Definition
Different entity to thoracic Scheuermann's
- end plate abnormal but no kyphosis or wedging
Natural History
Self - limiting condition
Epidemiology
Young athlete / labourer
Symptoms
Adolescent who presents with low grade levels of low back pain
- more pain than thoracic
Signs
Rigid marked flattening of the lumbar lordosis
- hypolordotic
Flattening not reversible by hyperextension
- hamstring spasm common
- no lumbar wedging
Limbus Vertebrae
- anterosuperior pseudofractures of the body
Xray
Diagnostic Criteria
1. Irregular endplates
2. Schmorl nodes - diagnostic
3. Disc narrowing
4. No wedging or kyphosis
Large defects of the lower thoracic & lumbar vertebral bodies at their anterosuperior borders
- focal enlargement of vertebral bodies is noted occasionally
- defects anterosuperior bodies resolve, but some kyphos remains
Management
Respond to TLSO with moulded lumbar lordosis for 12/12 & activity modification
No long term sequelae