Neurologic compression by thoracic disc in a case of scheuermann kyphosis - an infrequent combination.
Scheuermann disease is a rigid kyphosis due to vertebral wedging in the thoracic or lumbar spine. It is very rarely associated with neurologic compromise. Thoracic disc herniation leading to dural sac compression is also an infrequent pathology. We describe here a young man with Scheuermann disease who presented with symptoms and signs of neural compression. The cause of compression was a thoracolumbar disc, rendering him non-ambulant without support. He required transthoracic surgical decompression. The neurological status of the patient improved rapidly after surgery. At his latest follow-up he was independently ambulant with full restoration to activities of daily living.
Riaz
Salman
S
Department of Neurological Surgery, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada.
Lakdawalla
Riaz Hussain
RH
D000328:Adult; D017586:Diskectomy; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications* / Q000601:surgery; D007738:Kyphosis / Q000150:complications*; D008297:Male; D012544:Scheuermann Disease / Q000150:complications*; D013117:Spinal Cord Compression / Q000209:etiology* / Q000601:surgery; D013904:Thoracic Vertebrae