Kyphosis is a sagittal plane deformity characterized by an abnormal posterior convex angulation of a segment of the spine [
1]. Pure so-called angular kyphosis is quite rare in children, but may have serious consequences if left untreated [
1]. Most children are affected by a mixed kyphotic and scoliotic deformity (so-called kyphoscoliosis) [
1‐
4]. Consequently, published series involve a mix of kyphosis and kyphoscoliosis cases, pediatric and adult cases, and congenital as well as acquired cases [
1‐
11]. The former includes cases caused by failure of formation, failure of segmentation, a mixture of both, as well as unclassifiable cases [
1,
11]. The latter include cases that occur in the setting of neurofibromatosis, trauma (posttraumatic kyphosis), tuberculosis (Pott’s disease), and myelomeningocele, among others [
1]. Moreover, published series are almost exclusively authored by orthopedic surgeons, suggesting that neurosurgeons in general, and pediatric neurosurgeons in particular, are not involved in caring for these children [
1‐
4,
6,
7,
9,
10]. We present five cases that illustrate the clinical spectrum of childhood angular kyphosis, and these were treated by a multidisciplinary team including a child neurologist, an orthopedic surgeon, and a pediatric neurosurgeon as complementary partners during the decision making, surgical treatment, and follow-up process. We believe that these cases clearly illustrate the complex, heterogeneous characteristics of childhood angular kyphosis, as well as the added value of a multidisciplinary team approach.