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A normal spine, when viewed from behind appears straight. However, a spine affected by kyphosis shows evidence of a forward curvature of the back bones (vertebrae) in the upper back area, giving the child a "humpback" appearance.
The Scoliosis Research Society defines kyphosis as a curvature of the spine measuring 45 degrees or greater on an x-ray (a diagnostic test which uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film). The normal spine has only 20 to 45 degrees of curvature in the upper back area.
Kyphosis is a type of spinal deformity and should not be confused with poor posture.
Kyphosis can be congenital (present at birth), or due to acquired conditions that may include the following:
Kyphosis is more common in females than males.
The following are the most common symptoms of kyphosis. However, each child may experience symptoms differently. Symptoms may include:
Back pain, pain down the legs, and changes in bowel and bladder habits are not commonly associated with kyphosis. A child experiencing these types of symptoms requires further medical evaluation by a physician.
The symptoms of kyphosis may resemble other spinal conditions or deformities, or may be a result of an injury or infection. Always consult your child's physician for a diagnosis.
The physician makes the diagnosis of kyphosis with a complete medical history of the child, physical examination, and diagnostic tests. The physician obtains a complete prenatal and birth history of the child and asks if other family members are known to have kyphosis. The physician also will ask about developmental milestones since some types of kyphosis can be associated with other neuromuscular disorders. Developmental delays may require further medical evaluation.
Diagnostic procedures may include the following:
Early detection of kyphosis is important for successful treatment. Pediatricians or family physicians, and even some school programs, routinely look for signs that kyphosis may be present.
Specific treatment for kyphosis will be determined by your child's physician based on:
The goal of treatment is to stop the progression of the curve and prevent deformity. According to the Scoliosis Research Society, treatment may include:
The treatment of kyphosis is individualized for each child, depending on his/her age, amount of curvature, and amount of time remaining for skeletal growth. Kyphosis will require frequent examinations by your child's physician to monitor the curve as your child grows and develops. Early detection is important. If left untreated, kyphosis can lead to problems with lung function.
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