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Amer Sebaaly School of Medicine, Saint Joseph University, Beirut, Lebanon
Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Sarah Farjallah Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Khalil Kharrat Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Gaby Kreichati School of Medicine, Saint Joseph University, Beirut, Lebanon
Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Mohammad Daher School of Medicine, Saint Joseph University, Beirut, Lebanon

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Introduction Scheuermann's Kyphosis (SK), first described by Horgel Welfer Scheuermann in 1920, is a rigid spinal kyphosis usually involving the thoracic or thoracolumbar area ( 1 ). Albeit several theories, its etiology is still unknown ( 2

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Kaustubh Ahuja Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Syed Ifthekar Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Samarth Mittal Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Gagandeep Yadav Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Bhaskar Sarkar Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Pankaj Kandwal Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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-ray criteria CT/MRI criteria 1. Nene A, Bhojraj S 2005 4 2. Bhojraj S, Nene A 2002 5 Severe back pain, paraspinal muscle spasm, painfully restricted movements of the thoracolumbar spine and an ‘instability catch’ Kyphosis in dorsal > 40

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Diogo Lino Moura Spine Unit, Department of Orthopedics, Coimbra University Hospital, Coimbra, Portugal, Coimbra, Portugal
Anatomy Institute and Orthopedics Department, Faculty of Medicine, University of Coimbra, Coimbra, Portugal

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( Fig. 2A ) concerning the treatment of vertebral fractures, there is sometimes loss of vertebral body height, instrumentation failure and local and posttraumatic segmental kyphosis, leading to functional and clinical consequences ( 7 , 8 , 9 , 10

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Amer Sebaaly Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.
Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.

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Maroun Rizkallah Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.

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Guillaume Riouallon Department of Orthopedic Surgery, Groupe Hospitalier Paris Saint Joseph, France.

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Zhi Wang Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.

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Pierre Emmanuel Moreau Department of Orthopedic Surgery, Groupe Hospitalier Paris Saint Joseph, France.

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Falah Bachour Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.

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Ghassan Maalouf Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.

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neurological deficit is still controversial. 9 Unstable (> 50% loss of anterior vertebral height, > 20° angular deformity and contiguous fractures) thoracic compression and burst fractures could collapse into further kyphosis. 6 , 10 There is some

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Amer Sebaaly Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Maroun Rizkallah Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Falah Bachour Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Firas Atallah Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Pierre Emmanuel Moreau Department of Orthopedic Surgery, Centre Hospitalier Paris Saint Joseph, Paris, France

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Ghassan Maalouf Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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scoliotic curve or when the fracture is at the apex of a kyphosis. Fig. 2 Positioning of the patient with two fluoroscopy machines for anteroposterior and lateral imaging. Fig. 3 Anteroposterior (AP) and lateral radiographs of a normal

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Kamil Cagri Kose Marmara University Faculty of Medicine Department of Orthopedics and Traumatology, Istanbul, Turkey

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Omer Bozduman Ufuk University Faculty of Medicine Department of Orthopaedics and Traumatology, Ankara, Turkey

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Ali Erkan Yenigul Urfa State Hospital Department of Orthopedics and Traumatology, Istanbul, Turkey

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Servet Igrek Marmara University Faculty of Medicine Department of Orthopaedics and Traumatology, Istanbul, Turkey

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described a very similar technique in Scheuermann’s kyphosis cases. 2 Fig. 1 Smith-Petersen osteotomy. a) Spine from posterior view. The spinous process and facets of the upper vertebra are removed in addition to the superior facets of the inferior

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Shu-Hao Du Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China

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Yong-Hui Zhang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Qi-Hao Yang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Yu-Chen Wang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Yu Fang Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China

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Xue-Qiang Wang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China

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kyphosis, neuromuscular scoliosis, neurofibroma, mesenchymal disease, malnutrition, and metabolic disorders combined with spinal malformations ( 4 ). Non-structural misalignment of the spine is mainly caused by poor posture, uneven muscle distribution

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Juan I. Cirillo Totera Clínica Universidad de los Andes, Santiago, Chile
Hospital del Trabajador, Santiago, Chile

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José G. Fleiderman Valenzuela Clínica Universidad de los Andes, Santiago, Chile
Hospital del Trabajador, Santiago, Chile

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Jorge A. Garrido Arancibia Clínica Universidad de los Andes, Santiago, Chile

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Samuel T. Pantoja Contreras Clínica Universidad de los Andes, Santiago, Chile
Hospital Roberto del Río, Santiago, Chile

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Lyonel Beaulieu Lalanne Clínica Universidad de los Andes, Santiago, Chile

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Facundo L. Alvarez-Lemos Clínica Universidad de los Andes, Santiago, Chile

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regional (cervical lordosis, thoracic kyphosis, lumbar lordosis, pelvic incidence, pelvic tilt and sacral slope) and global (SVA [sacral vertical axis] and T1-pelvis angle), the relationship between them, the implication of physiological ageing of the VC on

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Alpaslan Senkoylu Gazi University Faculty of Medicine, Ankara, Turkey

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Mehmet Cetinkaya Erzincan University, Mengucek Gazi Education and Research Hospital, Erzincan, Turkey

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angles and by which technique. The manoeuvres usually used for scoliosis correction are rod de-rotation, vertebra-to-rod, and three-rod techniques, depending on the pathology of the patient. 1 If we talk about kyphosis, the cantilever manoeuvre is

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Javier Pizones Spine Unit, Department of Orthopaedic Surgery, Hospital Universitario La Paz, Madrid, Spain

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Eduardo García-Rey Hip Unit, Department of Orthopaedic Surgery, Hospital Universitario La Paz, Madrid, Spain

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(due to vertebral fragility), which increases thoracic kyphosis (TK). 9 This shifts the gravity line forward, pushing the body anteriorly, 7 , 13 and a variety of compensatory mechanisms react gradually to maintain proper balance ( Fig. 1

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