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Postural Roundback

Postural Roundback

Normal spine alignment includes a small curve (up to 450) in the thoracic spine (upper back). Kyphosis is a disorder of the spine characterized by a forward curvature of 500 or greater of the vertebrae as seen on an X-ray.

Postural Roundback (also called kyphosis or hunchback) is a common spinal condition caused by poor posture and slouching that results in an exaggerated increase (500 or greater) in the natural curvature of the thoracic spine. Although the curvature is increased the spine remains flexible, and the condition is not associated with structural abnormalities that distinguish this condition from other types of kyphosis. Frequently, the child with postural roundback can correct the curve by standing up straight.

Postural roundback is most common in adolescents but can affect people of all ages. Girls are more often affected than boys. It is usually not painful, does not progress or cause problems, and commonly does not require medical treatment. In many cases, a mild kyphosis may not be evident until your child’s school or pediatrician conducts a scoliosis screening.

How poor posture affects you

Poor posture significantly increases stress on the neck and spine muscles, ligaments, and tendons. Unchecked poor posture can cause upper body pain and stiffness, and middle and low back pain.

Teens spend hours a day looking at their phones or laptops with their heads protruding forward and down and shoulders rounding which can lead to excess wear and tear on the spinal vertebrae, and muscles and may affect bone growth. Poor posture is also accompanied by an exacerbated lordosis or inward curve of the lumbar spine. Poor posture can also be a reflection of mood, self- confidence, self-esteem, and lifestyle.

What is good posture?

Good posture is where the head is aligned with the spine; the ears are in line with the shoulders and the shoulders are down and back. Proper posture is good for your health and mood.

When your child complains of back pain or exhibits round back and no amount of nagging “stand up straight” works, it is time to get the opinion of an expert to ensure your child does not have a spinal defect or deformity.

Diagnosis

Postural kyphosis is diagnosed with a physical exam. Dr. Shufflebarger will request your child to bend forward at the waist to evaluate the curvature. Your child will also be instructed to lie down on a flat surface. Postural kyphosis will correct itself when the child lies down on a flat surface.

If the curvature remains, Dr. Shufflebarger will order x-rays to view spine alignment and the degree of curvature. Postural kyphosis is characterized by a lack of rigidity in the spine and the absence of structural abnormalities of the vertebrae. With proper education and exercise, most patients will correct the rounding to within normal range.

Dr. Shufflebarger is a board-certified orthopedic surgeon who specializes in spine disorders. He is a renowned spine surgeon who was previously the Director of the division of Pediatric Spinal Surgery at Nicklaus Children’s Hospital in Miami Florida. Dr. Shufflebarger is a kind and compassionate doctor who offers the latest advancements in the treatment of spinal deformity.

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