الحداب الصدري (زاوية كوب 50–80°) في المرضى الهيكليين غير الناضجين عندما لم تُحقق الدعامة التصحيح

References

• Skeletally immature patients with SK benefit from similar exercise programs, but require the addition of a spinal orthosis.
• There is a reproducible and overall successful result in patients with kyphosis between 50 and 80° if initiated before skeletal maturity.
• Progressive deformity refractory to bracing, worsening pain, neurologic deficit, and significant deformity in skeletally mature patients are common indications for surgical management.
• The development of thoracic segmental pedicle screw instrumentation, combined with wide adoption of multilevel corrective osteotomies, now allows surgeons to achieve comparable sagittal correction through a posterior-only approach.
• A correction of 40 to 50°, or within 50% of preoperative kyphosis, is advisable to achieve adequate correction while avoiding junctional kyphosis.
• The goals of treatment are restoration and stabilization of mechanical alignment, alleviation of pain, resolution of neurologic impairment, and improvement of cosmesis.

DOI: 10.1007/s12178-023-09861-z