​This systematic review examines the intricate relationship between spinal deformities, such as scoliosis and kyphosis, and their impact on breathing function. Drawing from studies conducted between 1960 and 2018, it highlights how deformities alter chest wall mechanics, restrict lung volumes, and reduce respiratory efficiency. The review underscores critical factors like scoliosis angle, spinal flexibility, and thoracic kyphosis loss, linking them to impaired pulmonary outcomes. The findings emphasize the need for early detection, regular screening, and therapeutic interventions to mitigate breathing difficulties and improve quality of life for those with spinal column deformities. Dive into the full analysis to explore the multifaceted impact of spinal health on respiratory function.