Kyphosis (Hunchback)
Kyphosis is excessive forward curvature of the upper back (thoracic) spine beyond normal limits. Normal thoracic kyphosis ranges between 20-45 degrees. Curvatures exceeding 50 degrees are called hyperkyphosis and may require treatment. Also known as hunchback, this condition can result from postural abnormalities, Scheuermann's disease, or osteoporosis.
What Is Kyphosis (Hunchback)?
Types of Kyphosis
Postural Kyphosis
The most common type, resulting from poor posture habits. Common in adolescents and those who work long hours at computers. Since there is no structural abnormality, it can be corrected with exercise.
Scheuermann's Kyphosis
Develops when the front part of vertebral bodies grows slower than normal during growth period. It is a structural deformity and can range between 50-75 degrees. Usually noticed between ages 10-15.
Congenital Kyphosis
Caused by congenital spinal anomalies. May require early surgical intervention.
Degenerative Kyphosis
Develops due to aging, disc degeneration, and osteoporosis. Common in elderly.
Post-traumatic Kyphosis
Deformity developing after spinal fractures.
Symptoms
- Visible hunchback: Noticeable rounding of the back
- Back pain: Especially at the apex of the curve
- Muscle fatigue: Increasing with prolonged standing
- Stiffness: Limited spinal mobility
- Advanced cases: Shortness of breath, neurological symptoms
Diagnosis
- Physical examination: Forward bending test, flexibility assessment
- Standing lateral X-rays: Kyphosis angle measurement
- MRI: Spinal cord and disc evaluation
- Bone densitometry: Osteoporosis screening
Treatment
Conservative Treatment
- Physical therapy: Postural exercises, stretching and strengthening
- Brace therapy: During growth period for Scheuermann's kyphosis
- Pain management: Medication, physical therapy modalities
- Osteoporosis treatment: Bone-strengthening medications
Surgical Treatment
For curvatures above 70-75 degrees, progressive, painful, or with neurological findings:
- Posterior spinal fusion: Correction and stabilization from the back
- Combined anterior-posterior surgery: For severe cases
- Vertebral column osteotomy: For rigid deformities
- Vertebroplasty/kyphoplasty: For osteoporotic fractures
Post-Operative Care
- Hospital stay: 5-7 days
- Brace use: 3-6 months
- Physical therapy: Starting at 6 weeks
- Full recovery: 6-12 months
Prevention
- Proper sitting and standing posture
- Regular exercise and back muscle strengthening
- Ergonomic work environment
- Adequate calcium and vitamin D intake
Why Choose Prof. Dr. Salim Şentürk?
Prof. Dr. Salim Şentürk has extensive experience in both conservative and surgical approaches for kyphosis treatment. He creates personalized treatment plans for each patient.
Evaluate Your Posture
Schedule an appointment to learn your kyphosis degree and treatment options.
Frequently Asked Questions
Can hunchback be corrected?
Postural kyphosis can be corrected with exercise. Structural kyphosis may require bracing or surgery.
How long should a kyphosis brace be worn?
Until growth is complete, usually worn 16-23 hours per day.
Does kyphosis recur after surgery?
Recurrence risk is low with properly performed surgery.
Other Treatments
Spine Surgery
Surgical treatment of spine and spinal cord diseases
Deformity Surgery
Deformity surgery is the surgical correction of scoliosis, kyphosis, and spinal imbalance. Effective treatment is achieved with modern techniques and implants. Prof. Dr. Salim Şentürk's expertise in complex deformity surgery.
Endoscopic Spine Surgery
Endoscopic spine surgery is a minimally invasive technique performed through an 8 mm incision. Same-day discharge and rapid recovery are possible for lumbar and cervical disc herniations. Prof. Dr. Salim Şentürk's endoscopic surgery expertise.
Peripheral Nerve Surgery
Peripheral nerve surgery treats nerve compressions, injuries, and tumors. Carpal tunnel, cubital tunnel, and nerve tumors are treated surgically. Prof. Dr. Salim Şentürk's nerve surgery expertise.
Reviewed by: Prof. Dr. Salim Şentürk, Neurosurgeon
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