Spinal growth dystrophy (CRD), also called Scheuermann's disease, corresponding to impaired
vertebral structure occurring in children and adolescents with involvement of the growth
cartilage causing impaired growth and kyphosis.
There are forms thoracolumbar and thoracic conventional forms of DRC with variable clinical
expressions; the most important being kyphosis with spinal stiffness associated with painful
The radiographic definition according Sorenson is uniformisation 5 ° affecting at least three
Scheuermann's disease and three problems. First, the thoracic kyphosis generates back pain
which may be thoracic or lumbar indirectly attributed to compensatory lordosis. Moreover
disruption sagittal balance frequently causes a significant aesthetic discomfort. Finally,
scalability because the curvature may increase the likelihood of degenerative lesions disc
degeneration or lumbar spinal stenosis for example.
When the disease is diagnosed early, treatment is most often associated with orthopedic
physiotherapy. However, for patients with active deformation, despite an orthopedic brace
treatment with chronic pain, neurological deficit or for aesthetic reasons, surgical decision
can be taken.
The goal of surgical treatment of DRC is a correction of the thoracic kyphosis. It goes
through a spinal fusion must be released from his column stiffness in a bad position,
changing the equilibrium profile and ensure that it remains in a good position.
This surgery usually requires a prior operative time (thoracic surgery to remove the
intervertebral discs) and a posterior surgical time (blockage of the vertebrae together with
a bone graft and osteosynthesis). Currently different surgical strategies are practiced there
is no real consensus between the teams.