Kyphosis may occur as a result of degenerative disc diseases, inflammation, infections, and anomalies. Kyphosis is classified as low or high grade—low-grade postural kyphosis results in a rounded back. Pott's kyphosis refers to spinal tuberculosis and affects paediatric patients worldwide. Scheuermann's kyphosis occurs in one's adolescence. The vertebrae begin to wedge out of place, and this leads to the development of scoliosis. Bracing helps reduce a 45-degree curve in paediatric patients as they are still in a pivotal stage of development. However, if the kyphotic spinal curve exceeds 75 degrees, surgery is the only way to correct the deformity and stabilise the spine.
Symptoms
Signs of kyphosis include:
- Back pain
- Inconsistent shoulder height-one shoulder is slightly higher than the other.
- Tight thigh muscles
- Lethargy
Diagnosis:
Diagnostic CT scans, x-rays and MRIs indicate levels of growth in the curvature of the spine. For a curve less than 75 degrees, observation is critical, and surgery is preventable.
Treatment
Anti-inflammatories reduce pain and bracing guides the growth of vertebrae in a single, aligned direction. Physiotherapy helps strengthen the muscles and reinforce posture.
Spinal fusion, however, is a general procedure that's performed to reduce the spinal curve. Spinal fusion involves the realignment of vertebrae. The orthopaedic surgeon will straighten the vertebrae and use portions of bone from the pelvis or bone bank to fill gaps between the vertebrae. The vertebrae are left to heal in place. This procedure minimises the curve, and instrumental devices like screws and rods are used to stabilise the spine.
Protea Spine incorporates physical therapy into all treatment plans and monitors the progression of the curve after each consultation. They refer their patients to physical therapists who recommend exercises to increase flexibility and improve range of motion.
“Once you choose hope, anything is possible”.
CHRISTOPHER REEVE