Kyphosis is a condition characterized by abnormal curvature of the spine that causes rounding of the upper back (hunchback). Kyphosis usually affects the thoracic spine, but can also involve the cervical and lumbar portions of the spine. It can occur in children and adults. Kyphosis causes the body to become pitched forward and can be painful and interfere with proper balance and posture.
Kyphosis can be categorized into the following major types:
- Postural kyphosis: This usually develops due to poor posture.
- Structural kyphosis: This is caused by an abnormality affecting the bones and soft tissues of the spine.
- Scheuermann’s kyphosis: It is also known as adolescent kyphosis, caused by abnormal wedging together of several neighboring vertebral bodies.
- Congenital kyphosis: It refers to a type of curvature that is present at birth.
- Post-Traumatic kyphosis: It is a condition that results from spinal injuries such as a vertebral fracture in the spine.
- Degenerative kyphosis: It is a condition of the aging spine, caused by degeneration or wear and tear of the spine.
The causes of kyphosis include:
- Compression fractures can occur from osteoporosis
- Disc degeneration
- Arthritis affecting the spine
- Injury to the spine
- Infections such as tuberculosis
- Birth defects such as spina bifida
- Inherited disorders (muscular dystrophy and neurofibromatosis)
- Cancer or benign tumor
- Certain endocrine disorders
Patients with kyphosis may have a hump appearance of the back (hunchback), mild pain, muscle fatigue and stiffness in the back. In severe cases of kyphosis, difficulty in breathing may also develop as a result of pressure over the lungs.
Your doctor will take a brief history which includes family history, history of your present symptoms, and past medical history. Then, a physical examination and neurological examination is done to assess reflexes, strength of the muscles and sensation in order to make a proper diagnosis. Your doctor may perform an Adam’s forward bending test, in which you are asked to bend forward from the waist and the doctor will look for a rounded curve. X-rays of your spine may be used to determine the degree of curvature. The MRI or CT scan can help to determine nerve and spinal cord abnormalities. Pulmonary function tests may be done if kyphosis affects breathing.
Kyphosis may be mild or range from moderate to severe. Treatment depends on the type and cause of the condition and may include non-surgical and surgical treatments. Conservative treatment such as medications, exercises, and support braces to the spine may be helpful to help relieve non-structural symptoms. Surgery may be considered for congenital and large kyphotic curves. Surgical treatment options for kyphosis include spinal fusion (bone grafts) and instrumentation (screws, rods). The aim of the surgery is to correct the curve halt the curve progression, treat the deformity, and to stabilize the spine. Surgery includes fusion and instrumentation
Your surgeon will discuss with you the surgical options and potential risks and benefits and recommends the most appropriate procedure for you. Your doctor is your best source of information to answer all your questions and help you understand the condition better.
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Houston Back and Spine Specialists
Advanced Orthopedics and sports medicine has Board Certified/Eligible physicians who are thoroughly educated in the latest treatment techniques both surgical and conservative. The spine surgeons practice conservatively utilizing minimally invasive techniques whenever possible. Should surgery be required, options range from out-patient spinal surgery to major spinal reconstruction and management of scoliosis.
Contact us today to Schedule an Appointment or call us at 281-955-2650 to learn more about our Back and Spine Treatment options.
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What Our Patients Are Saying
I was in pain for a couple of months and went to see Dr. Cubbage. He knew right away by the way my posture what the issue was. He had me scheduled in and he along with his staff were awesome. After my surgery, I felt 100 % better. I had a few follow up visits and he along with his staff were genuinely attentive to my concerns and needs. I was also not in his network and his staff helped me out with that as well. I highly recommend him for people that have back or neck issues.
Dr. Cubbage & Staff replaced a disc that had been destroyed between my 4th and 5th vertebra. This is my 4th month since the surgery in January of 2018. I was very impressed with their dedication and professional approach to helping me live a more productive life. I am a 70 year old wife, mother and grandmother. Feel very blessed. Sincerely!
Excellent experience. The doctor, staff, office services and hospital care were outstanding before, during and after the procedure. Thank you – Heathgrades, Dr. Cubbage review
Each procedure done by Dr. Patel has been an improvement. Very pleased.
Dr. Patel has been a great Doctor for me. When I was referred to after discussion we decided to do injections in my back. The first two did not work so did two more in a different section of my back. These injections worked great. I’m now able to sleep at night and the numbness in my foot is almost gone. The tingling in my foot & leg is gone and I am very happy about that. I am extremely happy that Dr. Patel is my Doctor. She has been a good listener when I tell her where I hurt and talks to me about what she feels should be done. The final decision is always mine.
On Nov. 22, 2017, I had a spinal injection in my lower back and it was an instant miracle in my life! For the first time in 4 intolerable months of pain, I was finally pain free, and I am now getting a second chance to live again! I am so grateful to Dr. Patel for my new life, and to God for guiding me to her! Thank you so very much Dr. Patel – you are God’s gift to me, thank you for being so awesome at what you do.
Dr. Patel is one of the best Doctors I have ever had. She is pretty good at her job. She makes it plain and simple. She is also very thoughtful. I was very glad to have met her. In other words she is pretty good.
The surgery done by Dr. S. Patel (Actually injections) & the mild medications she has prescribed has surely made my lower back -hip-leg less painful. I have complete confidence in her medical judgement & advice. She will administer second injection in June.
Dr. Patel is a very good Pain Management Doctor. She is one of my favorite doctors.
Dr. Patel has been great at my pain relief. She doesn’t force me to take any meds I don’t want, or injections. She will give me the injection I want when I need it. Great friendly Doctor.