Thoracic Kyphosis: Causes and Risks Thoracic kyphosis refers to the excessive outward curvature of your upper back, where your thoracic spine is located. It involves an imbalance between opposing muscle groups in your chest and back, which develops over time from maintaining a rounded, slouched upper back position. With the muscles in your chest shortened and your upper back muscles overextended, they end up tightening in this position and reforming the shape of your spine.

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Kyphosis: Causes, Reversal, Therapies, and Surgery