Kyphosis

Overview

Kyphosis is an excessive forward rounding of the upper back.

In older people, kyphosis is often due to weakness in the spinal bones that causes them to compress or crack. Other types of kyphosis can appear in infants or teens. These types are due to malformation of the spine or wedging of the spinal bones over time.

Mild kyphosis causes few problems. Serious kyphosis can cause pain and be disfiguring. Treatment for kyphosis depends on your age, and the cause and seriousness of the curvature.

Symptoms

Mild kyphosis may not cause any noticeable symptoms. It is typical for the upper back to have a slight curve. However, too much curvature can lead to back pain and difficulty standing upright.

When to see a doctor

Make an appointment with your healthcare professional if you notice that the curve in your upper back is getting worse. Contact your child's healthcare professional if you see an increased curve in your child's spine.

Causes

In a healthy spine, each vertebra is shaped like a cylinder, with the front and back about the same height. This allows the spine to stack evenly and stay upright.

In kyphosis, the vertebrae become wedge-shaped. This means the front of the bone becomes shorter than the back, forming a triangle shape. When several vertebrae take on this shape, the spine may tilt forward. Over time, this causes the back to curve and appear rounded.

The shape of vertebrae can be changed by:

• Fractures. Broken vertebrae can cause the spine to curve forward.
• Compression fractures. These are the most common type of fracture. They often happen in weakened bones and can happen with no known injury. Mild compression fractures may not cause noticeable symptoms.
• Osteoporosis. Osteoporosis weakens bones. This can lead to spinal curvature, especially when compression fractures happen. Osteoporosis is most common in older women and in people who have used corticosteroids for a long time.
• Disk degeneration. Soft, round disks between the vertebrae act as cushions. As you age, these disks can flatten and shrink, which may worsen kyphosis.
• Scheuermann disease. Also called Scheuermann kyphosis, this condition typically appears during adolescence.
• Other issues. Vertebrae that do not form properly before birth can cause kyphosis. In children, kyphosis also may be linked to certain medical conditions.

Risk factors

The risk of developing kyphosis in adulthood increases with age. As people get older, bone strength lessens and spinal disks wear down. In children, certain conditions can raise the risk of kyphosis. These include osteogenesis imperfecta, cerebral palsy, Scheuermann's disease, Ehlers-Danlos syndrome and Marfan syndrome.

Complications

In addition to causing back pain, kyphosis may cause:

• Limited physical function. Kyphosis can weaken back muscles and make everyday activities harder. The condition can make walking or standing up from a chair difficult. The spinal curve also may make it hard to look upward, drive or lie flat without pain.
• Digestive problems. Serious kyphosis can press on the digestive tract. This can lead to problems such as acid reflux or trouble swallowing.
• Back pain. Some people with serious kyphosis have ongoing back pain.
• Body image issues. People with kyphosis, especially teenagers, may feel self-conscious about having a rounded back.