Kolhe Pradhyum D, Zanwar Nikita G, Phansopkar Pratik
Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, IND.
Research and Development, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, IND.
Cureus. 2024 Aug 5;16(8):e66194. doi: 10.7759/cureus.66194. eCollection 2024 Aug.
Scheuermann disease, a structural deformity marked by kyphotic alterations in the thoracic or thoracolumbar spine, is frequently accompanied by back discomfort and spinal wedging. Scheuermann disease predominantly affects the thoracic and thoracolumbar parts of the spine; thus, there is an indirect link between the two conditions. This case report describes a rare form of Scheuermann illness in which lumbar canal stenosis caused bilateral lower limb radiculopathy. A 50-year-old male with a confirmed diagnosis of Scheuermann illness complained of severe back discomfort, developing bilateral lower limb weakness, and sensory impairments. Clinical and radiographic investigations indicated lumbar canal stenosis at multiple levels, resulting in nerve root compression and radiculopathy. MRI reports of the lumbosacral spine were suggestive of severe, multiple-level degenerative changes. Spinal canal stenosis was noted at lumbar levels. Following the investigation findings suggestive of Scheuermann disease, the patient underwent posterior decompression and spinal fixation of L3-L4 and L4-L5. The outcome led to the decompression of the lumbar canal and the stabilization of the affected spinal segments. A personalized postoperative rehabilitation plan was developed based on the patient's complaints of pain, stiffness, and the difficulties he faced associated with the disease. Overall physiotherapy rehabilitation plays an essential role in the overall care of Scheuermann's illness and postoperative lumbar spine disease, aiding in functional restoration, enhancing quality of life, and encouraging long-term spinal health. Although exercise therapy is intense, it shows promising results and is beneficial for these conditions. Physical therapy in the postoperative period plays a significant role in promoting the patient's functional independence.
休门氏病是一种以胸椎或胸腰椎脊柱后凸畸形为特征的结构性畸形，常伴有背部不适和椎体楔形变。休门氏病主要影响脊柱的胸段和胸腰段；因此，这两种情况之间存在间接联系。本病例报告描述了一种罕见的休门氏病形式，其中腰椎管狭窄导致双侧下肢神经根病。一名确诊为休门氏病的50岁男性主诉严重的背部不适，出现双侧下肢无力和感觉障碍。临床和影像学检查表明存在多个节段的腰椎管狭窄，导致神经根受压和神经根病。腰骶椎的MRI报告提示严重的多节段退行性改变。在腰椎水平发现椎管狭窄。根据提示休门氏病的检查结果，患者接受了L3-L4和L4-L5的后路减压和脊柱固定术。结果实现了腰椎管减压和受影响脊柱节段的稳定。根据患者的疼痛、僵硬主诉以及他所面临的与疾病相关的困难，制定了个性化的术后康复计划。总体而言，物理治疗康复在休门氏病和术后腰椎疾病的整体护理中起着至关重要的作用，有助于功能恢复、提高生活质量并促进脊柱长期健康。尽管运动疗法强度较大，但显示出有希望的结果，对这些病症有益。术后物理治疗在促进患者功能独立方面发挥着重要作用。
