Physical examination by a health care provider confirms the
abnormal curve of the spine. The doctor will also look for any
nervous system (neurological) changes (weakness, paralysis, or
changes in sensation) below the curve. MRI (if there may be a
tumor, infection, or neurological symptoms) Treatment depends on
the cause of the disorder: Congenital kyphosis requires
corrective surgery at an early age. Scheuermann's disease is
treated with a brace and physical therapy. Occasionally surgery
is needed for large (greater than 60 degrees), painful curves.
Multiple compression fractures from osteoporosis can be left
alone if there are no nervous system problems or pain. However,
the osteoporosis needs to be treated to help prevent future
fractures. For debilitating deformity or pain, surgery is an
option. Kyphosis caused by infection or tumor needs to be
treated more aggressively, often with surgery and medications.
Treatment for other types of kyphosis depends on the cause.
Surgery is needed if neurological sympto