Dowagers Hump (Kyphosis)

Last updated 03.11.12

 

Definition

-  Thoracic kyphosis caused by loss of vertebral body height

 

Features

-  Dowager = distinguisehd elderly women

 

Associated S/S

-  Exagerated thoracic kyphosis

-  Back pain

- Reduced respiratory reserve

Cause

- Vertebral disc degeneration

-  Pathological Fracture: Cancer, Osteoporosis

-  Vertebral compression fracture

 

Dowagers

 

Ix

-  BMD: Osteoporosis

-  Thoracic spine & CXR

-  Osteopaenia

-  Pathological Fracture

-  Codfish vertebrae: exaggerated concavities of upper & lower endplates of vertebrae

-  Vertebral wedge deformities:Vertebral compression fracture

 

Mx

-  Mx of underlying cause

- Exercise: stretching

- Analgesia  

 

 

References

 

  Mayo Clinic: Kyphosis

Pic (Lady)

Pic (Skeletons)