Knuckle to Bipedal Walking
Knuckle-walking as chimps do is actually the transition stage between walking on four legs to walking on just two, bipedal-walking. The change from knuckle to bipedal walking started while our ancestors lived mostly in trees then improved during increased time on the ground as trees became scarce. It gave us many evolutionary advantages when returning to the ground after climate changes decimated the forest, leaving wide belts of open terrain with no trees. Being up on two legs allowed us to see further and also freed up our hands to carry tools and perform other tasks. It also conserved energy. Metabolic and biomechanical comparisons indicate that humans walking on two legs consume only a quarter of the energy that chimpanzees use while knuckle-walking on all fours.
The changes required for walking upright were having a skull placed on top of the spine instead of in font, thighbones angled inward to place support directly under the ribcage and over the feet, a broader pelvis angled to support internal organs, and a s-shaped spine to move the balance point over the feet. These changes however did come at a cost.
The Spine
Our spines are a heritage from distant ancestors who carried themselves horizontally, in water and on land. In quadrupeds the spine functioned more like a flexible suspension bridge, supporting the body's organs. The human spine has been transformed into a weight bearing column, putting it under unprecedented stresses causing the discs to dislodge and pinch spinal nerves resulting in pain and fractures.