Loading...
Hyperkyphosis (dowager’s hump), a progression of kyphosis, is common in older persons (affecting 20%–40%). A narrative review based on a systematic search of literature databases examined the causes, consequences, and management of hyperkyphosis.
A number of causes have been postulated, and some are supported by associations observed in cross-sectional studies. Only about 37% of people with hyperkyphosis have vertebral fractures. Other postulated causes include postural changes (cervical and lumbar lordosis, inability to correct posture to an erect stance), degenerative disk disease, weakness in upper extremities and back muscles, loss of intervertebral ligament elasticity, and genetic lesions. Case series and cross-sectional studies suggest…