Treatments and drugs
By Mayo Clinic staffKyphosis treatment depends on the cause of the condition and the signs and symptoms that are present.
Medications
Your doctor may suggest:
- Pain relievers. If over-the-counter medicines, such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin, others) or naproxen (Aleve) aren't enough, stronger pain medications are available by prescription.
- Osteoporosis drugs. In many people, kyphosis is the first clue that they have osteoporosis. Bone-strengthening drugs may help prevent additional spinal fractures that would cause your kyphosis to worsen.
Therapy
Some types of kyphosis can be helped by:
- Exercises. Stretching exercises can improve spinal flexibility. Exercises that strengthen the abdominal muscles may help improve posture.
- Bracing. Children who have Scheuermann's disease may be able to stop the progression of kyphosis by wearing a body brace while their bones are still growing.
Surgical and other procedures
If the kyphosis curve is very severe, particularly if the curve is pinching the spinal cord or nerve roots, your doctor might suggest surgery to reduce the degree of curvature.
The most common procedure, called spinal fusion, connects two or more of the affected vertebrae permanently. Surgeons insert bits of bone between the vertebrae and then fasten the vertebrae together with metal wires, plates and screws.
The complication rate for spinal surgery is relatively high. Complications include bleeding, infection, pain, nerve damage, arthritis and disk degeneration. If the surgery fails to correct the problem, a second surgery may be needed.
- Frontera WR, et al. Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-6/0/1678/0.html. Accessed April 10, 2012.
- Kyphosis (roundback) of the spine. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00423. Accessed April 10, 2012.
- Kado DM. Overview of hyperkyphosis in older persons. http://www.uptodate.com/index. Accessed April 11, 2012.
- Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed April 11, 2012.
- Neurological diagnostic tests and procedures. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/misc/diagnostic_tests.htm. Accessed April 17, 2012.


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