Orthonotes
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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.

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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.
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