A Cobb angle measurement, the angle between upper end plate of T5 and lower end plate of T12, higher than 40 degrees known as kyphosis. Although various etiologies cause kyphosis, the best-known form, Scheuermann’s kyphosis causes disorder in sagittal balance. Surgery should be considered for persistent pain despite conservative treatment, progressive neurological deficits and cosmetic reasons. For this purpose, correction osteotomies have to be performed to provide spinal alignment and to maintain sagittal balance.