Deacon P, Berkin C R, Dickson R A
J Bone Joint Surg Br. 1985 Mar;67(2):189-92. doi: 10.1302/0301-620X.67B2.3980523.
A radiological study of 50 patients with thoracic Scheuermann's disease revealed two types of lateral spinal curvature. A total of 43 lateral curves was present in 35 of the patients. Thirteen were apical at the same level as the Scheuermann's kyphosis and were due to vertebral-body wedging in the coronal plane; these curves had a mean Cobb angle of 15 degrees, occurred with equal prevalence in boys and girls and were directed equally to right and left. Thirty curves occurred in regions of compensatory lordosis (mean 5.6 degrees) situated above or, more commonly, below the Scheuermann's kyphosis. These scolioses had a mean Cobb angle of 16 degrees, were more often convex to the right than to the left and were significantly more prevalent in girls than in boys. The presence of these kyphoses and scolioses in the same spine, separated by only a few vertebrae, emphasises the importance of the sagittal plane in idiopathic spinal deformities and strongly suggests that idiopathic scoliosis and Scheuermann's disease share a common pathological process.
一项针对50例胸椎Scheuermann病患者的影像学研究揭示了两种类型的脊柱侧凸。35例患者中共有43条侧凸曲线。13条曲线的顶点与Scheuermann驼背处于同一水平，是由椎体在冠状面的楔形变引起的；这些曲线的平均Cobb角为15度，在男孩和女孩中的发生率相同，且向右和向左的方向均等。30条曲线出现在Scheuermann驼背上方或更常见的下方的代偿性前凸区域（平均5.6度）。这些脊柱侧凸的平均Cobb角为16度，向右凸的情况比向左凸更常见，且在女孩中的发生率明显高于男孩。这些驼背和脊柱侧凸出现在同一脊柱中，仅相隔几个椎体，这突出了矢状面在特发性脊柱畸形中的重要性，并强烈表明特发性脊柱侧凸和Scheuermann病具有共同的病理过程。
