Kyphosis is most commonly treated with non-surgical methods, however, there are surgical options for severe cases. Early treatment intervention is particularly important for the adolescent patient. If left untreated, the curve progression can lead to significant problems during adulthood. Routine evaluations are necessary to properly monitor curve progression.
In order to determine the appropriate treatment plan, your doctor will consider the following
- Age and number of growing years remaining
- Overall health status
- Type of kyphosis
- Severity of the curve
Non-Operative treatment options
- NSAIDs and analgesics
- Observation: Periodic visits and x-rays until fully grown
- Physical therapy: strengthen back and improve posture. Other areas of the body that could be affected by spinal misalignment may also be addressed.
- Postural adjustments
- Bracing:
- Adolescents with Scheuermann’s kyphosis who are still growing
- Type of brace and timeframe of wear depends upon the severity of the curve
- Regular adjustments are necessary as curve improves
- Typically worn until skeletal maturity has been reached
- Cervical Thoraco Lumbar Sacral Orthotic (CTLSO)
- To be worn 24 hrs per day for one year
Goal
Stop the curve from progessioning and prevent deformity.
Who qualifies?
- Patients with postural kyphosis
- Scheuermann’s kyphosis with less than 75 degree curves
Outcomes
If kyphosis is diagnosed early, the majority of patients can be treated successfully without surgery and go on to lead active, healthy lives. If left untreated, however, curve progression could potentially lead to problems during adulthood. For patients with kyphosis, regular check-ups are necessary to monitor the condition and check progression of the curve.
