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In old men Scheuermann’s disease is not associated with neck or back pain : a Swedish cohort study

Jönsson, Anette LU orcid ; Damm, Henrik LU ; Hofvander, Mehrsa ; Rosengren, Björn E. LU ; Redlund-Johnell, Inga LU ; Ohlsson, Claes ; Mellström, Dan and Karlsson, Magnus K. LU (2023) In Acta Orthopaedica 94. p.236-242
Abstract

Background and purpose — Scheuermann’s disease is characterized by kyphosis and frequently mild back pain. As the level of kyphosis may progress over time, also the level of pain may increase. We evaluated the prevalence of Scheuer-mann’s disease, and their pain, in Swedish elderly men. Patients and methods — The Osteoporotic Fractures in Men (MrOS) Study Sweden (n = 3,014) is a population-based prospective observational study of community-living men aged 69–81 years. At baseline, participants answered a questionnaire including history of neck/back pain during the preceding year and characteristics of any pain (severity, sciatica, and neurological deficits). Lateral thoracic/lumbar spine radiographs were taken of 1,453 men. We included... (More)

Background and purpose — Scheuermann’s disease is characterized by kyphosis and frequently mild back pain. As the level of kyphosis may progress over time, also the level of pain may increase. We evaluated the prevalence of Scheuer-mann’s disease, and their pain, in Swedish elderly men. Patients and methods — The Osteoporotic Fractures in Men (MrOS) Study Sweden (n = 3,014) is a population-based prospective observational study of community-living men aged 69–81 years. At baseline, participants answered a questionnaire including history of neck/back pain during the preceding year and characteristics of any pain (severity, sciatica, and neurological deficits). Lateral thoracic/lumbar spine radiographs were taken of 1,453 men. We included the 1,417 men with readable radiographs. Scheuermann’s disease was defined as 3 or more consecutive vertebrae with > 5° wedging with no other explanation for the deformity. Results — 92 of the 1,417 men (6.5%, 95% confidence interval 5.3–7.9) had Scheuermann’s disease. 31% of men with and 31% without Scheuermann’s disease reported neck pain (P = 0.90) and 51% with and 55% without the disease reported back pain (P = 0.4). Among men with Scheuer-mann’s disease and back pain, none reported severe pain, 57% moderate, and 43% mild, compared with 7%, 50%, and 44% in those without Scheuermann’s disease (P = 0.2). In those with Scheuermann’s disease 63% reported no sciatica, 15% sciatica without neurological deficits, and 22% sciatica with neurological deficits, compared with 56%, 16%, and 28% in those without the disease (P = 0.6). Conclusion — The prevalence of Scheuermann’s disease in elderly Swedish men is between 5.3% and 7.9%. The con-dition seems at this age not to be associated with neck or back pain.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica
volume
94
pages
7 pages
publisher
Taylor & Francis
external identifiers
  • pmid:37170780
  • scopus:85160233233
ISSN
1745-3674
DOI
10.2340/17453674.2023.12358
language
English
LU publication?
yes
id
970a2957-fce8-4c8a-98f8-26600a1d36af
date added to LUP
2023-09-25 10:57:38
date last changed
2024-04-19 01:23:59
@article{970a2957-fce8-4c8a-98f8-26600a1d36af,
  abstract     = {{<p>Background and purpose — Scheuermann’s disease is characterized by kyphosis and frequently mild back pain. As the level of kyphosis may progress over time, also the level of pain may increase. We evaluated the prevalence of Scheuer-mann’s disease, and their pain, in Swedish elderly men. Patients and methods — The Osteoporotic Fractures in Men (MrOS) Study Sweden (n = 3,014) is a population-based prospective observational study of community-living men aged 69–81 years. At baseline, participants answered a questionnaire including history of neck/back pain during the preceding year and characteristics of any pain (severity, sciatica, and neurological deficits). Lateral thoracic/lumbar spine radiographs were taken of 1,453 men. We included the 1,417 men with readable radiographs. Scheuermann’s disease was defined as 3 or more consecutive vertebrae with &gt; 5° wedging with no other explanation for the deformity. Results — 92 of the 1,417 men (6.5%, 95% confidence interval 5.3–7.9) had Scheuermann’s disease. 31% of men with and 31% without Scheuermann’s disease reported neck pain (P = 0.90) and 51% with and 55% without the disease reported back pain (P = 0.4). Among men with Scheuer-mann’s disease and back pain, none reported severe pain, 57% moderate, and 43% mild, compared with 7%, 50%, and 44% in those without Scheuermann’s disease (P = 0.2). In those with Scheuermann’s disease 63% reported no sciatica, 15% sciatica without neurological deficits, and 22% sciatica with neurological deficits, compared with 56%, 16%, and 28% in those without the disease (P = 0.6). Conclusion — The prevalence of Scheuermann’s disease in elderly Swedish men is between 5.3% and 7.9%. The con-dition seems at this age not to be associated with neck or back pain.</p>}},
  author       = {{Jönsson, Anette and Damm, Henrik and Hofvander, Mehrsa and Rosengren, Björn E. and Redlund-Johnell, Inga and Ohlsson, Claes and Mellström, Dan and Karlsson, Magnus K.}},
  issn         = {{1745-3674}},
  language     = {{eng}},
  pages        = {{236--242}},
  publisher    = {{Taylor & Francis}},
  series       = {{Acta Orthopaedica}},
  title        = {{In old men Scheuermann’s disease is not associated with neck or back pain : a Swedish cohort study}},
  url          = {{http://dx.doi.org/10.2340/17453674.2023.12358}},
  doi          = {{10.2340/17453674.2023.12358}},
  volume       = {{94}},
  year         = {{2023}},
}