When the spine is viewed from the side, a backward curvature of the back, namely kyphosis (humpback), can be seen and this may not always be a disease. The hunchback that families see in their children is usually caused by poor posture. The most important reason for this is the insufficient physical condition of the children. Tensions can arise between the children and the family, who are constantly told to stand upright, and the situation can turn into stubbornness. Orthopedics – Traumatology Specialist Prof. Dr. Yetkin Soyuncu gave information about kyphosis.
Humpback can be postural or structural
There is a moderate rounding called thoracic kyphosis in the dorsal region from the shoulders to the lower side of the rib cage, and a reverse curvature called lumbar lordosis in the lumbar region. In a normal spine, these two opposite curvatures are necessary to balance the trunk and head above the pelvis. A normal back lies between the 1st and 12th vertebrae and should have a slight kyphosis between 15° and 45°. When the rounding in the dorsal region exceeds 45°, it is called “hyperkyphosis” and is classified as postural or structural.
Posture disorder paves the way for herniated disc in the future
Today, as a result of the information age, children spend more time in front of the table, computer and tablet rather than games and sports activities. For this reason, their physical condition is worse because they do less sports, and they spend most of their time in bad sitting and lying positions. There is no evidence that carrying a heavy school bag causes hunchback. However, heavy bags carried on the back are not suitable for spinal health. The loads on the spine pave the way for low back and back pain in childhood and adolescence and the development of conditions such as low back pain and herniated disc in later ages.
Low back pain may occur
Structural kyphosis is a hunched over 55° in standing films, often due to an underlying bone or soft tissue disorder, and the cause is unknown. The anterior sides of the vertebrae grow more slowly than the posterior ones. This results in wedge-shaped vertebrae rather than rectangular-shaped vertebrae that line up nicely on top of each other. This condition usually occurs during periods of rapid bone growth, 12 to 15 years of age in boys, or several years earlier in girls. Structural kyphosis patients often present with complaints of poor posture and low back pain. Low back pain is most common in early adolescence and often subsides as one approaches adulthood.
Guide your child to sports!
Parents often warn their children about this, as they can stand upright when warned to stand up straight. However, after the child stands upright for a while, he involuntarily returns to the hunched position. Repeated warnings can result in stubbornness between the family and the child. Families should definitely direct their children to sports. Sports prevent postural hunchback by increasing the physical condition of the child, the strength and endurance of the muscles that keep the spine upright. An hour of sports activity at least 3 days a week helps to solve the problem of bad posture.
In order to prevent postural hunchback, it is necessary to eliminate the underlying causes;
Even if there is no complaint, regulate their sitting habits,
Ensure that children’s desks and chairs are in the appropriate position, angle and height,
Adjust monitor and keyboard heights to appropriate positions,
Encourage your child to do sports. Encourage if unwilling,
If an upright position cannot be achieved, consult a specialist without delay.
Surgery can be applied for curves greater than 80 degrees
Kyphosis treatment is designed to correct humpback, stabilize the diseased area, reduce pain, and improve neurological function. Surgical treatment may be recommended when the hump is advanced (greater than 80°) and the patient’s increased back pain becomes more frequent. Surgery is planned specifically for the patient. The patients stand up the next day of the operation and are discharged in approximately 4-5 days. While discharged, a corset can be applied for up to 3 months in some patients. The time to return to school or work after surgery is approximately 3 weeks. Exercises such as walking and swimming are allowed after three months. Cycling is released after 6 months. Patients are mostly in the 4th-6th grades following the surgery. can return to their normal daily work within a month. Until the end of the first year, mutual sports such as football and basketball are prohibited. At the end of the first year, patients are allowed to return to their normal lives completely.