SUDDEN SEVERE NEUROLOGICAL DEFICIT IN SCHEUERMANN’S DISEASE: A CASE REPORT AND LITERATURE REVIEW


Yıldız M. Z., Böcü Y., Gülsever C. İ., Toktaş Z. O.

Journal of Turkish Spinal Surgery, cilt.36, sa.1, ss.47-51, 2025 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 36 Sayı: 1
  • Basım Tarihi: 2025
  • Doi Numarası: 10.4274/jtss.galenos.2024.53825
  • Dergi Adı: Journal of Turkish Spinal Surgery
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.47-51
  • Anahtar Kelimeler: Neurological deficit, Scheuermann’s disease, spinal cord compression, spinal surgery, thoracic kyphosis
  • İstanbul Üniversitesi Adresli: Evet

Özet

Scheuermann’s disease is a spinal deformity that typically presents with back pain and cosmetic concerns. Neurological deficits are rare, particularly in adult patients without trauma or associated spinal pathology. We report the case of a 29-year-old female with a longstanding history of kyphosis, who presented with the onset of severe neurological deficits, including paraparesis and incontinence. Imaging revealed thoracic kyphosis with spinal cord compression at the apex without evidence of disc herniation or other spinal abnormalities. Surgical intervention using a posterior-only approach, including decompression and stabilization, was performed. Post-operative recovery was significant, with complete resolution of neurological symptoms at the one-year follow-up. This case underscores the importance of considering Scheuermann’s disease as a rare cause of severe neurological impairment. Advanced imaging modalities, such as diffusion tensor imaging, are valuable in detecting spinal cord involvement. Surgical decompression and kyphosis correction are critical for successful outcomes.