Condition 101 About Kyphosis

What is the definition of Kyphosis?

Kyphosis is a curving of the spine that causes a bowing or rounding of the back. This leads to a hunchback or slouching posture.

What are the alternative names for Kyphosis?

Scheuermann disease; Roundback; Hunchback; Postural kyphosis; Neck pain - kyphosis

What are the causes for Kyphosis?

Kyphosis can occur at any age, although it is rare at birth.

A type of kyphosis that occurs in young teens is known as Scheuermann disease. It is caused by the wedging together of several bones of the spine (vertebrae) in a row. The cause of this condition is unknown. Kyphosis can also occur in young teens who have cerebral palsy.

In adults, kyphosis can be caused by:

  • Degenerative diseases of the spine (such as arthritis or disk degeneration)
  • Fractures caused by osteoporosis (osteoporotic compression fractures)
  • Injury (trauma)
  • Slipping of one vertebra forward on another (spondylolisthesis)

Other causes of kyphosis include:

  • Certain hormone (endocrine) diseases
  • Connective tissue disorders
  • Infection (such as tuberculosis)
  • Muscular dystrophy (group of inherited disorders that cause muscle weakness and loss of muscle tissue)
  • Neurofibromatosis (disorder in which nerve tissue tumors form)
  • Paget disease (disorder that involves abnormal bone destruction and regrowth)
  • Polio
  • Scoliosis (curving of the spine often looks like a C or S)
  • Spina bifida (birth defect in which the backbone and spinal canal don't close before birth)
  • Tumors

What are the symptoms for Kyphosis?

Pain in the middle or lower back is the most common symptom. Other symptoms may include any of the following:

  • Round back appearance
  • Tenderness and stiffness in the spine
  • Fatigue
  • Difficulty breathing (in severe cases)

What are the current treatments for Kyphosis?

Treatment depends on the cause of the disorder:

  • Congenital kyphosis needs corrective surgery at an early age.
  • Scheuermann disease is treated with a brace and physical therapy. Sometimes surgery is needed for large (greater than 60 degrees), painful curves.
  • Compression fractures from osteoporosis can be left alone if there are no nervous system problems or pain. But the osteoporosis needs to be treated to help prevent future fractures. For severe deformity or pain from osteoporosis, surgery is an option.
  • Kyphosis caused by infection or tumor needs prompt treatment, often with surgery and medicines.

Treatment for other types of kyphosis depends on the cause. Surgery is needed if nervous system symptoms or constant pain develop.

What is the outlook (prognosis) for Kyphosis?

Young teens with Scheuermann disease tend to do well, even if they need surgery. The disease stops once they stop growing. If the kyphosis is due to degenerative joint disease or multiple compression fractures, surgery is needed to correct the defect and improve pain.

What are the possible complications for Kyphosis?

Untreated kyphosis can cause any of the following:

  • Decreased lung capacity
  • Disabling back pain
  • Nervous system symptoms, including leg weakness or paralysis
  • Round back deformity

How do I prevent Kyphosis?

Treating and preventing osteoporosis can prevent many cases of kyphosis in older adults. Early diagnosis and bracing for Scheuermann disease can reduce the need for surgery, but there is no way to prevent the disease.

Skeletal
Kyphosis

REFERENCES

Deeney VF, Arnold J. Orthopedics. Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli and Davis' Atlas of Pediatric Physical Diagnosis. 7th ed. Philadelphia, PA: Elsevier; 2018:chap 22.

Magee DJ. Thoracic (dorsal) spine. In: Magee DJ, ed. Orthopedic Physical Assessment. 6th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 8.

Warner WC, Sawyer JR. Scoliosis and kyphosis. In: Azar FM, Beaty JH, Canale ST, eds. Campbell's Operative Orthopaedics. 13th ed. Philadelphia, PA: Elsevier; 2017:chap 44.

Latest Advances On Kyphosis

  • Condition: Thoracolumbar Burst Fractures
  • Journal: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
  • Treatment Used: Orthosis Versus No Orthosis
  • Published —
In this study, researchers compared the results of orthosis versus no orthosis for the treatment of thoracolumbar burst fractures.
  • Condition: Thoracic Spinal Tuberculosis
  • Journal: Scientific reports
  • Treatment Used: Single Posterior Debridement, Bone Grafting and Instrumentation
  • Number of Patients: 88
  • Published —
The study researched the outcomes of single posterior debridement, bone grafting and instrumentation for treating thoracic spinal tuberculosis.

Clinical Trials For Kyphosis

Clinical Trial
  • Status: Not yet recruiting
  • Phase: N/A
  • Intervention Type: Behavioral
  • Participants: 160
  • Start Date: June 1, 2021
The Effectiveness of Kyphosis-specific Exercise on Reducing the Angle of Kyphosis Among Chinese Older Adults With Thoracic Hyperkyphosis - a Randomized Control Trial
Clinical Trial
  • Status: Recruiting
  • Phase: N/A
  • Intervention Type: Behavioral
  • Participants: 400
  • Start Date: December 29, 2020
Effectiveness of an mHealth Psychosocial Intervention to Prevent Transition From Acute to Chronic Postsurgical Pain in Adolescents