Posterior-only versus combined anterior/posterior fusion in Scheuermann disease: a large retrospective study

  title={Posterior-only versus combined anterior/posterior fusion in Scheuermann disease: a large retrospective study},
  author={Guillaume Riouallon and Christian Morin and Yann Philippe Charles and Pierre Roussouly and Gaby Kreichati and Ibrahim Obeid and St{\'e}phane Wolff},
  journal={European Spine Journal},
PurposeThe literature shows controversies concerning surgical treatment of Scheuermann’s kyphosis between posterior-only fixation and combined anterior/posterior fusion. The aim of this study is to compare the clinical and radiological results and the rate of complications between these two techniques.MethodsWe performed a multicentric retrospective review of 131 patients who underwent primary fusion for Scheuermann’s kyphosis divided into two groups: 67 patients operated via posterior approach… 
Posterior-only versus combined anterior-posterior fusion in Scheuermann disease: a systematic review and meta-analysis.
PO surgery using posterior osteotomies can achieve correction of Scheuermann kyphosis as successfully as AP surgery does, and regardless of fixation methods, PO surgical approaches achieved comparable angles.
Surgical correction of Scheuermann’s kyphosis by posterior-only approach: a prospective study
The posterior-only approach is a successful technique in treatment of Scheuermann’s kyphosis using pedicle screws with Ponte osteotomies and the SRS 22 questionnaire improved significantly.
Surgical Procedures Used for Correction of Scheuermann's Kyphosis: A Meta-Analysis
A meta-analysis shows similar treatment effects between AP and PO procedures in correcting Scheuermann's kyphosis, suggesting the advantage of PO procedures due to less blood loss and surgical duration.
Long-Term (Over Five Years) Results of Surgical Correction of Scheuermann’s Kyphosis
Surgical treatment improves the quality of life of patients with Scheuermann’s disease; the improvement is also observed in the long-term postoperative period.
Prospective Comparison of Patient-selected Operative Versus Nonoperative Treatment of Scheuermann Kyphosis
Patients who elect to receive operative treatment for SK have improved radiographic and SRS-22 parameters at 2-year follow-up compared with patients who elect nonoperative treatment.
Scheuermann’s disease surgery. Major problems: non-systematic literature review (part I).
Two-stage surgical correction of Scheuermann’s kyphosis has no noticeable advantages over one-stage surgery, however, new studies with long postoperative follow-up are needed.
Scheuermann’s disease surgery. Major problems: non-systematic literature review (part II)
This review of literature data on the frequency of junctional kyphosis in surgery for Scheuermann’s disease, its relationship withspinopelvic parameters, risk factors and prevention of its development is the largest in terms of coverage of literary sources.
Assessment of Quality of Life for Scheuermann’s Kyphosis Patients with Cobb’s Angle 50°–65° Treated Conservatively or Surgically in North Jordan: A Prospective Comparative Study
Surgical treatment of Scheuermann's kyphosis with curves of 50°–65° resulted in better QOL, Cobb’s angle, and PFT than conservative treatment, which was because of lower patient cooperation in the conservative management group, which made the curve less flexible for exercises and bracing.
Morbus Scheuermann


Comparison of Scheuermann’s kyphosis correction by combined anterior–posterior fusion versus posterior-only procedure
Clinical and radiological parameters were similar in both groups after surgical correction while, complication rates, operation time and blood loss were significantly higher in ASF/PSF procedure.
Analysis of the Sagittal Plane After Surgical Management for Scheuermann’s Disease: A View on Overcorrection and the Use of an Anterior Release
Surgical management should aim at a correction within the high normal kyphosis range of 40° to 50°, consequently providing good results and, particularly in flexible adolescents and young adults, minimizing the necessity for an anterior release.
Clinical outcome and radiographic results after operative treatment of Scheuermann's disease
The late deterioration of correction in the sagittal plane was mainly caused by removal of the posterior instrumentation, and occurred despite radiographs, bone scans and thorough intra-operative explorations demonstrating solid fusions, and the indication for surgery in patients with Scheuermann's disease can be questioned.
Surgical Treatment of Scheuermann’s Disease With Segmental Compression Instrumentation
Twenty-one patients with Scheuermann’s kyphosis had surgery for progressive kyphotic deformity of 50° or greater. There were six adolescents, with a mean age of 15.6 years (range, 13–17 years) and 15
Scheuermann Kyphosis: Safe and Effective Surgical Treatment Using Multisegmental Instrumentation
Surgical correction of Scheuermann kyphosis can be performed safely and effectively using modern multisegmental instrumentation and increased awareness of potential complications may decrease the risks of current operative treatment.
Correction of Adolescent Hyperkyphosis With Posterior-Only Threaded Rod Compression Instrumentation: Is Anterior Spinal Fusion Still Necessary?
Preliminary anterior release and fusion is no longer performed when correcting this deformity with a posterior column shortening procedure and threaded rod compression instrumentation, and traditional anterior/posterior fusion technique provides no additional improvement in radiographic outcome.
Operative Management of Scheuermann's Kyphosis in 78 Patients: Radiographic Outcomes, Complications, and Technique
A high rate of junctional kyphosis, especially at the proximal end, is associated with surgery for Scheuermann's kyPHosis using current techniques, and its association to the above parameters and to fusion levels was assessed.
Surgical correction of Scheuermann's kyphosis
A retrospective study of eight consecutive patients with severe Scheuermann's kyphosis who underwent anterior and/or posterior fusion using the Cotrel-Dubousset (CD) instrumentation, finding two patients, who had chronic back pain refractory to conservative treatment, improved considerably after surgery.
Complications of Spinal Fusion for Scheuermann Kyphosis: A Report of the Scoliosis Research Society Morbidity and Mortality Committee
The incidence of complications associated with spinal fusion for SK in adults is significantly greater than in pediatric patients, and these data may be used to counsel patients regarding complications associated in the hands of experienced spinal deformity surgeons.