Define the surgical goals in terms of curve correction and balance for Scheuermanns kyphosis

The goal of surgical treatment is restoration of normal and harmonious thoracic kyphosis and lumbar lordosis while relieving pain through successful arthrodesis. Approximately 50% correction is desired. Overcorrection of the deformity can lead to proximal or distal junctional kyphotic deformities, which may require additional surgical procedures for correction. Appropriate selection of fusion levels is critical for achieving long-term correction of sagittal deformity and a successful spinal fusion (Fig. 40-4).

A ^


Figure 40-4. A, Preoperative standing lateral radiograph of a 16-year-old boy with an 80° thoracic kyphosis due to Scheuermann's disease. B, Postoperative standing lateral radiograph. (From Shah SA, Takemitsu M, Westerlund LE, et al. Pediatric kyphosis: Scheuermann's disease and congenital deformity. In: Herkowitz HN, Garfin SR, Eismont FJ, et al, editors. Rothman- Simeone The Spine. 5th ed. Philadelphia: Saunders; 2009. p. 573.)

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