Treatment approaches for Scheuermann kyphosis: a systematic review of historic and current management.

  title={Treatment approaches for Scheuermann kyphosis: a systematic review of historic and current management.},
  author={Sakibul Huq and Jeff Ehresman and Ethan Cottrill and A. Karim Ahmed and Zach Pennington and Erick M. Westbroek and Daniel M. Sciubba},
  journal={Journal of neurosurgery. Spine},
OBJECTIVE Scheuermann kyphosis (SK) is an idiopathic kyphosis characterized by anterior wedging of ≥ 5° at 3 contiguous vertebrae managed with either nonoperative or operative treatment. Nonoperative treatment typically employs bracing, while operative treatment is performed with either a combined anterior-posterior fusion or posterior-only approach. Current evidence for these approaches has largely been derived from retrospective case series or focused reviews. Consequently, no consensus… 
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.
Scheuermann Kyphosis for dummies
Treatment depends on the severity of the curve: those <60º can be treated orthopedically with Milwaukee bracing in combination with rehabilitation treatment (stretching or muscle strengthening) and postural hygiene and surgical treatment is indicated using a posterior-only approach, as it reduces de apparition of complications when compared with anterior and combined approach.
Maria Adelaide brace in the management of Scheuermann’s Kyphosis
The MA brace has shown to be effective in the management of Scheuermann’s kyphosis; good patients’ reported compliance and a positive effect on the patients' mental status were recorded.
Physical factors in medical rehabilitation of children with spinal osteochondropathies
A targeted search of scientific literature sources is aimed at compiling a review of data on the use of physiotherapy methods in the medical rehabilitation of children with spinal osteochondropathy to help diagnose and prescribe an effective treatment for the disease.
Back Pain in Children and Adolescents.
If findings from the history and physical examination suggest underlying pathology, radiography and laboratory studies are indicated initially; magnetic resonance imaging, computed tomography, or a bone scan may be needed for further evaluation.
Physical Factors in the Medical Rehabilitation of Children with Spinal Osteochondropathies
A targeted search for scientific literature sources is conducted aimed at compiling a review of data on the use of physical factors in the medical rehabilitation of children suffering from spinal osteochondropathies to contribute to strengthening the health of the younger generation of Russia.
The most important factor affecting the surgical outcome and clinical success in spinal deformity surgery is preoperative planning. Clinical recording and radiological evaluations enable
Cardiorespiratory function of patients undergoing surgical correction of Scheuermann's hyperkyphosis
Patients with moderate-severe SK improve their baseline respiratory limitations and the tolerance to maximum exercise 2 years after surgery, however, the slight cardiorespiratory functional improvements should not necessarily be attributed to the surgery, and could also be caused solely by the residual growth of the lungs and thorax.


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.
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.
Surgical treatment of Scheuermann’s kyphosis using a combined antero-posterior strategy and pedicle screw constructs: efficacy, radiographic and clinical outcomes in 111 cases
Findings indicated that changes at the proximal junctional level were impacted by individual spino-pelvic morphology and determined by the individually predetermined thoracolumbar curvature and sagittal balance.
Posterior-Only Approach with Pedicle Screws for the Correction of Scheuermann's Kyphosis
The clinical and radiological results of the current study suggest that posterior-only fusion is an efficient technique for the treatment of Scheuermann's kyphosis.
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.
Severe rigid Scheuermann kyphosis in adult patients; correction with posterior-only approach
Posterior-only approach using advanced osteotomy techniques and posterior release is a safe and reliable approach for treatment of patients suffering from severe rigid Scheuermann kyphosis and provides acceptable deformity correction.
The Ponte Procedure: Posterior Only Treatment of Scheuermann's Kyphosis Using Segmental Posterior Shortening and Pedicle Screw Instrumentation
Using thoracic pedicle screw instrumentation as the primary anchor, the Ponte procedure was successfully performed in 17 consecutive patients for Scheuermann kyphosis with no exclusions for the size or rigidity of the kYphosis.
Scheuermann's kyphosis.
  • T. Lowe
  • Medicine
    Neurosurgery clinics of North America
  • 2007
Scheuermann’s Kyphosis in Adolescents and Adults: Diagnosis and Management
  • C. Tribus
  • Medicine
    The Journal of the American Academy of Orthopaedic Surgeons
  • 1998
The adolescent with pain associated with Scheuermann’s kyphosis usually responds to physical therapy and a short course of anti‐inflammatory medications, and in adults with a progressive deformity, refractory pain, or neurologic deficit, surgical correction of the deformity may be indicated.