Kyphosis is an exaggerated, forward rounding of the back. It can occur at any age but is most common in older women. Age-related kyphosis is often due to weakness in the spinal bones that causes them to compress or crack.
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Print Version. Scheuermann's kyphosis is a "developmental" type of kyphosis, meaning that it happens during growth. The vertebral bodies wedge forward.
A spine screening at school sometimes also alerts the family to the need for medical evaluation. Symptoms generally develop between the ages of 10 and 15, a time of considerable growth in the spine. These symptoms are typical:.
Kyphosis typically occurs during periods of accelerated growth. This change in shape causes the middle of the spine to curve forward abnormally, leading to a rounded or stooped posture. Roughly 4 to 8 percent of people have it, and it occurs in males twice as often as in females.
Degree of kyphosis, lordosis, scoliosis, the number of affected vertebrae, and mean and maximum wedge angles were measured from radiographs. The patients comprised more males than females 3. Different theories have been reported, such as a development error in collagen aggregation leading to failure of vertebral endplate ossification [ 2 ].
The section of spine from below the neck to the bottom of the rib cage is called the thoracic spine. From the side, the thoracic spine appears slightly rounded. This normal curve is called a kyphosis.
Background: Scheuermann's disease is regarded as the most common cause of structural hyperkyphosis within adolescents without any proper treatment. It may lead to progressive deformity and back pain which influences patient's quality of life during adolescence and adulthood. Treatment approach to Scheuermann's kyphosis has not been clearly defined due to its different definitions and obscure natural history.
Research shows that there are probably a lot of factors responsible but that it may run in some families. Pain is often the most noticeable symptom for adult patients. Other signs are tightness of the pectoral muscles chest muscleshamstrings strong bands of tissue at the back of the thighsand hip flexors inner hip muscles.
Several factors determining the best treatment include:. Allowing an abnormal curvature to continue could cause considerable pain and disfigurement over time. A young person with a slight curvature who is still growing, shows no sign of the curvature worsening, and has mild or no pain may not require intervention. Instead, the individual could be monitored by a doctor and undergo periodic X-raysor other tests, to track the curvature.