Kyphosis Treatment in Scheuermann's Kyphosis — Skeletally Mature Patient

This protocol addresses Scheuermann's kyphosis (SK) in a skeletally mature patient — a population in whom vertebral remodeling through bracing alone is no longer achievable. The clinical picture may include symptomatic thoracic deformity, pain, and in more advanced cases progressive deformity or neurologic deficit, which can be indications for escalated management.

Skeletal maturity marks a critical threshold in SK management. In skeletally immature patients, bracing targets vertebral remodeling; once growth is complete, that mechanism is no longer available. Progressive deformity refractory to conservative care, worsening pain, and neurologic deficit are recognized indications for further intervention in this group.

Nonoperative management for symptomatic skeletally mature patients centers on a structured physical therapy program targeting specific muscle groups of the thorax and lower extremity — the full exercise protocol and additional management options are detailed in the complete regimen.

Full regimen, sequencing, and clinical decision criteria available via the link below.