21. Clinical features include megalocephaly, short limbs, prominent forehead, thoracolumbar kyphosis and mid-facial hypoplasia. 22. While most cases of kyphosis are mild and only require routine monitoring, serious cases can be debilitating. 23. In 1865 he received his habilitation with a dissertation about the influence of kyphosis on the pelvic shape. 24. When the " roundness " of the upper spine increases past 45?it is called kyphosis or " hyperkyphosis ". 25. Scheuermann's kyphosis is the most classic form of hyperkyphosis and is the result of wedged vertebrae that develop during adolescence. 26. Lower spine disorders occur when lumbar lordosis is excessive ( lumbar hyperlordosis ), minimal, or is reversed into lumbar kyphosis . 27. There are few other causes of Kyphosis as well, such as congenital, nutritional or osteoporosis induced and post-traumatic. 28. While nonvertebral fractures are usually clinically apparent, vertebral fractures also may be manifested by back pain, height loss or kyphosis . 29. Involvement of multiple vertebral bodies leads to kyphosis of the thoracic spine, leading to what is known as dowager's hump. 30. My mild kyphosis , says Fober, can be easily remedied simply by standing and sitting up straight, and strengthening my upper back.