When kyphosis is over 50 degrees it usually requires some form of treatment. This depends on the type of kyphosis as there are 3 forms of kyphosis. Treatment can range from simple muscle and postural exercises to braces. Surgery is usually not recommended before growth is complete during late adolescence and only where treatment with braces has failed. At this stage where your daughter is only 9 years,she would probably benefit from postural exercises,muscle strengthening exercises and physiotherapy. As far as I am aware, braces are usually only advised during adolescence and surgery only in a relatively small number of adolescents. My advice would be for her to get a second opinion. She should be seen by a paediatric orthopaedic specialist with experience in spinal problems. Hopefully all she will require at this stage will be physiotherapy. Read up about 'kyphosis in children' on Google
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