It sounds like your sister has a forward bend in her upper back when you look at her from her side. Is this correct? We give this forward bend a name called kyphosis.
While kyphosis can have numerous causes, the most common in this age group is postural. Kids in their early teens develop the habit of stooping forward at their lower neck. This habit is often known to be secondary to sitting in front of computers, laptops, tablets, etc. Constant bending forward of the neck makes the upper back adopt this abnormal posture. Also, the habit of keeping shoulders protracted in a forward position is also common in this age, especially in girls.
Very rarely, she may have a structural cause of kyphosis. A common condition in this age is Scheuermann's kyphosis which is due to the collapse of the discs between the thoracic vertebrae. It is, however, more common in the mid-back rather than upper back. Nevertheless, she should be evaluated by a spine surgeon with expertise in spinal deformities to rule this out.
If it turns out to be postural, a course of physiotherapy focused on postural training can be helpful. I will be happy to go into details of the exercises and review any x-rays that may have been done already.
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