DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.002

Pages: 868-871

Scheuermann's disease is the most common cause of structural kyphosis in children and adolescents, characterized by anterior wedging of at least three consecutive vertebrae associated with vertebral endplate abnormalities. We report the case of a 13-year-old girl with no significant past medical history who presented with painful thoracolumbar kyphosis and compensatory lumbar hyperlordosis. Computed tomography (CT) of the thoracolumbar spine confirmed the diagnosis, revealing staged anterior wedging, vertebral endplate irregularities, disc space narrowing, and intraosseous hernias (Schmorl's nodes). A multimodal conservative approach was implemented, combining supervised motor rehabilitation, a home exercise program, and a custom-made anti-kyphosis orthotic brace. After two years of regular follow-up, significant clinical improvement was observed, marked by a notable reduction in pain and partial correction of the spinal deformity. The Cobb angle decreased by approximately 8 degrees, and lumbar hyperlordosis was attenuated. No neurological, cutaneous, or orthopedic complications were noted. This case highlights the effectiveness of a multimodal conservative management strategy in Scheuermann's disease in adolescents, and underlines the importance of early diagnosis and individualized treatment to optimize functional and morphological outcomes.