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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.
Diagnosis is confirmed with X-rays. [2] Scoliosis is typically classified as either structural in which the curve is fixed, or functional in which the underlying spine is normal. [2] Left-right asymmetries, of the vertebrae and their musculature, especially in the thoracic region, [12] may cause mechanical instability of the spinal column.
The upper cervical spine has a curve, convex forward, that begins at the axis (second cervical vertebra) at the apex of the odontoid process or dens and ends at the middle of the second thoracic vertebra; it is the least marked of all the curves. This inward curve is known as a lordotic curve. A thoracic spine X-ray of a 57-year-old male.
Kyphosis (from Greek κυφός (kyphos) 'hump') is an abnormally excessive convex curvature of the spine as it occurs in the thoracic and sacral regions. [1] [2] Abnormal inward concave lordotic curving of the cervical and lumbar regions of the spine is called lordosis.
Depending on the level of curvature, there are different treatment options. For those who have curves less than 10 degrees, there is no need to get into treatment. Curves between 10-25 degrees must keep a close eye on it by having X-rays to maintain it.
Those with Cobb angle of more than 60° usually have respiratory complications. [7]Scoliosis cases with Cobb angles between 40 and 50 degrees at skeletal maturity progress at an average of 10 to 15 degrees during a normal lifetime.
The thoracic spine is slightly curved due to the shape of the vertebral bodies and intervertebral discs, with a normal Cobb angle measurement between 20 and 40 degrees. Hyperkyphosis is a condition in which the curve of the kyphosis angle measures over 50 degrees.
A post-operative X-ray of a 22-year-old male with Scheuermann's disease. After a 13-level spinal fusion to correct the excessive curvature, the person now presents a normal degree of kyphosis, with a minimal loss of flexibility.
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