Wischnewski W, Pfeiffer A
Institut für Arbeits-Sozial, Castrop-Rauxel.
Versicherungsmedizin. 1996 Aug 1;48(4):126-8.
The Scheuermanns disease is an illness of which the fluoride stage is described as a disorder in growth of the vertebral-intervertebral disk borderline. This stage of the illness ends with the finish of bone growth. Depending on the advanced alterations of the spinal column segments or of the statics of the spinal column up to that point, in later stages of life there will be a higher rate of diskopathies of the lumbar vertebrae and later on of the cervical vertebrae where it often causes arthrosis of the swivel joints. I.e. Morbus Scheuermann is a predisposition for the beginning of diskopathies and has to be added to the differential diagnostic investigation considerations for the examination of causality of the occupation diseases subparagraph 2108 to 2110. We find it justified that the Scheuermanns disease has to be included into the accompanying leaflet as a relevant pre-illness. The thorakal as well as the lumbarthorakal or lumbar manifestation has to be a competitive cause of vocational connection brought under discussion. That is the reason why all the more a preference of the expected segments is required as far as an essential partial cause with a vocational influence with the judgement is discussed. The same also applies to the judgement in a sense of deterioration.
休曼氏病是一种疾病，其氟化物阶段被描述为椎体-椎间盘交界处生长紊乱。该疾病阶段随着骨骼生长结束而告终。根据脊柱节段或脊柱静态结构在此之前的进展性改变，在生命后期，腰椎椎间盘病变的发生率会更高，随后颈椎也会出现病变，且常导致旋转关节的关节炎。也就是说，休曼氏病是椎间盘病变开始的一个易患因素，在对职业病第2108至2110款因果关系检查的鉴别诊断调查考虑中必须加以考虑。我们认为将休曼氏病作为一种相关的前期疾病纳入随附说明书是合理的。胸椎以及胸腰段或腰段表现必须是所讨论的职业关联的一个竞争原因。这就是为什么在讨论具有职业影响的关键部分原因并进行判断时，更需要优先考虑预期节段。在病情恶化方面的判断也是如此。
