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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Lordosis - lumbar</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Lordosis is the inward curve of the lumbar spine (just above the buttocks). A small degree of lordosis is normal. Too much curving is called swayback. </p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Lordosis tends to make the buttocks appear more prominent. Children with hyperlordosis will have a large space underneath the lower back when lying face up on a hard surface.</p><p>Some children have marked lordosis that most often fixes itself as the child grows. This is called benign juvenile lordosis.</p><p><a test="test" href="./001260.htm">Spondylolisthesis</a> may cause lordosis. In this condition, a bone (vertebra) in the spine slips out of the proper position onto the bone below it. You may be born with this. It can develop after certain sports activities, such as gymnastics. It may develop along with arthritis in the spine.</p><p>Much less common causes in children include:</p><ul><li><a test="test" href="./001577.htm">Achondroplasia</a>, a disorder of bone growth that causes the most common type of dwarfism</li><li><a test="test" href="./001190.htm">Muscular dystrophy</a></li><li>Other genetic conditions</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Home Care</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Most of the time, lordosis is not treated if the back is flexible. It is not likely to progress or cause problems.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Contact your health care provider if you notice that your child has an exaggerated posture or a curve in the back. Your provider must check to see if there is a medical problem.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>What to Expect at Your Office Visit</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>The provider will do a physical exam. To examine the spine, your child may have to bend forward, to the side, and to lie flat on a table. If the lordotic curve is flexible (when the child bends forward the curve reverses itself), it is generally not a concern. If the curve does not move, medical evaluation and treatment are needed.</p><p>Other tests may be needed, particularly if the curve seems "fixed" (not bendable). These may include: </p><ul><li><a test="test" href="./003807.htm">Lumbosacral spine x-ray</a></li><li>Other tests to rule out disorders that could be causing the condition</li><li><a test="test" href="./007352.htm">MRI of the spine</a></li><li>Laboratory tests</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Swayback; Arched back; Lordosis - lumbar</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1116t.jpg" alt="Skeletal spine" title="Skeletal spine" class="side-img"/><a href="../imagepages/1116.htm">Skeletal spine</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/9583t.jpg" alt="Lordosis" title="Lordosis" class="side-img"/><a href="../imagepages/9583.htm">Lordosis</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Mistovich RJ, Spiegel DA. The spine. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. <em>Nelson Textbook of Pediatrics</em>. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 699.</p><p>Warner WC, Sawyer JR. Scoliosis and kyphosis. In: Azar FM, Beaty JH, eds. <em>Campbell's Operative Orthopaedics</em>. 14th ed. Philadelphia, PA: Elsevier; 2021:chap 44.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 2/17/2024</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Charles I. Schwartz, MD, FAAP, Clinical Assistant Professor of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, General Pediatrician at PennCare for Kids, Phoenixville, PA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. </p>
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