Pronounced: ki–fo-sis
Kyphosis is a rounding or curve to the spine. A certain degree of normal curve is seen in the spine. This article refers to an abnormally rounded back. The abnormal kyphosis is in the thoracic spine (along ribs). The three main types of kyphosis are:
The sooner kyphosis is treated, the better the outcome. If you think you may have this condition, contact your doctor.
Kyphosis can start at any age. It can have various causes, including:
These factors increase your chance of kyphosis. Tell your doctor if you have any of these risk factors:
If you have any of these, do not assume it is due to kyphosis. These symptoms may be caused by other conditions. Tell your doctor if you have any of these:
Most cases can be diagnosed during a physical exam. Some cases are found at school during a scoliosis check. Your doctor will ask about your symptoms and medical history. A physical exam will be done to look for abnormal curve in the spine, rounded shoulders, and a hump on the back. Your doctor may refer you to a specialist in spine problems.
Tests may include the following:
Talk with your doctor about the best plan for you. Options include the following:
Your doctor may refer you to a physical therapist to learn specific exercises. This may include strength work, stretching, and overall conditioning. You may also be taught how to maintain a correct posture. You may be instructed to sleep on a firm mattress.
Nonsteroidal antiinflammatory drugs (NSAIDs) may be given for pain or discomfort. Medicine may be given to treat any underlying conditions, like osteoporosis.
Braces are sometimes used. They can help correct kyphosis or reduce discomfort.
Surgery is reserved for severe cases. In this case the spine is straightened by fusing the back bones (vertebrae) together. Surgeons may use bone from the pelvis to fuse the back bones. A metal rod may also be inserted into the spine to help straighten it.
Kyphosis is also sometimes treated with special cement. The cement is injected into the back bones affected.
RESOURCES:
American Academy
of Orthopaedic Surgeons
http://www.aaos.org/
American Academy
of Pediatrics
http://www.aap.org/
CANADIAN RESOURCES:
Canadian Orthopaedic Association
http://www.coa-aco.org/
Canadian Orthopaedic Foundation
http://www.canorth.org/
References:
Hu SS, Tribus CB, Tay BK, Bhatia NN. Diagnosis & Treatment in Orthopedics . 4th edition. United States: McGraw-Hill; 2006: Chapter 5. Disorders, Diseases, & Injuries of the Spine.
Kyphosis. Mayo Clinic website. Available at: http://www.mayoclinic.com/health/kyphosis/DS00681 . Accessed November 3, 2008.
Kyphosis. Merck Manual website. Available at: http://www.merck.com/mmhe/sec23/ch278/ch278c.html . Accessed November 3, 2008.
Kyphosis (Roundback) of the spine. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00423 . Accessed November 3, 2008.
Last reviewed November 2008 by John C. Keel, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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