Lateral thoracolumbar radiograph of an adolescent with Scheuermann disease showing vertebral end plate abnormalities (asterisks) and anterior vertebral body wedging (arrows).
A recent evidence-based review found that most patients with Scheuermann disease do not need surgical intervention, which should be reserved only for patients with mature skeletons who have a curve greater than 75 degrees, pain, a rigid deformity, and unacceptable appearance.47 Bracing is indicated in patients who have an immature skeleton with an increasing curve.