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Whereas in postural kyphosis, the vertebrae and discs appear normal, in Scheuermann's kyphosis, they are irregular, often herniated, and wedge-shaped over at least three adjacent levels. Fatigue is a very common symptom, most likely because of the intense muscle work that has to be put into standing or sitting properly. The condition appears to ...
Lordosis is historically defined as an abnormal inward curvature of the lumbar spine. [1] [2] However, the terms lordosis and lordotic are also used to refer to the normal inward curvature of the lumbar and cervical regions of the human spine. [3] [4] Similarly, kyphosis historically refers to abnormal convex curvature of the spine.
Inspect for: normal cervical and lumbar lordosis and normal thoracic kyphosis. Whilst standing beside the patient place your index finger on one of the lumbar vertebral spinous processes, and your middle finger on the next one down and ask the patient to bend over and touch their toes, keeping their legs straight.
Cervical (spondylotic) myelopathy, [18] a syndrome caused by compression of the cervical spinal cord which is associated with "numb and clumsy hands", imbalance, loss of bladder and bowel control, and weakness that can progress to paralysis. Pinched nerve, [19] causing numbness.
Normal person [left] vs Kyphosis patient [right] Scoliosis [left] vs Normal [right] RSP could be a symptom of some medical conditions, such as kyphosis, scoliosis or ankylosing spondylitis. [23] Kyphosis is a spinal disorder that contributes to excessive curvature of the upper back, [24] leading to a hunched posture and RSP.
The syndrome occurs in 12% of older community-dwelling men [40] and up to 21% of those in retirement communities. [37] Spinal stenosis generally affects more men than women. A study in Geneva found that the ratio between men and women is 1.28. [41]
In cervical spondylosis, a patient may be presented with dull neck pain with neck stiffness in the initial stages of the disease. As the disease progresses, symptoms related to radiculopathy (due to compression of exiting spinal nerve by narrowed intervertebral foramen) or myelopathy (due to compression on the spinal cord) can occur. [2]
The most common causes of cord compression are tumors, but abscesses and granulomas (e.g. in tuberculosis) are equally capable of producing the syndrome. Tumors that commonly cause cord compression are lung cancer (non-small cell type), breast cancer, prostate cancer, renal cell carcinoma, thyroid cancer, lymphoma and multiple myeloma.