Scheuermann's kyphosis: update on pathophysiology and surgical treatment

EFORT Open Reviews

article

Amer Sebaaly¹  Sarah Farjallah²  Khalil Kharrat²  Gaby Kreichati¹  Mohammad Daher¹ 

[1] School of Medicine, Saint Joseph University;Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital

关键词: scheuermann’s kyphosis;    surgical management;    fusion levels;    treatment algorithm;   

DOI  :  10.1530/EOR-22-0063

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

Scheuermann’s Kyphosis (SK) is a rigid spinal kyphosis. Several theories have been proposed concerning its pathogenesis, but it is, to this day, still unknown. It has a prevalence of 0.4–8.3% in the population with a higher incidence in females. Clinical examination with x-rays is needed to differentiate and confirm this diagnosis. Non-surgical management is reserved for smaller deformities and in skeletally immature patients, whereas surgery is recommended for higher deformities. Combined anterior and posterior approach was considered the gold standard for the surgical treatment of this disease, but there is an increasing trend toward posterior-only approaches especially with use of segmental fixation. This study reviews the pathophysiology of SK while proposing a treatment algorithm for its management.

【 授权许可】

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