Humpback - A Common Manifestation of Spinal Deformity

Humpback, a phenomenon of morphological alteration caused by posterior thoracic protrusion, is a common manifestation of spinal deformity. It is primarily caused by weak and lax back muscles, although there are numerous other factors that contribute to its occurrence in children. It is essential for children to cultivate healthy habits in their daily lives, maintaining proper sitting and standing postures, and engaging in regular physical exercise. Let's delve deeper into the reasons behind humpback in children.

Factors Influencing Humpback in Children

Firstly, lifestyle habits such as exercise, walking, and sitting posture are significant contributors to humpback in children. Incorrect postures can exert pressure on the lumbar spine, gradually leading to forward inclination of the shoulder vertebrae and the early symptoms of humpback. It is imperative for parents to take proactive measures to address this issue, as unchecked, it can become a permanent deformity as the child grows older.

Vitamin D Deficiency as a Cause of Humpback

Secondly, vitamin D deficiency can also lead to humpback in children. Insufficient vitamin D levels, often due to limited sun exposure, inadequate intake, absorption barriers, and increased requirements, can result in systemic calcium and phosphorus metabolism disorders and bone changes. A prominent manifestation is rickets in children, which can also affect the function of the nervous system, muscles, hematopoiesis, and immune organs, severely impeding children's growth and development.

Diagnostic Tests for Humpback in Children

When it comes to diagnosing humpback in children, there are several tests that may be recommended. Firstly, a thoracic anteroposterior radiography can assess the physiological curvature, vertebral bodies, and intervertebral spaces of the thoracic spine. This is primarily used to detect spinal curvature abnormalities or deepening of the physiological curvature. Secondly, alkaline phosphatase and blood calcium tests may be ordered to screen for the possibility of rickets, a common bone disease in children often caused by vitamin D deficiency.

Preventive Measures for Humpback in Children

Preventing humpback in children requires a multifaceted approach. Firstly, it is crucial to ensure that children sleep on firm beds to avoid spinal curvature caused by the gravitational pull on their backs while sleeping on soft surfaces. Sleeping on a harder bed can help maintain the physiological curvature of the spine, promoting its natural shape while also relieving fatigue in the back muscles and ligaments. Side sleeping can also help prevent the development of lateral curvature of the spine.

Secondly, regular exercise is essential for children's growth and development. Participating actively in physical education classes and completing the exercises diligently, especially those targeting the lumbar and back muscles, can help prevent humpback. A well-toned body with good posture will also enhance the overall appearance of the child.

Thirdly, it is advisable to avoid overloading children with heavy items as this can strain their backs and contribute to the development of humpback. Children's bodies are still growing and developing, and excessive weight can have adverse effects on their spines and backs.

Lastly, it is important to instill good posture habits in children from a young age. Standing and walking upright with naturally straight chests and shoulders back can help prevent spinal curvature. Sitting with a straight spine and avoiding excessive forward bending when reading or writing can also help maintain good posture. Remembering the saying "stand like a pine, sit like a clock" can be a useful reminder for maintaining proper posture.