Ryan M D, Taylor T K
J Bone Joint Surg Br. 1982;64(4):409-12. doi: 10.1302/0301-620X.64B4.7096412.
Acute myelopathy is a rare complication of Scheuermann's disease. Three patients are reported where spinal cord compression occurred at the apex of a kyphos. All were male, aged 14, 18 and 20 years, and each had a profound neurological defect associated with a short, sharp kyphos in the low thoracic region. Each patient underwent anterior decompression and all made an almost full recovery. It is deduced that factors which may influence the onset of cord compression include the angle of kyphosis, the number of segments involved, the rate of change of the angle, local anatomical variations, trauma, and possible secondary impairment of the vasculature of the cord.
急性脊髓病是休门病的一种罕见并发症。本文报告了3例患者，他们在脊柱后凸顶点处发生脊髓受压。所有患者均为男性，年龄分别为14岁、18岁和20岁，每人都有严重的神经功能缺损，伴有下胸段短而急剧的脊柱后凸。每位患者均接受了前路减压，且均几乎完全康复。据推断，可能影响脊髓受压发病的因素包括后凸角度、受累节段数量、角度变化率、局部解剖变异、创伤以及脊髓血管可能的继发性损害。
