{"title":"舒尔曼后凸症患者的整脊治疗","authors":"James C. Boysen , Steven L. Silverman","doi":"10.1016/j.clch.2012.01.005","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p><span>To describe the chiropractic management of a patient with Scheuermann's </span>kyphosis.</p></div><div><h3>Case presentation</h3><p><span>An 18-year-old male sought care for thoracic spine pain of over 6</span> <span><span><span>weeks’ duration. Thoracic flexion and lumbar spine flexion/extension were decreased. Digital postural analysis showed postural kyphosis, anterior head carriage, shoulder protraction and posterior translation of the </span>thorax relative to the pelvis. Radiographs demonstrated multiple spinal levels with endplate irregularities, suggestive of Schmorl's nodes primarily involving the thoracic spine with associated reduced anterior </span>vertebral body heights. Thoracic kyphosis measured 90° from T1 to T11, with a left thoracic list and right rotation with right lateral lumbar curvature.</span></p></div><div><h3>Conclusions</h3><p>An 18-year-old man with Scheuermann's kyphosis was successfully managed using a combination of chiropractic adjustments and postural exercises. This suggests a role for chiropractic care for Scheuermann's kyphosis. Further research is necessary to examine this in more detail.</p></div>","PeriodicalId":100267,"journal":{"name":"Clinical Chiropractic","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clch.2012.01.005","citationCount":"1","resultStr":"{\"title\":\"Chiropractic management of a patient with Scheuermann's kyphosis\",\"authors\":\"James C. Boysen , Steven L. Silverman\",\"doi\":\"10.1016/j.clch.2012.01.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p><span>To describe the chiropractic management of a patient with Scheuermann's </span>kyphosis.</p></div><div><h3>Case presentation</h3><p><span>An 18-year-old male sought care for thoracic spine pain of over 6</span> <span><span><span>weeks’ duration. Thoracic flexion and lumbar spine flexion/extension were decreased. Digital postural analysis showed postural kyphosis, anterior head carriage, shoulder protraction and posterior translation of the </span>thorax relative to the pelvis. Radiographs demonstrated multiple spinal levels with endplate irregularities, suggestive of Schmorl's nodes primarily involving the thoracic spine with associated reduced anterior </span>vertebral body heights. Thoracic kyphosis measured 90° from T1 to T11, with a left thoracic list and right rotation with right lateral lumbar curvature.</span></p></div><div><h3>Conclusions</h3><p>An 18-year-old man with Scheuermann's kyphosis was successfully managed using a combination of chiropractic adjustments and postural exercises. This suggests a role for chiropractic care for Scheuermann's kyphosis. Further research is necessary to examine this in more detail.</p></div>\",\"PeriodicalId\":100267,\"journal\":{\"name\":\"Clinical Chiropractic\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2012-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.clch.2012.01.005\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Chiropractic\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1479235412000089\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Chiropractic","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1479235412000089","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Chiropractic management of a patient with Scheuermann's kyphosis
Background
To describe the chiropractic management of a patient with Scheuermann's kyphosis.
Case presentation
An 18-year-old male sought care for thoracic spine pain of over 6weeks’ duration. Thoracic flexion and lumbar spine flexion/extension were decreased. Digital postural analysis showed postural kyphosis, anterior head carriage, shoulder protraction and posterior translation of the thorax relative to the pelvis. Radiographs demonstrated multiple spinal levels with endplate irregularities, suggestive of Schmorl's nodes primarily involving the thoracic spine with associated reduced anterior vertebral body heights. Thoracic kyphosis measured 90° from T1 to T11, with a left thoracic list and right rotation with right lateral lumbar curvature.
Conclusions
An 18-year-old man with Scheuermann's kyphosis was successfully managed using a combination of chiropractic adjustments and postural exercises. This suggests a role for chiropractic care for Scheuermann's kyphosis. Further research is necessary to examine this in more detail.
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