Komar Jonathan C, James Jennifer, Little James W
Department of Rehabilitation Medicine, University of Washington Medical Center, Seattle, Washington 98195-6490, USA.
J Spinal Cord Med. 2003 Spring;26(1):92-4. doi: 10.1080/10790268.2003.11754549.
Scheuermann's kyphosis is an uncommon autosomal dominant disease that manifests as a progressive thoracic skeletal deformity. It can lead to severe restrictive lung disease or predispose to spinal cord injury (SCI). Neurologic sequelae are rarely reported in the literature.
Case Presentation
A 47-year-old man sustained a cervical SCI requiring surgical anterior fusion and reoperation for fracture of the affected vertebra. One year after SCI, he presented with further kyphotic progression and cervical spine instability. Clinical presentation and family history led to a diagnosis of Scheuermann's kyphosis. To prevent further progression, he underwent extensive multilevel anterior and posterior surgical stabilization.
This case illustrates the importance of early diagnosis and treatment of progressive spinal deformities. With proper surgical correction, this patient made substantial gains in mobility, self-care, and respiratory status.
休曼氏后凸畸形是一种罕见的常染色体显性疾病，表现为进行性胸椎骨骼畸形。它可导致严重的限制性肺病或易引发脊髓损伤（SCI）。文献中很少报道神经后遗症。
病例报告
一名47岁男性发生颈椎脊髓损伤，需要进行手术前路融合及对受累椎体骨折进行再次手术。脊髓损伤一年后，他出现了进一步的后凸进展和颈椎不稳定。临床表现和家族史导致诊断为休曼氏后凸畸形。为防止进一步进展，他接受了广泛的多节段前后路手术稳定治疗。
本病例说明了早期诊断和治疗进行性脊柱畸形的重要性。通过适当的手术矫正，该患者在活动能力、自我护理和呼吸状况方面取得了显著改善。
