Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
spine topic hub

Kyphosis — Scheuermann vs Post‑TB

Scheuermann disease: rigid structural kyphosis with ≥3 adjacent vertebrae wedged ≥5° and Schmorl nodes. Post‑TB kyphosis is angular with short apex, often severe and progressive in children. Indications for surgery: progressive deformity, pain refractory to bracing, cosmetic concerns (Scheuermann >70–75°), neuro compromise (post‑TB). Surgical options range from posterior column osteotomies (SPO) to pedicle subtraction osteotomy (PSO) and vertebral column resection (VCR) for sharp angular deformity. Neuromonitoring and meticulous cord protection essential during correction.

Overview

Topic summary

View wiki
Scheuermann disease: rigid structural kyphosis with ≥3 adjacent vertebrae wedged ≥5° and Schmorl nodes. Post‑TB kyphosis is angular with short apex, often severe and progressive in children. Indications for surgery: progressive deformity, pain refractory to bracing, cosmetic concerns (Scheuermann >70–75°), neuro compromise (post‑TB). Surgical options range from posterior column osteotomies (SPO) to pedicle subtraction osteotomy (PSO) and vertebral column resection (VCR) for sharp angular deformity. Neuromonitoring and meticulous cord protection essential during correction.
MCQs

High-yield practice questions

Start topic quiz
Question 1

What is the primary distinguishing feature of Scheuermann's disease compared to post-tuberculous kyphosis?

Question 2

What Cobb angle measurement is considered pathological for thoracic kyphosis?

Question 3

In Scheuermann's disease, what is the minimum number of adjacent vertebrae that must be wedged to meet diagnostic criteria?

Question 4

Which of the following is a surgical indication for Scheuermann's kyphosis?

Question 5

What is the most common surgical procedure for correcting severe angular deformities in post-tuberculous kyphosis?

Question 6

Which clinical feature is typically associated with post-tuberculous kyphosis?

Question 7

What is the typical age of onset for Scheuermann's disease?

Question 8

Which imaging feature is NOT associated with Scheuermann's kyphosis?

Question 9

What is the average correction achievable with surgical intervention for Scheuermann's kyphosis?

Question 10

What is a common complication associated with surgery for post-tuberculous kyphosis?