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“The best view comes after the hardest climb.”

Alain Robert (1962), French Spiderman, admired mountaineer.

Kyphosis of Dorsal Vertebral Spine

This is an entity with a manifold etiology.

Since more than ten years medical authorities in the USA alert public about serious deficit of vitamin D in population.

And this even in the southern States, where insulation is not lacking.

Most people do not think exposing their skin to sunlight and sunbathing is practiced mainly by privileged populations on vacations.

Especially children need a huge amount of this vitamin for the growing skeleton.

In elderly people deficit of vitamin B12 is another situation.

This one is the result of the most frequent autoimmune disorder, which destroys the parietal stomach cells.

The intrinsic factor produced by those and needed for absorption of vitamin B12 is no longer available.

All sorts of articular deformities are here the result.

A little understood etiology is a posteriorly oriented femoral neck, which impinges on the hind wall of the acetabulum, and obliges to an excessive bending in the knees to attain a harmonious lumbar lordosis.

Otherwise, a general imbalance occurs, except the individual bends the head forward.

In similarity our comfortable lifestyle teaches us with time less knee bending when walking with the same effect.