Maggie Roman
MED 2047
Kyphosis
Instructor Michelle-Earixson-Lamonthe
03/01/2015
VNFT031
A normal human thoracic spine begins at the first vertebra (T1) and ends at the twelfth (T12). When viewed laterally (side), the thoracic spine presents a normal forward curvature, which ranges from twenty to forty-five degrees in roundness (Scoliosis Research Society, 2015). Excessive curvature that exceeds forty-five to fifty degrees causes an abnormal slouched posture known as kyphosis. According to Kamiah A. Walker (2011), “The vertebrae stack one on top of each other and are supposed to be rectangular” (para. 11). However, Walker adds that kyphosis “causes the vertebrae to become triangular or wedge shaped” (2011, para. 11). This results in an inward and forward postural change of the upper spine.
Kyphosis can manifest at any age, but the most common type is age-related. Older adults are especially at a greater risk for kyphosis. Particularly those with weakened thoracic spinal bones and compressed vertebrae caused by osteoporosis. Other types of kyphosis are congenital or adolescent, known as Scheuermann’s disease (Mayo Clinic, 2014). Aside from osteoporosis, other causes of a kyphotic deformity are: poor posture, long-term use of steroids, or spine tumors (Kraus Back and Neck Institute, 2015). In mild cases of kyphosis, signs and symptoms can be asymptomatic. In severe cases, patients complain of back pain and stiffness. An experimental study assessed the effects
After a quick x-ray I wait for the doctor for what seems like hours, when she finally enters the room she looks in my eyes and says the exact word I was praying not to hear... “unfortunately”. My heart drops, she continues, “The x-rays showed a significant change in your curve.” I sit there, staring at the doctor, pale faced and in shock. When you have scoliosis, your spinal curve is measured in degrees, at around a 20 degree curve you would be
The person posture I will be discussing is using a laptop. The laptop is located on their lap, with the screen about 8 inches from the face. The person I’m observing is also sitting in a chair with a flexible back and a headrest. Even though there is a large backrest, the person is hunched over towards the computer screen. This created a huge curvature in the back, especially in the thoracic region. There is a greater kyphosis curvature within the thoracic region also affects the other regions of the spine. The lumbar spine seems to have a less lordosis curvature as this person is hunching over to look at the computer screen. The cervical have more a greater lordosis curvature compared to a normal sitting posture. The person is sitting
Hi my name is Dr. Allen and I am from the Pediatric Orthopedic Department. Today I want educate you on the most common diseases and conditions that we see here in this department. Our first condition we will discuss is Kyphosis (curvature of the spine). Kyphosis (curvature of the spine) is a condition in which the curve in the spine is measuring 50 degrees or greater. Kyphosis (curvature of the spine) can be congenital (present at birth) or it can be something that develops later in life. If a child is not born with the curvature in the spine, the cause of Kyphosis (curvature of the spine), can be a number of things ranging from Spina bifida (split spine), Osteogenesis
The most recent procedure E.P. received was kyphoplasty of his L1 and L3 vertebrae. Kyphoplasty is a treatment for compression fractures of the vertebrae, a condition commonly caused by osteoporosis. Osteoporosis affects 10 million Americans, and approximately 2,000,000 of these are men. An estimated 750,000 people are affected by compression fracture annually. While most of these are women, compression fracture is also a concern for elderly men. Compression fracture signs and symptoms include kyphosis, or hump-back distortion of the vertebral column, and back pain. (“Compression Fractures”, 2013) Common compression fractures are wedge fractures, which E.P. has in his L1 and L3 vertebrae. These were diagnosed by an 02/06 X-Ray. On 02/19, E.P. had a CT scan without contrast, confirming the X-Ray results. The results of the scan and X-Ray were as follows: “severe wedge compression fracture deformity with near vertebral plana at L3 and a moderate wedge
Scoliosis is an abnormal lateral curvature of the spine. Surgery and braces for scoliosis normally expensive. Spinal manipulation can help with AIS. The treatment of the teen goes to 18 months two times a week. In the before the treatment, Manipulative procedures was done on her using mechanical assist and mobilizing the spine. After the pretreatment, The regular treatment was the same, but it used a brace to possibly help stop the spine curve progression. Her treatment consisted of a 15-minute session of deep tissue therapy, two visits a week for six weeks and once a week visit for six weeks. The goal was to improve her spine and reduce her pain and symptoms, The girl reported of have problems that her defecation is less than two times a week. “at least, some severe and progressive cases of scoliosis, including spinal manipulation may decrease the need for surgery”(Chen, Chiu 749 web). After surgery for scoliosis, Complications might start. Blood loss, infection, and equipment failure where rods break, screws and hooks get lodged. On rare times, paraplegia will start to occur losing all feeling in the legs due to a spinal injury. She had a fear of surgical complications and went towards more conservative treatment. For the first three months, her progression stopped at a 34°. Her bowel movements were starting to improve. Spinal manipulation is relatively safe, but there is some association with disk herniation. After 18 months of treatment, 34° from a 30° spine angle and slowed or stopped curve progression. This shows the effectiveness of the treatment. Compared to surgery, Spinal manipulation is more effectiveness with much less complication. If the brace was only used as a treatment it could be more effective than spinal manipulation. However, in some cases, it shows that braces do not indeed slow or reduce the chance of surgery if worn.
The thoracic spine is considered the least vulnerable to a disc herniation due to anatomic stability. Although they are rare, physically demanding jobs, trauma, and extreme sports can lead to a thoracic disc herniation (TDH). In order to be effectively treated, a TDH needs to be successfully diagnosed. Successful diagnosis relies on a good differential diagnosis and magnetic resonance imaging (MRI), the gold standard for visualizing a disc herniation. Once diagnosed, there are many treatment options, which range from conservative care to invasive surgery. Rehabilitative therapy can be an effective and safe way to manage a TDH. Surgery can also be effective, but there are serious complications and risks associated. Considering patients with
There are three different types of musculoskeletal disorders that effect the spinal column: Lordosis, Kyphosis, and Scoliosis. Scoliosis effects the largest amount of people and also effects the widest range of ages. There are three different types of scoliosis and they are categorized by the age at which the deformity developed. Infantile scoliosis develops from birth to 4 years old, juvenile scoliosis develops from 4 to 9 years old, and adolescent scoliosis develops from 10 to 18 years. Scoliosis is most commonly developed in the adolescent stage, it compromises approximately 80 percent of all scoliosis cases (Baaj, 2017). Any
I have a condition called Scheuermann’s Kyphosis. Kyphosis, generally speaking, is the curving of the thoracic vertebrae. Depending on how severe the curve is, someone who has this condition can develop a hump on their back. Kyphosis can vary from causing little to no problems for a person and not even noticeable to causing many health issues and may even lead to disfigurement. This condition can be caused by many things, but Scheuermann’s Kyphosis forms when a child goes through puberty and gradually gets worse with each growth spurt and is more
Kyphosis is a forward adjusting of the back. Normally has a forward curve of 20 to 40 degrees. Some adjusting is typical, however the expression "kyphosis" for the most part relates to a misrepresented adjusting of the back. While kyphosis can happen at any age, it's most regular in more older women. Age-related kyphosis frequently happens after osteoporosis debilitates spinal issues that remains to be worked out point that they split. Different sorts of kyphosis are found in newborn children or young children because of mutation of the spine or wedging of the spinal bones after some time. A kind of kyphosis that happens in youthful teens is known as Scheuermann’s disease. It is brought on by the wedging together of a few bones of the spine (vertebrae) consecutively. The reason for this condition is still unknown. One specific kind of kyphosis is Scheuermann's kyphosis, otherwise called Scheuermann's ailment. A radiologist initially found Scheuermann's in the mid-1920s, and the condition is named after him. Scheuermann's kyphosis is described by wedge-molded vertebrae that cause the thoracic spine to bend forward excessively.
In conclusion, scoliosis may vary from your family and genetics also comes from bad posture and balance. Scoliosis does vary in different types and is mostly to be seen in males rather than females. During the process of having scoliosis you may have lower/upper back and neck pain. If you do not know whether you have scoliosis or not you may see a physician to determine so. As a result , surgery is the only long lasting way to cure scoliosis and doctor’s visits is the only way to prevent
Normal spines during examinations will have the lower part of the back curving inward that will round the shoulders as well. When scoliosis affects the spine and ribs. There will usually be a noticeable uneven shape in the shoulders or the hips. This is because there is either a structure or non-structured curve that causes scoliosis. Doctors will consider the shape and then look at the location, direction, and then its magnitude. There are different factors that can cause or lead to having scoliosis. In small children that have muscle or bone problems their vertebrae may change as they grow older. The article states that many cases of scoliosis go unknown without a cause. There are many doctors that see scoliosis as being genetically passed down or from a serious spine injury. If the patient is older it can be a case of lumbar scoliosis that may be linked with osteoporosis.
One of the biggest challenges I faced in my life was dealing with scoliosis at a young age and then later having to get a spinal fusion surgery at the age of thirteen. I was diagnosed with Scoliosis at the age of nine by my Doctor at a routine check up. At that point, she had told me that I needed to start seeing an Orthopedic Surgeon to help keep an eye on my back; she checked how much it was curved. It had started out as a twenty six degree curve, then later it had shifted to a thirty two degree curve at the age of eleven. My surgeon had said that I most likely wouldn’t need surgery until I was at least eighteen.
Doctors may provide a back brace for patients, but most will have to undergo surgery (juvenile). The last sub-type of idiopathic scoliosis is adolescent idiopathic scoliosis. This type occurs between the age ten to young adulthood. Adolescent idiopathic scoliosis is also known as AIS, this is also the most common type with the best profession (adolescent). Idiopathic cases are mostly graceful and painless. This is normally noticeable when someone is bending over. Sometimes the scoliosis is not noticed by the patient's parents because it is usually mild to moderate. The reason for this is because it usually develops during adolescence when children become more self-conscious (what are). Congenital scoliosis is the second type of scoliosis. This type of scoliosis occurs in the womb. Children develop a lateral curvature of the spine even before birth. Congenital means that abnormal development is the cause of the condition (congenital). The last type of scoliosis is Neuromuscular scoliosis, this is caused by the presence of a neurological or muscular disease. This is where cerebral palsy or muscular dystrophy affect scoliosis. There are numerous types of diseases that can cause neuromuscular scoliosis. Treatment for this type is very unpredictable because the abnormal curves in the spine are also unpredictable (neuromuscular
Scoliosis is a complex deformity or curvature of the spine and entire torso and has been recognized clinically for centuries (Asher, Marc A.). “For a few of the patients an underlying cause can be determined, including congenital changes, secondary changes related to neuropathic or myopathic conditions, or later in life from degenerative spondylosis. However, the cause of most scoliosis is not known and since about 1922 such patients have been diagnosed as having idiopathic scoliosis (Asher, Marc A.).”
Our spine hardly gets as much daily care as our hair or face does, but we should realize that it plays a crucial role in the proper functioning of the body. Conversely, tending to the spine health must be a part of a comprehensive health routine. Older people often experience some stiffness in the back or in the spine.This is possible due to the deterioration of the bones and intervertebral disks with age. But pain or continuous stiffness should never be taken lightly. Common spinal conditions among the elderly can be detected by symptoms such as leg pain, postural problems, early morning back pain and more.