Combined anterior and posterior fusion provides and maintains good, correction in patients with Scheuermann's kyphosis. A fusion which includes the entire deformity, especially at the lower end, is a requisite for a satisfactory result. Intervening halofemoral traction may not improve results. Pulmonary functions may decrease somewhat postoperatively but, in the large majority of cases, still remain within normal limits. We think that anterior and posterior fusion remains the procedure of choice in severe or rigid Scheuermann's kyphosis.