Kyphosis - Treatment

Moderate kyphosis can be treated by reducing stress and avoiding weight sustained strenuous activities. The column can be normalized without treatment, spontaneously. When kyphosis is more severe treatment consists of wearing a spinal rod or sleeping on a rigid bed. Treatment relieves symptoms and prevents progression of kyphosis. Rarely, kyphosis worsens despite treatment and require surgery to straighten the spine.Inflammatory therapy:Antiinflammatory can bring short term relief of pain in adolescents and can be used long term in adults with symptomatic kyphosis.Physical Therapy:It should not be used to alter the natural course of a progressive kyphosis. A specific gymnastic program is still useful in relieving symptoms.
Application of rods:Teens with progressive kyphosis whose curvature reached 45 degrees are candidates for application of spinal rods. The rod should be sufficient to affect the deformation prozimal forces.Milwaukee rod is used to ring at the neck, pelvic belt and a cushion bolts connecting the top rear of the kyphosis. It follows the patient 3-6 months to ensure the effectiveness of the stem. As the patient grows rod should be replaced. Application of the rod is maintained until skeletal maturity is reached. Scheuermann kyphosis in adults rods are not recommended.
Surgery:-Is recommended in patients with Scheuermann disease, spinal pain and unacceptable cosmetic appearance-In patients with curvatures over 75 degrees with pain unresponsive to nonoperative measures, indicate spinal fusion-Spinal decompression is indicated for patients with neurological deficits or increasing epidural cysts secondary kyphosis angulation-Most common complication is failure of pseudoarthrosis and instrumentation.
PrognosisPatients see a doctor because of poor body posture.Most patients with a history of kyphosis deformity shows. The incidence of pain is low, although 20% of patients complain regional discomfort. Localization in patients with lumbar kyphosis, pain is more pronounced.After interventional therapy is the most common complication of pseudoarthrosis after instrumentation failure and loss of correction.Complications that can develop through chronic back pain include kyphosis, progressive deformity and neurological deficits.