Adolescent Kyphosis / Scheuermann's / Roundback

Scheuermann's kyphosis is a developmental type of kyphosis occurring while the body is still growing. Normal vertebrae are rectangular shaped and stacked on top of one another like building blocks with a soft cushion disc between each one. When Scheuermann's kyphosis occurs, the front of the vertebrae wedge forward and closer together in a triangular shape. This causes the spine or curve to move forward and closer together in a triangular shape and the spine to curve forward more than normal.

Scheuermann's kyphosis develops in adolescents while their bones are still growing. It happens to about 0.1% percent of people in this age group and occurs as often in boys as girls.

This kyphosis, or roundback, can lead in larger curves to difficult spinal deformities and pain. Initial treatments, depending on the age of the patient, residual growth, and size of curve, can include physical therapy, bracing, or injections. In larger or progressive curves resistant to conservative treatment, surgery is an option. This can be done minimally invasively via a dual VATS/percuateous approach, or a single approach Ponte procedure.

In adults in whom Scheuermann's kyphosis is untreated, it can be a cause of progressive roundback, pain, and overall spinal imbalance.

Ponte Procedure

The Ponte procedure is a less invasive, single approach to Scheuermann's Kyphosis or Severe Scoliosis, in which small osteotomies are made in the spinal segments in conjuction with reliable segmental fixation such as pedicle screws. This allows the treatment of complex or severe spinal deformities from single posterior approach.image 1 of Ponte procedure, a less invasive, single approach to Scheuermann's Kyphosis or Severe Scoliosis, Dr. Geck specializes in scoliosis and complex spine surgery in Central Texas including Austin, Houston and Waco, New Mexico, Louisiana, minimally invasive scoliosis surgery texas, minimally invasive scoliosis surgery Austin, back pain treatment Austin, Scoliosis second opinion Austin, Flatback syndrome Austin, Scoliosis second opinion Texas, Flatback syndrome Texas, mini scoliosis surgery Texas, back pain Austin, neck pain Austin, spine surgery Austin, spine care Austin, spine surgeon Austin, scoliosis surgery waco, scoliosis treatment in texas, Scoliosis treatment in Louisiana, scoliosis doctor Austin, pediatric scoliosis surgeon texas, who is the best surgeon for scoliosis correction Texas, specialist in scoliosis Texas, scoliosis and spine surgery waco, degenerative scoliosis treatment in texas, scoliosis doctor austin texas, pediatric scoliosis surgeon in texas

Pre operatively, the spine has a severe kyphosis/roundback (1A and 1B). First little cuts (Ponte Osteotomies) are made at each spinal level that has kyphosis (2A and 2B). After screws are added (3), the rods are placed (4) and the kyphosis corrected (5).

Treatments
  • Traditional Treatments
    • Learn about traditional treatments for pain relief to bridge from inactivity to physical therapy
  • Scoliosis Surgery
    • Learn about advances in scoliosis treatment and current minimally invasive options.
  • Osteotomy Surgery
    • For the most complex spinal deformities learn about how osteotomy surgery can balance the spine.
  • Thoracoscopic Surgery
    • Video assisted thoracoscopic surgery uses techniques for minimal invasion of the chest wall or thoracic cavity.
  • Vertebral Body Stapling
    • Vertebral body stapling is an innovative, minimally invasive approach that is an alternative therapy for early onset scoliosis.
  • XLIF, DLIF, TLIF
    • Learn about minimally invasive interbody techniques such as XLIF, DLIF, and TLIF.
What do Your Symptoms Indicate?
  • Red Flag Symptoms
    • Many back problems can improve on their own or with non-surgical treatment. They key is to understand which symptoms are emergencies and need to be seen immediately.
Home Remedy Book
  • Home Remedy Book
    • Have back or neck pain? Learn what causes symptoms and the home remedies that relieve pain. Scoliosis Texas mails out Home Remedy Books to residents throughout the Austin area.

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