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The Role of Bracing in Delaying or Avoiding Kyphosis Surgery

Kyphosis is a condition characterized by an excessive forward curvature of the spine, resulting in a hunched or rounded back. In severe cases, kyphosis can cause pain, difficulty breathing, and other complications. Traditionally, surgery has been the primary treatment option for severe kyphosis. However, recent research has shown that bracing can play a significant role in delaying or even avoiding the need for surgery. This article will explore the role of bracing in the management of kyphosis, examining the benefits, limitations, and effectiveness of bracing as a non-surgical treatment option.

The Benefits of Bracing

Bracing offers several benefits for individuals with kyphosis. One of the primary advantages is that it can help to correct the spinal curvature and improve posture. By applying external forces to the spine, braces can gradually realign the vertebrae and reduce the excessive forward curvature. This can not only improve the appearance of the back but also alleviate pain and discomfort associated with kyphosis.

Another benefit of bracing is that it can provide support and stability to the spine. Individuals with kyphosis often have weakened muscles and ligaments, which can contribute to the progression of the condition. Braces help to offload the weight from the spine, reducing the strain on the muscles and ligaments. This can prevent further deterioration of the spinal curvature and potentially halt the progression of kyphosis.

Furthermore, bracing can improve the quality of life for individuals with kyphosis. By reducing pain, improving posture, and increasing mobility, braces can enable individuals to engage in daily activities with greater ease and comfort. This can have a positive impact on mental well-being and overall satisfaction with life.

The Limitations of Bracing

While bracing offers several benefits, it is important to acknowledge its limitations. One of the main limitations is that bracing is most effective in individuals who are still growing. The spine is more flexible and responsive to external forces during growth, making it easier to correct the curvature. In adults, whose bones have stopped growing, bracing may not be as effective in correcting the curvature.

Additionally, bracing requires a significant commitment from the individual. Braces need to be worn for several hours each day, often for an extended period of time. This can be challenging for some individuals, particularly those who have a busy lifestyle or who find the braces uncomfortable to wear. Compliance with bracing protocols is crucial for achieving optimal results, and individuals who are unable or unwilling to commit to the treatment may not experience the full benefits.

Another limitation of bracing is that it does not address the underlying causes of kyphosis. In some cases, kyphosis may be caused by structural abnormalities or other underlying conditions. Bracing can help to manage the symptoms and prevent further progression, but it may not be able to correct the underlying cause. In such cases, surgery may still be necessary to address the root cause of the kyphosis.

The Effectiveness of Bracing

Research has shown that bracing can be an effective treatment option for individuals with kyphosis. A study published in the Journal of Bone and Joint Surgery found that bracing was successful in correcting the spinal curvature in 70% of adolescent patients with kyphosis. The study also reported that bracing was most effective when initiated early, before the curvature became severe.

Another study published in the Spine Journal compared the outcomes of bracing versus surgery in adult patients with kyphosis. The study found that both bracing and surgery were effective in improving the spinal curvature and reducing pain. However, surgery was associated with a higher rate of complications and longer recovery time compared to bracing. The study concluded that bracing can be a viable alternative to surgery in select cases of adult kyphosis.

It is important to note that the effectiveness of bracing may vary depending on the severity and type of kyphosis. Bracing is generally more effective in individuals with flexible kyphosis, where the curvature can be corrected with external forces. In cases of rigid kyphosis, where the curvature is fixed and resistant to correction, bracing may have limited effectiveness.

Types of Braces

There are several types of braces available for the treatment of kyphosis. The choice of brace depends on various factors, including the severity of the curvature, the age of the individual, and their lifestyle. Some common types of braces used for kyphosis include:

  • Thoracolumbosacral orthosis (TLSO): This is the most commonly used brace for kyphosis. It is a rigid brace that extends from the thoracic spine to the sacrum, providing support and stability to the entire spine.
  • Milwaukee brace: This brace is specifically designed for individuals with kyphosis and scoliosis. It consists of a neck ring connected to a body jacket, which helps to correct both the forward curvature of the spine and any sideways curvature.
  • Charleston bending brace: This brace is worn only at night and is designed to correct the curvature while the individual sleeps. It applies lateral forces to the spine, gradually reducing the forward curvature.

The choice of brace should be made in consultation with a healthcare professional who specializes in the treatment of kyphosis. They will consider the individual’s specific needs and recommend the most appropriate brace for their condition.


Bracing plays a crucial role in delaying or avoiding kyphosis surgery. It offers several benefits, including the correction of spinal curvature, improved posture, and increased stability. While bracing has its limitations, it can be an effective treatment option, particularly in individuals who are still growing. Research has shown that bracing can successfully correct the curvature in a significant number of cases, and it can be a viable alternative to surgery in select cases of adult kyphosis. The choice of brace should be made in consultation with a healthcare professional, taking into consideration the individual’s specific needs and lifestyle. By understanding the role of bracing in the management of kyphosis, individuals can make informed decisions about their treatment options and potentially avoid the need for surgery.

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