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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.
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It has a prevalence of 0.4–8.3% in the population with a higher incidence in females.
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Clinical examination with x-rays is needed to differentiate and confirm this diagnosis.
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Non-surgical management is reserved for smaller deformities and in skeletally immature patients, whereas surgery is recommended for higher deformities.
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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.
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This study reviews the pathophysiology of SK while proposing a treatment algorithm for its management.