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 kyphosis.
The review evaluates the up-to-date evidence for the treatment of spinal deformities, including scoliosis and hyperkyphosis in adolescents and adults. The PubMed database was searched for review articles, prospective controlled trials and randomized controlled trials related to the treatment of spinal deformities. Articles on conservative and surgical treatments of idiopathic scoliosis, adult scoliosis and hyperkyphosis were also included.
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.
InDanish radiologist Holger Werfel Scheuermann described the characteristic rigid kyphotic deformity that differed from the more flexible postural round back. Today, the etiology remains unknown. In addition to pain at the deformity level, there are reports of tight hamstrings, low back pain and spondylolysis associated with the disorder.
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Article by Shane Armfield. Scheuermann's disease causes the abnormal growth of usually the thoracic upper back vertebrae, but it can aslo be found in the lumbar vertebrae. In Scheuermann's disease, one side the back of the vertebral body grows normally and the front grows more slowly or abnormally.
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.
Treatment for Scheuermann's kyphosis depends on the patient's age, severity of the curve and, if there are any neurological problems very uncommon. However, the course of treatment is generally the following: Unless the kyphosis is severe, most physicians prescribe a period of observation with yearly exams and x-rays to see if any increase in the curvature takes place. Photo Source: RF. Unless the kyphosis is severe, most physicians prescribe a period of observation with yearly exams and x-rays to see if any increase in the curvature takes place.
Patients with kyphosis present with an exaggerated outward rounding of the upper thoracic spine, which when left untreated can continue to progress during periods of growth. The Kyphologic brace is an innovative brace from Germany which uses specific pressure points to induce spinal correction in-brace. The Kyphologic brace is designed to reduce anterior vertebral loading during adolescence, thereby allowing the spine to move towards a more normal position in the sagittal plane.
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. The goal of treatment is not only to prevent progression but also to obtain permanent correction.