Is vitamin D a risk factor in the development of Scheuermann’s kyphosis?


Gultekin O., Akpolat A. O., İLLEEZ Ö. G., Olgun Y., Camlica S. G., Balioglu M. B.

Journal of Pediatric Orthopaedics Part B, cilt.Publish Ahead of Print, 2026 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: Publish Ahead of Print
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1097/bpb.0000000000001325
  • Dergi Adı: Journal of Pediatric Orthopaedics Part B
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
  • Anahtar Kelimeler: alkaline phosphatase, calcium, Cobb angle, phosphorus, Scheuermann's kyphosis, vitamin D
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Evaluation of vitamin D (D vit) levels in Scheuermann’s kyphosis is important for a better understanding of environmental and metabolic factors that may contribute to the etiopathogenesis of the disease and for revising screening approaches. We aimed to evaluate the relationship between serum D vit, calcium, phosphorus, and alkaline phosphatase (ALP) levels between individuals with Scheuermann’s kyphosis and an age- and sex-matched healthy control group. A total of 400 individuals (200 Scheuermann’s kyphosis and 200 control), aged between 10 and 18 years, were included. Participants were considered eligible if they: were aged 10–18, in the kyphosis group, had a thoracic Cobb angle ≥ 45°, had available laboratory data for D vit, calcium, phosphorus, and ALP, and had not received D vit supplementation before evaluation. The Scheuermann’s kyphosis group was found to have low levels of D vit (P < 0.05). Both groups had the highest levels of D vit in the summer months and the lowest levels in the winter months, which was statistically significant (P < 0.05). When we compared the groups across seasons, serum D vit levels in the kyphosis group were found to be low in all seasons (all P < 0.05). In the Scheuermann’s kyphosis group, a significant positive correlation was found between serum D vit and serum calcium levels (r = 0.18, P = 0.01) and a significant negative correlation was found between D vit and thoracic Cobb angle (r = –0.16, P = 0.02). We found that D vit levels in patients with Scheuermann’s kyphosis were lower than in healthy individuals.