When we look at the spine from the back, we see that it is a straight column consisting of the vertebrae lined up on top of each other and having a projection that passes right through the middle of the head and pelvis. When we look at the human spine from the side, we see that there is no such straight line and that each of the vertebrae has physiological curvatures formed by making an angle with each other. For example, while there is a kyphosis (humpback) in our chest and back region, there is a dimple in our waist region following this.
Kyphosis in the chest and back region varies widely among individuals. Some people stand slouched, while others stand more upright. This hump has a dimensional limit that is considered normal, and this limit varies between 20 degrees and 55 degrees.
Humpback may be a small curvature that cannot be noticed, or it may present with chronic pain, loss of sensation and strength, or severe deformity. Humpback can cause varying degrees of complaints, from just deformity to severe pain, lung and heart problems. The pain is in the area where the hump is the most. If the spinal cord is compressed after progressive humpbacks, weakness may occur in the legs. Severe humpbacks in the back region can cause shortness of breath by preventing the lungs from expanding sufficiently. Likewise, cardiac functions may be affected.
Causes can be congenital as well as rheumatic diseases, arthritis, posture and sitting disorders.
The first chosen method in the treatment of humpback is usually non-surgical methods. Treatment begins with methods such as pain relievers, exercise, and corsets. If there is an underlying osteoporosis, the progression of the hump can be slowed down by treating it first. However, in cases of severe pain, progressive loss of strength in the legs due to nerve compression, progression of the hump over time, or the patient’s desire to improve his appearance, the only treatment option is surgery.
