Treatment Of Hyperkyphosis Research Articles

Effect of age-related hyperkyphosis on depression and quality of life.

Hyperkyphosis is a frequent problem in older adults. Depressed mood and decreased quality of life are supposed to be related to age-related hyperkyphosis. This study aimed to explain the relation between depression, quality of life, and hyperkyphosis in old patients. 142 patients who applied to the outpatient clinic of geriatrics were enrolled in this cross-sectional study. Mean age of participants was 72. Hyperkyphosis was evaluated by the bloc method defined in the Rancho Bernardo Study (1). Depression was evaluated by the Short form of Yesavage Geriatric Depression Scale (GDS). Quality of life was assessed by the 3-level version of EQ-5D. Hyperkyphosis was found to be positively related to depression (P=0.037), negatively related to the QOL (p<0.001). QOL, depression, and hyperkyphosis were in a ship with each other when evaluated with one-way MANOVA (F [3.135] =5.23, P=0.002, Wilk's Λ=0.896, partial η2=0.104). Chronic pain was negatively related to QOL (p<0.001). Depression was positively related to chronic pain (p<0.001). QOL evaluated with VAS was independently related to the presence of hyperkyphosis in logistic regression analysis (r2=0.179, P=0.007). Considering the relationship with depression and quality of life, early recognition, and treatment of hyperkyphosis in elderly individuals is important. More studies evaluating the association between postural disorders, quality of life and mood disorders in older adults will be useful.

Creation of a Porcine Kyphotic Model

Study DesignLarge animal study. ObjectiveCreate a thoracic hyperkyphotic deformity in an immature porcine spine, so that future researchers may use this model to validate spinal instrumentation and other therapies used in the treatment of hyperkyphosis. Summary of Background DataAlthough several scoliotic animal models have been developed, there have been no reports of a thoracic hyperkyphotic animal model creation in an immature animal. The present study was designed to produce a porcine hyperkyphotic model by the time the pig weighed 25 kg, which corresponds to the approximate weight of a child undergoing surgery for early-onset scoliosis (EOS). MethodsSuccessful surgical procedures were performed in 6 consecutive 10-kg (male, 5-week-old) immature Yorkshire pigs. Procedure protocol consisted of 1) a left thoracotomy at T10–T11, 2) screw placement at T9 and T11, 3) partial vertebrectomy at T10, 4) posterior interspinous ligament transection, and 5) placement of wire loop around screws and tightening. Weekly x-ray imaging was performed preoperatively and postoperatively, documenting progressively increasing kyphosis as the pig grew. Necropsy was performed 5–6 weeks after surgery, with CT, slab section, and histologic analysis. ResultsAverage T9–T11 kyphosis (measured by sagittal Cobb angle) was 6.1° ± 1.4° (mean ± SD) preoperatively, 30.5° ± 1.0° immediately postoperation, and significantly increased to 50.3° ± 7.2° (p < .0001) over 5–6 weeks in 6 consecutive pigs at time of necropsy. ConclusionsAn animal model of relatively more rigid-appearing thoracic hyperkyphotic deformities in immature pigs has been created. Subsequent studies addressing management of early-onset kyphosis with spinal instrumentation are now possible. Level of EvidenceLevel V

Historical Lyonaise brace treatment for adolescent hyperkyphosis. Results of 272 cases reviewed 2 years minimum after removal of the brace

The conservative orthopaedic treatment of hyperkyphosis is less classical than the scoliosis one, because Hyperkyphosis does not affect the respiratory function, and it is more difficult to define normality. The consequences of hyperkyphosis are mainly pain and aesthetic. In English literature very few homogeneous series of results are published. Lowe [1] in a review of the current literature using evidence-based medicine, concludes that when recognized early in adolescence with progressive kyphosis, bracing treatment will usually result in modest correction of the deformity. Sachs [2] analyzing the results of 274 patients concludes that the Milwaukee brace is usually an effective method of treatment for patients who have Scheuermann kyphosis; however, four of fourteen patients who had an initial kyphosis of more than 74 degrees required a spinal fusion. Weiss [3] analyzes the use of transverse correction forces instead of distraction forces with a 3 points brace in 56 patients.In Lyon, we use since 60 years, an historical protocol consisting of: plaster cast reduction, plexidur 5 points brace and specific exercises. Currently, this treatment is performed in day hospital.

The treatment of Hyperkyphosis utilizing the SpineCor® Dynamic Corrective Brace: some preliminary results

Hyperkyphosis has long been reported to be associated with many health disorders, both psychological and patho-mechanical. Very few options for the management of this condition are available in medicine, while conservative treatment like chiropractic and physiotherapy can only offer limited structural rehabilitation. Although originally designed for the treatment of AIS, The SpineCor® Dynamic Brace offers a great variety of options for the treatment of Hyperkyphosis. According to our morphologic classification of hyperkyphotic thoracic curves: Upper Thoracic (UT) (often associated with an anterior thoracic translation relative to pelvis), mid-thoracic (MT) (often associated with hyperlordosis and no significant ribcage translation), and lower thoracic (LT) (often associated with posterior translation of ribcage). Many combinations of brace fittings have been designed for the creation of vectors that create a specific corrective movement for the patient's spine and posture.