Severe Kyphosis Patients with Tuberculosis and Chronic Obstructive Pulmonary Disease: A Case Report

Background: Severe kyphosis in advanced age, with a higher incidence observed in women and in elderly males afflicted with pulmonary tuberculosis (TB) and chronic obstructive pulmonary disease (COPD) can pose a significant risk to their overall well-being and potentially endanger their lives.

Methods: A 59-year-old male with respiratory problem, chronic back pain, and walking disorder was admitted to the emergency room with symptoms of shortness of breath that had been worse in the previous three days. According to the patient's mother, the patient's chest had been bent or arched, curved anterior sternum, since he was three years old but had never been referred to a hospital or undergone any medical treatment. Anti-tuberculosis and COPD treatment with physiotherapy during the first 3 months was quite encouraging because now the patient can do light activities and work again.

Results: Delays in spinal correction are caused by a lack of early detection capabilities from an early age and late referral to the hospital. Because of his advanced age, the patient was not able to have thoracic surgery; instead, he received thoracic manual treatment in addition to physiotherapy at a distant facility with restricted surgical capabilities. Rather, physiotherapy, which included thoracic corrective exercises and scapular posture. Correcting thoracic posture, enhancing structural alignment, and increasing thoracic rigidity are the main objectives of this activity.

Conclusion: Patients with severe cases of kyphosis require early detection of bone abnormalities by primary health center staff. Corrections can be made to prevent reduced body function, musculoskeletal disorders, and quality of life.