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What is the Difference Between Kyphosis and Scoliosis?

B. Miller
B. Miller

Both kyphosis and scoliosis refer to curvatures or deformities of the spine. Put simply, kyphosis is a forward curvature of the spine, giving the appearance of a hunchback. Scoliosis is a lateral curvature in which the spine curves to the side in either direction. These conditions may be found independently of each other, but when they occur together, it is known as kyphoscoliosis. This would be seen as both a forward and lateral curve of the spine.

Kyphosis and scoliosis are two fairly common conditions of the spine; they may be congenital and appear at birth, or they may appear over time, typically in adolescence. Scoliosis is slightly more common than kyphosis, and though kyphosis may be found in people of either sex, it is somewhat more common in men. A kyphotic curve is often seen in older people who are suffering from osteoporosis, though this is not truly kyphosis.

Scoliosis is more common in men.
Scoliosis is more common in men.

There are a few different types of both kyphosis and scoliosis, which must be determined by a doctor. For example, kyphosis may be either postural or structural. Postural kyphosis occurs frequently in teenagers who simply practice poor posture; the spine appears to be curved from the outside of the body, but x-rays will reveal that it is structurally normal. This can generally be corrected with physical therapy exercises. Structural kyphosis occurs when an actual deformity occurs in the spinal cord; in Scheuermann's kyphosis, for example, the individual vertebrae of the spine are wedge-shaped, causing the spine to round.

Postural kyphosis occurs frequently in teenagers who practice poor posture.
Postural kyphosis occurs frequently in teenagers who practice poor posture.

One of the main differences between kyphosis and scoliosis is seen in the treatment options for the conditions. Bracing is commonly used in treating both kyphosis and scoliosis, but in kyphosis it is generally only effective in preventing the progression of the curve, not reducing a curve that already exists. Conversely, bracing to treat scoliosis can be effective at reducing the curve. Physical therapy is also often used to increase flexibility in the spine, to strengthen the supporting muscles of the spine, and to reduce any pain caused by the condition.

In scoliosis, the spine curves to the right or left.
In scoliosis, the spine curves to the right or left.

For extreme cases, surgery may be performed to correct the conditions. The type of surgery will vary depending on the structural issues and desired outcome, though spinal fusion surgery with or without instrumentation is common. Any questions about the diagnosis or treatment of these conditions should be directed to a doctor, since it will only be possible to diagnose kyphosis and scoliosis through examining an x-ray.

Discussion Comments

vogueknit17

I had a friend with really bad scoliosis. She had a brace, then surgery, and still has back troubles. I think it just depends on how early you catch the curvature. For scoliosis or kyphosis, treatment can be really different if you're 12 or 13 from if you're already in your 20s or older, and it's probably a lot harder to fix by then no matter how dramatic the curve.

DentalFloss

@accordion- I had a friend with kyphosis who also looked into chiropractic care to fix the curve. He didn't get over it as easily as you seem to have, though. I think he eventually needed some sort of brace as well. I guess it's different for each person, though.

accordion

I had spinal scoliosis as a teenager, and instead of bracing or surgery I went to a chiropractor. I think this was a good decision. While my curvature was admittedly pretty mild, it almost entirely fixed my condition in a couple of years at most, and to this day I have very good posture. I can't imagine getting a brace or surgery as scoliosis treatment instead.

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    • Scoliosis is more common in men.
      By: Petr Nad
      Scoliosis is more common in men.
    • Postural kyphosis occurs frequently in teenagers who practice poor posture.
      By: Silvano Rebai
      Postural kyphosis occurs frequently in teenagers who practice poor posture.
    • In scoliosis, the spine curves to the right or left.
      By: laurent dambies
      In scoliosis, the spine curves to the right or left.
    • A kyphotic curve is often seen in older people who are suffering from osteoporosis.
      By: peterjunaidy
      A kyphotic curve is often seen in older people who are suffering from osteoporosis.
    • The treatment options for kyphosis and scoliosis is one of the main difference between the two conditions.
      By: Syda Productions
      The treatment options for kyphosis and scoliosis is one of the main difference between the two conditions.