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 OTHER NAMES
- Curved back.
- Illness of Scheuermann.
- Cifosis postural
DEFINITION
In the area of the back corresponding to the thorax, the column has a vaulted normal curvature backwards (cifosis anatomical). When this one curvature is exaggerated it is when we speak of cifosis pathological.
When this one takes place a back appears with a humpbacked or sly position.
CAUSES
The pathological cifosis can owe to:
- Problems in the development and bad positions on having sat down continued
- Degenerative illnesses and arthritis
- Traumatism
- Heredity
The cifosis in the adolescence usually corresponds to the illness of Scheuermann, which is the apelotonamiento of several consecutive vertebrae of the column. It is of unknown origin.
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In the biggest adults the cifosis can owe to:
- Breaks or vertebral crushings caused for osteoporosis.
- Slide of a vertebra forward on another (espondilolistesis).
- Illnesses endocrines.
- Autoimmune illnesses.
- Degeneration of the intervertebral discs.
- Bony tuberculosis.
- Muscular dystrophy.
- Illness of Paget.
- Polio.
- Forked thorn.
- Diverse tumors.
The cifosis also can collaborate to one with scoliosis that is when in addition to curvature increase it appears with alteration of the vertical structure of the column and writhes in the shape of S.
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SYMPTOMS
- Backache
- Humpbacked appearance of the back
- Make difficult to breathe, in advanced cases
- Back fatigue
- Sensibility and rigidity in the column
DIAGNOSIS
The diagnosis of the cifosis in the physical examination of the cifosis will be confirmed by an exploration with Rx of the column. Then a neurological examination will be realized to see if there is fundamental affectation or of the nervous roots of the area.
By it it will be realized:
- Finished radiography of the column
- You try the pulmonary function
- Nuclear magnetic resonance in some cases
TREATMENT
Like the treatment will always be the one that corresponds with the cause. In the congenital cifosis it usually recommend the corrective surgery as soon as possible.
In the Scheuermann illness it talks each other with a corset and physical therapy, in case of big and painful curvatures also the surgery is indicated.
When there are breaks or crushings without symptoms treatment of the osteoporosis is done only. If there are pain symptoms it is possible to raise the cifoplastia, which is the administration of inert material to "inflate" the vertebrae. This skill is imposed in these cases to the traditional surgery.
WHAT DOCTOR CAN TREAT ME?
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DENOMINATION 
