ABSTRACT

Scheuermann’s kyphosis is a spinal deformity associated with an increase in thoracic kyphosis due to the growth spurt that occurs in the prepubertal and adolescent periods. Hyperkyphosis, hyperlordosis, apparent gibbosity in forward bending, hamstring stiffness or contracture and pain are the general characteristics of the disease. It is a progressive and symptomatic deformity. A treatment decision in Scheuermann’s kyphosis depends on the severity of the deformity, the age of the patient, and the accompanying symptoms. According to evidence-based studies, physical therapy alone is unable to correct the deformity. There is no consensus on the indications for surgical treatment of the disease. There is an ongoing debate whether treatment of the deformity in the absence of neurological deterioration is cosmetic or vital. The aim of this review study is to increase the understanding of Scheuermann’s kyphosis by contributing our experience while considering data from the literature, and to suggest an ideal treatment algorithm.