Hunchback

Introduction The hunchback is a relatively common spinal deformity and is a morphological change caused by the thoracic spine. Mainly due to weak back muscles and looseness, the purpose of corrective exercises is to strengthen the strength of the back extensor and pull the ligaments in front of the chest. The human spine is arched backwards, mostly caused by old spine deformation, sitting posture or rickets, ankylosing spondylitis and other diseases. When the lumbar vertebra is under pressure, the thoracic vertebrae in the upper part of the body, that is, the shoulder vertebrae, naturally tilt forward. Over time, the shoulders are leaning forward, and the early symptoms of the child's hunchback are formed.

Cause

The reason for the hunchback:

Mainly due to weak back muscles, slack and weakness. The human spine is arched backwards, mostly caused by old spine deformation, sitting posture or rickets, ankylosing spondylitis and other diseases. It is also related to the usual diet, such as insufficient protein intake, and low vitamin content in the body. These are all likely to cause hunchback. There is also a standing position with yourself, sitting posture is related.

an examination

Related inspection

Chest MRI spine plain lumbar back pain physical examination spine MRI examination of spinal curvature

The lesion mainly involves the middle and lower thoracic vertebral bodies. The lesion occurs in the second ossification center of the vertebral body, ie the tarsal plate above and below the vertebral body. For various reasons, the blood supply to the tarsal plate is reduced, the cartilage plate is thinned, the anti-stress is reduced, and the rupture occurs under excessive load. The nucleus pulposus protrudes into the vertebral body at the rupture, and the thoracic segment of the spine is bent backward to make the vertebral body The pressure on the front is greater than the rear, and the necrosis of the anterior epiphysis affects the development of the height of the first half of the vertebral body.

Differential diagnosis

Differential diagnosis of hunchback:

1. Vitamin D deficiency vitamin D deficiency is due to less sun exposure (the skin can be converted into effective vitamin D after UV irradiation), and insufficient intake (milk, egg, liver) Factors such as fish, fish, etc., absorption disorders (small bowel disease) and increased demand (children, pregnant women, lactating mothers) and other factors, resulting in systemic calcium and phosphorus metabolism disorders and bone changes caused by insufficient vitamin D in the body. Its outstanding performance is rickets in children and osteomalacia in adults and osteoporosis (osteoporosis), affecting the functions of nerves, muscles, hematopoiesis, immunity and other tissues and organs, seriously affecting children. Growth and development.

2. Juvenile vertebral osteochondrosis is also known as youth hunchback. The age of onset is 13 to 17 years old, males are slightly more than females, and 75% of cases occur in the thoracic vertebrae, especially the lower thoracic vertebrae. The incidence is unknown. According to statistics, it accounts for 6% of the military and 8% of industrial workers.

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