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Scheurmann’s Kyphosis

What is Scheurmann’s Kyphosis?
Scheuermann’s Kyphosis (increased roundback) is a disorder that affects the development of the vertebra (back bones) causing them to become slightly wedge-shaped. The result is an increase in the normal thoracic kyphosis (roundback).

What causes Scheurmann’s Kyphosis?
There is no known cause that has been defined. There does seem to be a tendency for it to run in families.

What are some of the clinical findings?
Adolescents are usually evaluated because of excessive rounding of the back (poor posture). Pain sometimes can exist and sometimes be associated with a rapid growth spurt, activities that emphasize forward flexion or lifting, or athletic activities. The pain is usually at the top of the deformity or in the lumbar region. Patients with Scheuermann’s kyphosis lack normal flexibility that can be detected with various physical tests.

How is the diagnosis made?
In addition to a physical exam, x-rays of the spine can help to make the diagnosis.

What are some of the treatment options?
For patients will mild increase in their roundback (kyphosis), an exercise program will be advised. When the problem is more advanced either an orthosis (brace) program or surgery may be advised.