Surgery for Scheuermann’s Kyphosis Normalizes Lumbar Lordosis but not Cervical Alignment when Compared to Asymptomatic Individuals

Preoperative cervical and lumbar SK parameters were significantly different from asymptomatic volunteers, reflecting compensation for extreme thoracic kyphosis. Postoperatively, SK TK remained significantly higher. Compensatory CSA and T1S remained significantly higher as well, whereas postoperative lumbar parameters normalized and did not differ from asymptomatic patients, suggesting that partial TK improvement can lead to normalization of lumbar hyperlordosis but a remnant high T1 slope continues to require compensatory cervical hyperlordosis.

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Publication Details

Journal
Spine
Published
2025-09-22
DOI
https://doi.org/10.1097/brs.0000000000005512
Primary Topic
Scoliosis diagnosis and treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Surgery for Scheuermann’s Kyphosis Normalizes Lumbar Lordosis but not Cervical Alignment when Compared to Asymptomatic Individuals

Lawrence G. Lenke, Joseph M. Lombardi, Justin L. Reyes, Fthimnir M. Hassan et al.
Spine
Scoliosis diagnosis and treatment
article

Surgery for Scheuermann’s Kyphosis Normalizes Lumbar Lordosis but not Cervical Alignment when Compared to Asymptomatic Individuals

Lawrence G. Lenke, Joseph M. Lombardi, Justin L. Reyes, Fthimnir M. Hassan, Josephine R. Coury, Riley Sevensky, Zeeshan M. Sardar, Oluwademilade Tega
article en

Abstract

Preoperative cervical and lumbar SK parameters were significantly different from asymptomatic volunteers, reflecting compensation for extreme thoracic kyphosis. Postoperatively, SK TK remained significantly higher. Compensatory CSA and T1S remained significantly higher as well, whereas postoperative lumbar parameters normalized and did not differ from asymptomatic patients, suggesting that partial TK improvement can lead to normalization of lumbar hyperlordosis but a remnant high T1 slope continues to require compensatory cervical hyperlordosis.

Spine
Columbia University Irving Medical Center (US), Groupement d'Intérêt Economique (FR), Columbia University (US)
Openalex Percentile: Top 59%
Scoliosis diagnosis and treatment
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Surgery for Scheuermann’s Kyphosis Normalizes Lumbar Lordosis but not Cervical Alignment when Compared to Asymptomatic Individuals — Lawrence G. Lenke, Joseph M. Lombardi, et al. · Spine (2025) | TGRS Research Map | TGRS