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Scheuermann's KyphosisAka: Scheuermann's Disease

See Also
1. Pediatric Back Pain
Epidemiology
1. Most common structural kyphosis in teenagers
Pitfalls
1. Often misdiagnosed as poor posture (postural kyphosis)
Differential Diagnosis
1. Congenital kyphosis (formation or segmentation failure in development)
2. Neuromuscular kyphosis (Cerebral Palsy, Myelomeningocele, Syringomyelia, polio)
3. Postural kyphosis
Management
1. Bracing indications
  1. Kyphosis 55-80 degrees before skeletal maturity
2. Surgery indications
  1. Kyphosis >80 degrees in thoracic spine
  2. Kyphosis >65 degrees in thoracolumbar spine
  3. Progressive or refractory course resulting in pain, neurologic deficit or balance concerns
References

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This page was written by Scott Moses, MD. This page was last revised on 2/14/2008 10:07:41 PM. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.