Abstract
This paper describes eight patients with spinal stenosis associated with marked osteochondrous changes in the vertebral bodies due to juvenile lumbar osteochondrosis (Scheuermann's disease). In no case was the midsagittal or interpedicular diameter of the spinal canal indicative of bony stenosis. On the other hand, in the myelograms the sagittal diameter of the dural sac was in all cases significantly narrowed, a diagnostic sign of central spinal stenosis. Therefore, myelography should always be contemplated when osteochondrous changes are present and spinal stenosis is suspected clinically regardless of whether the spinal canal diameters are normal in plain films.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Ascani E, Montenaro A (1985) Scheuermann's disease. In: Bradford DS, Hensinger RM (eds) The pediatric spine, 1st edn. Thieme, New York, p 309
Babin E (1980) Radiology of the narrow lumbar canal. In: Wackenheim A, Babib E (eds) The narrow lumbar canal. Springer, Berlin Heidelberg New York, p 6
Blumenthal SL, Roach J, Herring IA (1987) Lumbar Scheuermann's. A clinical series and classification. Spine 12:929
Bradford DS (1987) Juvenile kyphosis. In: Bradford DS, Lonstein JE, Moe JH, Ogilvie JW, Winter RB (eds) Moe's textbook of scoliosis and other spinal deformities, 2nd edn. Saunders, Philadelphia, p 351
Bradford DS, Garcia A (1969) Neurological complication in Scheuermann's disease. J Bone Joint Surg [Am] 51:567
Edgren W, Vainio S (1957) Osteochondrosis juvenilis lumbalis. Acta Chir Scand [Suppl] 227:18
Eisenstein S (1976) Measurements of the lumbar spinal canal in 2 racial groups. Clin Orthop 115:42
Eisenstein S (1977) The morphometry and pathological anatomy of the lumbar spine in South African negros and caucasoids with specific reference to spinal stenosis. J Bone Joint Surg[Br] 59:173
Epstein BS, Epstein JA, Jones MD (1977) Lumbar spinal stenosis. Radiol Clin North Am 15:227
Epstein JA, Epstein BS, Lavine L (1962) Nerve root compression associated with narrowing of the lumbar spinal canal. J Neurol Neurosurg Psychiatry 25:165
Epstein N, Whelan M, Benjamin V (1982) Acromegaly and spinal stenosis. J Neurosurg 56:145
Greene TL, Hensinger RM, Hunter LY (1985) Back pain and vertebrae changes simulating Scheuermann's disease. J Pediatr Orthop 5:1
Hacker DA, Latchaw RE, Yock DH Jr, Ghoshajura K, Gold LHA (1982) Redundant lumbar nerve root syndrome: myelographic features. Radiology 143:457
Lonstein JE, Winter RB, Moe JH, Bradford DS, Chou SN, Pinto WC (1980) Neurological deficits secondary to spinal deformity. Spine 5:331
Nelson MA (1973) Lumbar spinal stenosis. J Bone Joint Surg[Br] 55:506
Shapiro R (1984) Myelography, 4th edn. Year Book Medical, Chicago, p 532
Sortland O, Magnaes B, Hauge T (1977) Functional myelography with metrizamide in the diagnosis of lumbar spinal stenosis. Acta Radiol [Diagn] (Stockh) [Suppl] 355:42
Stoddard A, Osborne JF (1979) Scheuermann's disease or spinal osteochondrosis. Its frequency and relationship with spondylosis. J Bone Joint Surg [Br] 61:56
Verbiest H (1976) Fallacies of the present definition, nomenclature, and classification of the stenosis of the lumbar vertebral canal. Spine 1:217
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tallroth, K., Schlenzka, D. Spinal stenosis subsequent to juvenile lumbar osteochondrosis. Skeletal Radiol. 19, 203–205 (1990). https://doi.org/10.1007/BF00204096
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF00204096