Published online Nov 28, 2016. doi: 10.4329/wjr.v8.i11.895
Peer-review started: June 13, 2016
First decision: July 11, 2016
Revised: July 23, 2016
Accepted: September 6, 2016
Article in press: September 8, 2016
Published online: November 28, 2016
Core tip: Scheuermann’s disease (SD) is the most common cause of degenerative structural thoracic or thoracolumbar hyperkyphosis associated with back pain in adolescents and could be observed in typical and atypical patterns. It manifests itself with successive endplate irregularities and anterior vertebral wedging in radiography, and additionally as disc degenerations, herniations and syringomyelia in spinal cord in magnetic resonance imaging (MRI). Impairment in intervertebral distance and disc degeneration are more evident in SD with atypical pattern. When multiple endplate irregularities and anterior vertebral wedging are observed in MRI of patients thought to have thoracolumbar disc pathology, SD should be considered.