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A 50-year-old male with Scheuermann’s kyphosis who underwent fusion to L2, the first lordotic disc (*) and had 5.6° lordosis of disc angle postoperatively (A and B). At 6 months postoperatively, the patient developed significant pain located at the L2-3 level, which severely limited his daily activities. A radiograph at that time demonstrated 5° of kyphosis at the L2-3 interspace (C), representing a 10° change of disc angle from “B.” He underwent extension of fusion to L3 (D).
