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Treatment for childhood cancer can sometimes result in abnormal curvatures of the spine.
The spine is the group of bones held together with muscles and ligaments that are stacked in a straight line down the middle of the back.
Two distinct spine conditions that can result from childhood cancer treatment are called scoliosis and kyphosis.
Scoliosis can occur in many young people, especially teenagers. Most often the cause is unknown. But certain cancer treatments can increase the risk of developing the condition.
It occurs when the spine rotates sideways. Normally, the spine appears as a straight line when viewed from the back. With scoliosis, the spine curves like the letter "S" or "C." Signs include:
Kyphosis is an abnormal rounding of the upper part of the back with an appearance of slouching or a hump on the back. Symptoms include:
Patients who have received certain types of radiation are at increased risk for uneven development of the muscles, bones, and soft tissues of the back. Therapies that can lead to problems include radiation to the chest, especially if:
Radiation may also cause the spinal ligaments to stretch, increasing the natural curve of the spine. Radiation can also cause back muscles and ligaments to develop unevenly. Both problems can result in kyphosis.
Having a tumor in or near the spine can also cause spinal problems.
Scoliosis and kyphosis can be detected with physical examination.
Doctors may order X-rays of the spine. Scoliosis is diagnosed when there is at least a 10-degree lateral (side-to-side) curve on the X-ray. Kyphosis is confirmed when there is a 50-degree or higher curve on the X-ray.
Treatment for both conditions is usually handled in stages:
Reviewed: June 2018