Evidence map›Paper›PMID 41845140›Full record

ArticleSpine deformity2026

Surgical outcomes in adult scheuermann's kyphosis: a matched-cohort comparison with adult idiopathic scoliosis as a clinical benchmark.

Susana Núñez-Pereira, Juan Salom, Lluís Vila, Eva Jacobs, Sleiman Haddad, Anika Pupak, Alejandro Gómez-Rice, Yann Philippe Charles, Çağlar Yilgör, Javier Pizones and 5 more

Abstract readComparative StudyMulticenter Study
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In one paragraph

Article in Spine deformity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Susana Núñez-PereiraSpine Surgery Unit, Hospital Universitari Vall d'Hebron, Pg. de La Vall d'Hebron, 119, Horta-Guinardó, 08035, Barcelona, Spain. snunezpereira@gmail.com.
Juan SalomSpine Surgery Unit, Hospital Universitari Vall d'Hebron, Pg. de La Vall d'Hebron, 119, Horta-Guinardó, 08035, Barcelona, Spain.
Lluís VilaSpine Surgery Unit, Hospital Universitari Vall d'Hebron, Pg. de La Vall d'Hebron, 119, Horta-Guinardó, 08035, Barcelona, Spain.ORCID http://orcid.org/0009-0001-1886-5972
Eva JacobsDepartment of Orthopedics, Maastricht University Medical Center, Maastricht, the Netherlands.
Sleiman HaddadSpine Surgery Unit, Hospital Universitari Vall d'Hebron, Pg. de La Vall d'Hebron, 119, Horta-Guinardó, 08035, Barcelona, Spain.
Anika PupakSpine Surgery Unit, Hospital Universitari Vall d'Hebron, Pg. de La Vall d'Hebron, 119, Horta-Guinardó, 08035, Barcelona, Spain.
Alejandro Gómez-RiceSpine Unit, Department of Orthopedic Surgery, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Yann Philippe CharlesService de Chirurgie du Rachis, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Çağlar YilgörDepartment of Orthopaedics and Traumatology, Acibadem University School of Medicine, Istanbul, Turkey.
Javier PizonesSpine Surgery Unit, Hospital Universitario La Paz, Madrid, Spain.
Ibrahim ObeidSpine Surgery Unit, Polyclinique Jean Villar, Brugge, France.
Ahmet AlanayDepartment of Orthopaedics and Traumatology, Acibadem University School of Medicine, Istanbul, Turkey.
Frank KleinstückSpine Surgery Unit, Schulthess Klinik, Zurich, Switzerland.
Ferran PelliséSpine Surgery Unit, Hospital Universitari Vall d'Hebron, Pg. de La Vall d'Hebron, 119, Horta-Guinardó, 08035, Barcelona, Spain.
European Spine Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSurgical treatment for Scheuermann's Kyphosis (SK) in adolescents is well-established, but its role in adults remains controversial. This study challenges the traditional non-operative stance by evaluating the clinical outcomes of surgery in adult SK patients, using a matched cohort of adult idiopathic scoliosis (Adult IS) patients as a clinical benchmark.

methodsA retrospective, 1:3 matched-cohort study from a multicenter database with a minimum 2-year follow-up. Thirty-three SK patients were matched with 99 Adult IS patients by age and number of instrumented levels. Demographics, radiographic parameters, surgical data, complications, and patient-reported outcome measures (PROMs) were analyzed.

results33 SK patients and 99 patients from the Adult IS comparative cohort were included. Mean age was 32.1 years; 82.8% of Adult IS patients and 39.4% of SK patients were female. Mean preoperative kyphosis in SK was 74.9°, and the mean Cobb angle in Adult IS was 66.3°. The SK cohort presented with significantly worse baseline mental health scores (p = 0.015). Despite requiring more posterior column osteotomies (51.5% vs. 27.2%, p = 0.012), the SK cohort showed no significant increase in surgical time or blood loss. Both groups improved in all PROMs, with significantly greater mental health gains in SK (p = 0.03). Major complications (21.2% vs. 19.2%, p = 0.790) and reinterventions (21.2% vs. 18.2%, p = 0.719) were comparable.

conclusionSurgical correction of Scheuermann's kyphosis in young adults is safe and effective, leading to significant functional and psychological improvements, particularly in mental health. Complication rates and surgical complexity were comparable to adult idiopathic scoliosis surgery. Surgical treatment is a viable option for appropriately selected adult SK patients. LEVEL OF EVIDENCE: III.

Indexed as

Scheuermann DiseaseScoliosisAdultBenchmarkingCohort StudiesFemaleHumansMaleOsteotomyPatient Reported Outcome MeasuresPostoperative ComplicationsRetrospective StudiesTreatment OutcomeYoung AdultAdult Idiopathic scoliosisAdult spinal deformityMechanical complicationsMental healthPatient-reported outcomesScheuermann’s kyphosis

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.