Radiological, CT and MRI evaluations in patients with the Scheuerman disease.

Background. Since 1920 there had been many attempts to explain the etiopatogenesis of Scheuerman disease. There were many definitions of clinical and radiological symptoms related to the failure of the corpus vertebrae. Up to days radiological methods (CT, MRI) gave opportunity for the more precise evaluation of the corpus vertebrae and the other structures in the spine, which is very helpful to choose the righ treatment.
Material and methods. Clinical and radiological documentations in over 600 patients with the corpus vertebrae diseases with different localizations and clinical symptoms were studied.
There were separated patients with ostechondrosis, chondrodysplasis, juvenile spondylosis and heritage disease of the spine.
Results. Based on the analysis of the documentations the authors found out that disturbances of the ontogenesis refer to all end plates or its front part sometimes included neighbouring part of the vertebrae. There were different types of disturbances of the height of the vertebrae; some with the wedging of the vertebrae, some without any decrease of the bone structures. In all cases inter vertebral disc had been softly damaged, no dislocation had been noticed.
Conclusions. Due to radiological evaluation partition on four groups had been proposed considering clinical symptoms. Such partition is helpful to choose method of the treatment.