Lordodic Deformities and Conditions

A normal spine has what is called a lordosis in the lower back. Lordosis in the lower part of the spine is normal, and it rarely results in symptoms, even if the child has a swayback appearance. There are, however, some conditions where the lordosis is increased because of an underlying condition.

Causes and Risk Factors

• A congenital problem with the vertebrae
• Neuromuscular issues
• Back surgery
• A pelvis or a hip problem
• Linked to achondroplasia and spondylolisthesis

Symptoms and Types

• Symptoms will vary depending if lordosis occurs with other defects, such as muscular dystrophy, developmental dysplasia of the hip, or neuromuscular disorders.
• Back pain, pain down the legs, and changes in bowel and bladder habits are not commonly associated with lordosis. A child experiencing these types of symptoms requires immediate medical evaluation by a doctor.
• The symptoms of lordosis may resemble other spinal conditions or deformities, or may be a result of an injury or infection. Always consult your child's doctor for a diagnosis.

Diagnosis and Tests

A physical exam, MRI and X-rays may be used to diagnose this condition.

Treatment and Care

Management of lordosis will depend on the cause of the lordosis. Simple exercises may be sufficient if lordosis is associated with poor posture. However, lordosis occurring as a result of a hip problem may be treated as a part of the hip problem.

Living and Managing

The management of lordosis is individualized for each child depending on his or her age, amount of curvature, and amount of skeletal growth remaining. Lordosis will require frequent examinations by your child's doctor to monitor the curve as your child grows and develops.