familial tendency which may be inh-erited in an autosomal dominant mode. This article describes a 21-year-old male patient who was suff-ering from low back pain for 2 years. The patient was initially diagnosed as having a scoliosis of the thoracolumbar spine. There was no symptomatic alleviation after initial rehabilitation therapy. Patient then received series of examinations, which revealed anterior wedge deformity of the T11, T12 and L1 spines together with kyphoscoliosis of thoracolumbar spine and L5 spondylolysis. In addition, patient's mother also had humpback and back pain since her adolescence, and her radiographic plain films showed an anterior wedge deformity, kyphosis and scoliosis of the thoracic spine. Because the clinical progress of the disease is insidious, early diagnosis and treatment become very important for the pro-gnosis of disease. Based on this casereport, careful history taking and detailed examinations should be emphasized in patients inflicted with low back pain.

Language

Traditional Chinese

First Page

181

Last Page

186

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