Orthonotes
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 deformi...