Normal spine has a series of curves when viewed from the side angle. These curves help to absorb stack of loads applied to spine from weight of the body. Upper back portion of spine has a regular outward curve that is known as kyphosis by which the spine can bend in forward direction. Normal spine, when inspected from behind seems straight. A spine affected by kyphosis shows evidence of a forward curvature of vertebrae in upper back area, giving a humpback impression. Scoliosis Research Society states Kyphosis as a curving of spine which is 45 degrees or more on an x-ray.
Causes of Kyphosis
Kyphosis is a deformity of spine that can result from developmental problems, trauma or degenerative disease. Kyphosis may be present at birth, or due to conditions that may include the following:
- Neuromuscular conditions
- Metabolic problems
- Spina bifida
- Osteogenesis Imperfects (Brittle Bone Disease) - This unwanted condition causes fracture of bones easily with minimal force.
- Scheuermann's Disease - This condition causes vertebrae to curve forward in the upper back area. It is most commonly seen in males and its cause is unknown.
Signs & Symptoms of Kyphosis
Kyphosis is a type of spinal abnormality and should not be confused merely with poor posture. Some of the most commonly found signs & symptoms of Kyphosis are as follows.
- Persistent mild pain in back
- Tenderness and stiffness of spine
- Difference in shoulder height
- Difficulty in breathing
- Slouching posture
Criteria for Kyphosis Surgery
Kyphosis Surgery is generally the last treatment option which should be taken into consideration. Other non-surgical treatments, like physical therapy, should be attempted first. If symptoms and pain don't lessen after all these treatments then doctors may advise Kyphosis Surgery. Other criteria taken into consideration for Kyphosis Surgery include the following.
- Progression of Curvature: If the curve is increasing rapidly and getting worse, despite non-surgical procedures, surgeons may suggest Kyphosis Surgery to correct the curvature and restrict it from getting worse.
- Balance of Body: Bending forward can affect balance of the patient, if curve is making it tough to get through normal daily life, one may need Kyphosis Surgery to rebalance abnormal spine.
- Severity of Curve: Severity of curve is dependent upon the position of spine where it has hyper-kyphosis curve. In the mid-back area, curves measuring more than 80° are reviewed severe; whereas, in the mid-back to low back area curves which are more than 60°-70° are severe.
- Neurological Signs: Kyphosis can highly affect spinal nerves. Patient may suffer from weakness, tingling or numbness, and in extreme cases, when Kyphosis Surgery is recommended, patient may have bladder dysfunction.
Surgical Treatment of Kyphosis
Kyphosis Surgery has three main goals:
- Minimize deformity
- Reduce neurological symptoms and pain
- Restrict curve from getting worse
Depending upon these goals, doctor will make recommendations for Kyphosis Surgery. Typical surgeries for kyphosis are:
Kyphoplasty is a minimally invasive procedure for treating compression fractures of spine. A compression fracture generally occurs when weak back bones collapse and appear wedge-shaped. A patient with multiple fractures might look hunched, with a rounded back.To perform this surgery, doctors insert and inflates a balloon into the fractured back to create a cavity in the bone. Cavity is then packed with cement to strengthen the weak bone. Most patients report dramatic improvement in quality of life after this procedure, and increased ability to participate in normal everyday activities.
- Spinal Fusion Surgery:
It is a surgical procedure in which two or more vertebrae are fused together, to restrict any movement that occurs in vertebral levels. The concept of spinal fusion surgery is to connect vertebrae to each other permanently. This produces a solid bone, rather than a joint that permits movement.
ALSO READ: Scoliosis Spine Surgery
Recovery from Kyphosis Surgery
After Kyphosis Surgery, patients may experience some pain and discomfort, especially if they underwent a traditional Spinal Fusion Surgery for Kyphosis. Within a few days after Kyphosis Surgery, doctor may refer to a physical therapist in order to take care of patient’s customized daily schedule. This program's aim is to steadily and carefully build flexibility & strength of patients. Recovery of patient will be quick if he strictly follows all the guidelines provided by the surgeon.
Affordable Low-Cost Kyphosis Surgery in India
When it comes to healthcare industry, considerable cost differences exist between India and other nations. Kyphosis Surgery in India costs approximately between $10,500 - 14,500 & which is extremely economical for international patients.
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- Low cost of treatment
- Lack of facilities in native country
- Waiting time for treatment in native country
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