Thoracic Kyphosis is measured by drawing parallel lines through the superior end plate of the first thoracic vertebral body and the inferior end plate of the twelfth thoracic vertebral body. Perpendicular lines to these are then constructed and the resultant angle is measured at their intersection.

Normal Measurements

These vary according to age and sex and increase with age. The mean degree measurement of normal kyphosis for a 10-29yr old male is 26. This increases to 45 degrees by the age of 60. Females have a mean of 35 deg at this same age.

Significance

Kyphosis may be altered in many disorders. An increased kyphosis may be seen in old age, osteoporosis, Scheuermann’s disease, congenital anomalies, muscular paralysis, and cystic fibrosis.

Bracing for Kyphosis

The use of elastic tension braces for the management for kyphosis is relatively new. Early results are promising and may offer an alternative to surgery in severe cases.

Treatment for Kyphosis

Extension traction may also be a beneficial procedure for patients with hyper-kyphosis. Sustained traction of 10 minutes or more has been shown to create ligamentous creep or stretching.

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