When you look in the mirror, do you think that rounded back line you see is just preventing your clothes from fitting properly? If only that were the case. The spine is not only the main supporting column of our body, but also acts as a cage protecting our vital organs in the chest and abdominal cavities.
When the shape of this cage is distorted (i.e. when the spine bends excessively forward), the living space for the internal organs shrinks. We see that the underlying cause for many patients who come to our clinic complaining of "getting tired quickly" is undiagnosed advanced kyphosis.
Here are three pieces of evidence that kyphosis is not just an aesthetic issue, but a medical threat:
1. Decreased Lung Capacity Due to Kyphosis (Hunchback) (Shortness of Breath)
As the curvature of the spine in the back region increases, the rib cage bends forward and narrows. This physically prevents the lungs from expanding to their full capacity.
- Result: The individual has difficulty taking deep breaths. When climbing stairs or exerting themselves, they become breathless much more quickly than their peers. In medicine, we call this the effect of "restrictive lung disease".
2. The Pressure of Kyphosis on the Digestive System
Excessive forward bending of the spine also compresses the abdominal cavity. The stomach and intestines are under pressure in this confined space.
- Conclusion: In patients with severe kyphosis, early satiety after eating, indigestion and severe reflux complaints are common. Stomach acid escapes more easily into the oesophagus due to pressure.
3. The Effects of Kyphosis on Heart Health
In cases of severe deformity (generally over 90-100 degrees), the narrowing of the rib cage can also restrict the heart's working space. With a decrease in lung capacity, the heart has to exert more effort to pump oxygen to the body. This can lead to heart fatigue in the long term.
When Should You Be Concerned About Kyphosis?
A forward-leaning posture does not damage the organs. We do not generally expect organ damage in postural (posture-related) kyphosis because the spine straightens when the person stands upright.
However;
- Even if you try to stand up straight, if your back does not straighten (Rigid Kyphosis),
- If shortness of breath accompanies back pain,
- If you constantly feel unwell after meals,
This situation may have evolved from an aesthetic concern into a medical condition that requires treatment. Our goal in spinal surgery is not merely to make you stand straighter; it is to restore the spacious and comfortable living space your organs require.

