Treatment
Stuart L. Weinstein, MD
Ignacio V. Ponseti Professor of Orthopaedic Surgery,
UI Department of Orthopaedic Surgery
Peer Review Status: Internally Peer Reviewed
First Published: December 2002
Last Revised: December 2002
Postural Kyphosis
- Education in proper sitting & standing
- Exercise program to strengthen scapula & spine muscles
Scheuermann's Kyphosis
- Medication to relieve pain
- Exercises to strengthen scapula, spine & pelvic muscles
- Stretches for back & hamstring
Curve < 50 degrees in the immature patient
- Brace or cast to attempt to stop progression of curve during growth & help with pain
Curve 50-70 degrees in the immature patient
- Brace for 1 yr round the clock, then at night for 2 yrs
- Milwaukee brace for thoracic curves
Progressive Curve >60 degrees in the immature patient
- Milwaukee brace even with no pain
Surgery Indications
- Thoracic kyphosis > 75 degrees
- Rigid kyphosis > 55 degrees
- Persistent back pain
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