Clinical and Molecular Osteoporosis Research Unit, Departments of Orthopedics and Clinical Sciences, Lund University, Skåne University Hospital, Malmö.
Sahlgrenska Osteoporosis Centre, Center for Bone Research, Departments of Internal Medicine and Geriatrics, Gothenburg University, Sahlgrenska University Hospital, Göteborg.
Acta Orthop. 2023 May 10;94:236-242. doi: 10.2340/17453674.2023.12358.
Scheuermann's disease is characterized by kyphosis and frequently mild back pain. As the level of kyphosis may progress over time, also the level of pain may increase. We evaluated the prevalence of Scheuermann's disease, and their pain, in Swedish elderly men.
The Osteoporotic Fractures in Men (MrOS) Study Sweden (n = 3,014) is a population-based prospective observational study of community-living men aged 69-81 years. At baseline, participants answered a questionnaire including history of neck/back pain during the preceding year and characteristics of any pain (severity, sciatica, and neurological deficits). Lateral thoracic/lumbar spine radiographs were taken of 1,453 men. We included the 1,417 men with readable radiographs. Scheuermann's disease was defined as 3 or more consecutive vertebrae with > 5° wedging with no other explanation for the deformity.
92 of the 1,417 men (6.5%, 95% confidence interval 5.3-7.9) had Scheuermann's disease. 31% of men with and 31% without Scheuermann's disease reported neck pain (P = 0.90) and 51% with and 55% without the disease reported back pain (P = 0.4). Among men with Scheuermann's disease and back pain, none reported severe pain, 57% moderate, and 43% mild, compared with 7%, 50%, and 44% in those without Scheuermann's disease (P = 0.2). In those with Scheuermann's disease 63% reported no sciatica, 15% sciatica without neurological deficits, and 22% sciatica with neurological deficits, compared with 56%, 16%, and 28% in those without the disease (P = 0.6).
The prevalence of Scheuermann's disease in elderly Swedish men is between 5.3% and 7.9%. The condition seems at this age not to be associated with neck or back pain.
Scheuermann 病的特征是脊柱后凸和经常出现轻度背痛。随着脊柱后凸程度的增加，疼痛程度也可能增加。我们评估了瑞典老年男性中 Scheuermann 病的患病率及其疼痛情况。
男性骨质疏松性骨折研究（MrOS）瑞典（n=3014）是一项针对 69-81 岁社区居住男性的基于人群的前瞻性观察研究。在基线时，参与者回答了一份问卷，包括过去一年颈部/背部疼痛史以及任何疼痛的特征（严重程度、坐骨神经痛和神经功能缺损）。对 1453 名男性进行了胸部/腰椎侧位 X 光片拍摄。我们纳入了 1417 名可读取 X 光片的男性。Scheuermann 病定义为 3 个或更多连续椎体楔形变>5°，无其他畸形原因。
1417 名男性中有 92 名（6.5%，95%置信区间为 5.3-7.9）患有 Scheuermann 病。患有和不患有 Scheuermann 病的男性中，分别有 31%和 31%报告颈部疼痛（P=0.90），分别有 51%和 55%报告背部疼痛（P=0.4）。在患有 Scheuermann 病和背痛的男性中，没有报告严重疼痛的，57%报告中度疼痛，43%报告轻度疼痛，而不患有 Scheuermann 病的男性中，分别有 7%、50%和 44%报告严重疼痛（P=0.2）。在患有 Scheuermann 病的男性中，63%报告无坐骨神经痛，15%报告无神经功能缺损的坐骨神经痛，22%报告有神经功能缺损的坐骨神经痛，而不患有该疾病的男性中，分别有 56%、16%和 28%报告无坐骨神经痛（P=0.6）。
瑞典老年男性中 Scheuermann 病的患病率在 5.3%至 7.9%之间。在这个年龄，这种疾病似乎与颈部或背部疼痛无关。
