Hyperkyphosis is identified when kyphosis angle exceeds the normal ranges. In overall, hyperkyphosis upsurges with age, particularly after the age of 40. It arises as a consequence of multifactorial causes and is associated with increased health susceptibility. Separately from the penalties of typical aging, as declining muscle power and degenerative vicissitudes of the spine, additional influences lead to the growth of the kyphosis angle. Besides fractures, other adverse health outcomes associated with hyperkyphosis include worsening physical function, falls and earlier mortality. Given the growing older population and the high prevalence of age-related hyperkyphosis, better delineation of associated ill-health outcomes will help inform the development and testing of effective kyphosis managements. The sequence of handling with kyphosis start conventional and rolling to surgical interference as a previous option if the patient’s symptoms do not recover with conventional treatment or if the curving is too significant.

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