Sheirman-Mau's disease, or juvenile kyphosis, is a disease of the spine, which affects about 5% of the entire population. Moreover, in men the development of the disease occurs twice as often as in women.
The disease is usually located in the thoracic spine or at the junction of the thoracic and lumbar spine and implies an incorrect bending of the spine, or more precisely, the deviation from its natural angles by 45-75 degrees, while the normal vibration is 20-40 degrees . As a result of this irregular bending, the body of the vertebrae is deformed due to changes in the spinal cord, which in turn often leads to the formation of various anomalies, for example, Schmorl's hernia. In addition, Sheyerman-Mau disease is fraught with the development of a wedge-shaped deformation that arises as a result of abnormal development of the vertebra due to thickening of ligaments in this disease.
What are the causes of the disease?
The exact causes of Sheyerman-Mau disease are not established, there are only theories and assumptions. The most common theories about the causes of the disease suggest that the cause may be aseptic necrosis of the ring parts of vertebral cartilage, and various injuries, and excessive growth of bone tissue in some parts of the vertebral bodies, and hereditary predisposition.
The emergence of the first symptoms of Sheyerman-Mau disease usually occurs during the adolescent period of puberty, that is, around 10-15 years. The disease does not make itself felt and is found, as a rule, by accident. Attentive parents begin to notice the unusual stoop of the child and poor posture. At the same time the teenager experiences uncomfortable sensations after a long sitting, which are localized in the back. Some children may have pain between the shoulder blades, and the spine itself becomes rigid, that is, the child is difficult to bend and straighten. In severe cases, compression of the spinal cord or nerve roots and the dysfunction of the heart and lungs may occur.
For a correct diagnosis, the doctor needs an anamnesis - when and under what circumstances discomfort was felt, are there any concomitant diseases, was not any of the relatives sick with the Sheyerman-Mau disease. The basis of the diagnosis is an x-ray study, as a result of which Schmorl's hernias can be identified, as well as the degree of deviation of the spine from its own axis. Computer tomography and MRI are usually administered with a pronounced symptomatology. It should be noted that the disease has a characteristic deformation, in which at least three vertebrae are affected.
Treatment of Sheyerman-Mau disease
With Sheyerman-Mau disease, usually conservative treatment is used, which includes medication, curative gymnastics, massage and physiotherapy. It is also recommended to wear a special corset that reduces pain syndrome.
Only in those cases when the angle of deviation from the natural angles of the spine is more than 75 degrees, surgical methods of treatment are used.