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В норме грудной отдел позвоночника имеет естественный изгиб вперёд (физиологический кифоз), но при его чрезмерном увеличении развивается патологическая форма заболевания [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/). \n\nВыделяют несколько степеней патологического кифоза в зависимости от угла изгиба [2](https://klinikaexpert.ru/articles/chto-skryvaetsya-za-spinkoy-gorbikom-diagnostiruem-i-korrektiruem): \n1 степень — угол изгиба 30–40° [2](https://klinikaexpert.ru/articles/chto-skryvaetsya-za-spinkoy-gorbikom-diagnostiruem-i-korrektiruem); \n2 степень — от 40 до 50° [2](https://klinikaexpert.ru/articles/chto-skryvaetsya-za-spinkoy-gorbikom-diagnostiruem-i-korrektiruem); \n3 степень — от 50 до 70° [2](https://klinikaexpert.ru/articles/chto-skryvaetsya-za-spinkoy-gorbikom-diagnostiruem-i-korrektiruem); \n4 степень — более 70° [2](https://klinikaexpert.ru/articles/chto-skryvaetsya-za-spinkoy-gorbikom-diagnostiruem-i-korrektiruem).\n\n\n\n## Причины\nФормирование патологического кифоза связано с различными факторами [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/): \n* **Неправильная осанка** — длительное сидение в неправильном положении, слабые мышцы спины [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/). \n* **Травмы позвоночника** — компрессионные переломы, хирургические вмешательства [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/). \n* **Возрастные изменения** — дегенерация межпозвонковых дисков, остеопороз [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/). \n* **Наследственные факторы** — врождённые аномалии развития позвоночника [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/). \n* **Неврологические заболевания** — паралич, мышечные нарушения [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/).\n\n## Симптомы\nПроявления патологического кифоза зависят от степени искривления и его влияния на организм [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/). Некоторые симптомы: \n* **Внешние признаки**: выраженная сутулость, выступающие лопатки и округлая форма спины, наклон головы вперёд, выпирающий живот [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/). \n* **Болевой синдром**: боль в спине, особенно после долгого сидения или стояния, повышенная утомляемость в области шеи и поясницы [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/). \n* **Функциональные нарушения**: ограничение подвижности позвоночника, нарушение дыхания (в тяжёлых случаях из-за сдавления лёгких), головные боли, вызванные нарушением кровообращения в шейном отделе [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/).\n\n## Диагностика\nДля постановки диагноза используют следующие методы исследования [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/): \n* **Осмотр ортопеда или невролога** — врач оценивает осанку, подвижность позвоночника и болевой синдром [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/). \n* **Рентгенография позвоночника** — определяет угол искривления и выявляет структурные изменения в позвонках [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/). \n* **МРТ или КТ** — применяется при подозрении на компрессию спинного мозга или серьёзные костные аномалии [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/).\n\n## Лечение\nЛечение патологического кифоза зависит от его типа, степени и причины [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/). Некоторые методы: \n* **Консервативное лечение** — лечебная гимнастика для укрепления мышечного корсета и коррекции осанки, физиотерапия (массаж, электростимуляция мышц, ультразвуковая терапия) [9](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kifoz/). \n* **Ношение корсета** — назначается преимущественно для уменьшения болевого синдрома, но постоянное использование корсетов в большинстве случаев не рекомендуется [12](https://www.KrasotaiMedicina.ru/diseases/traumatology/kyphosis). \n* **Хирургическое вмешательство** — показано при стойком болевом синдроме, который не удаётся устранить консервативными методами, а также при быстром прогрессировании кифоза, особенно сопровождающемся неврологическими нарушениями, а также нарушениями функции лёгких и сердца [12](https://www.KrasotaiMedicina.ru/diseases/traumatology/kyphosis).","linksData":[{"sourceId":1,"url":"https://temed.ru/articles/chto-takoe-kifoz/","shownUrl":"https://temed.ru/articles/chto-takoe-kifoz/","title":"Кифоз позвоночника: симптомы и лечение | Клиника Temed","shortUrl":"temed.ru","isTranslated":false,"description":"","greenUrl":"temed.ru"},{"sourceId":2,"url":"https://klinikaexpert.ru/articles/chto-skryvaetsya-za-spinkoy-gorbikom-diagnostiruem-i-korrektiruem","shownUrl":"https://klinikaexpert.ru/articles/chto-skryvaetsya-za-spinkoy-gorbikom-diagnostiruem-i-korrektiruem","title":"Что такое кифоз? | Клиника Эксперт","shortUrl":"klinikaexpert.ru","isTranslated":false,"description":"","greenUrl":"klinikaexpert.ru"},{"sourceId":3,"url":"https://yusupovs.com/clinics/vertebrologiya-lechenie-zabolevaniy-pozvonochnika/kifoz/","shownUrl":"https://yusupovs.com/clinics/vertebrologiya-lechenie-zabolevaniy-pozvonochnika/kifoz/","title":"Лечение кифоза грудного отдела позвоночника - 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