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Concave curvature of the spine

Introduction

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Synonyms and keywords: Swayback; saddle back; hyper-lordosis; hollow back; flat-back

Overview

Overview

Lordosis (commonly referred to as swayback, saddle back, or hyper-lordosis) is a medical term used to describe an inward curvature of a portion of the vertebral column.[1] Two segments of the vertebral column, namely cervical and lumbar, are normally lordotic, that is, they are set in a curve that has its convexity anteriorly (the front) and concavity posteriorly (behind), in the context of human anatomy. When referring to the anatomy of other mammals, the direction of the curve is termed ventral. Curvature in the opposite direction, that is, apex posteriorly (humans) or dorsally (mammals) is termed kyphosis.

Lordotic curvatures of the vertebral column, also known as secondary curvatures are caused mainly because of the difference of thickness between the anterior and posterior part of the intervertebral disc. Those curvatures start to appear during the fetal period, but don’t become evident until infancy.

Excessive lordotic curvature is also called hollow back, saddle back, and swayback. Common causes of excessive lordosis including tight low back muscles, excessive visceral fat, and pregnancy. Loss of lordosis is sometimes seen with painful spinal conditions. If rigid, usually after spinal fusion surgery, it is known as flat-back.

The familiar concave shape of the horse’s back is, by extension, described as lordotic.

Lordosis behavior refers to the position that some mammals (cats, mice, rats, etc.) display when they are ready to mate.

References

  1. ↑ Gylys, B A., Wedding M E, Medical Terminology Systems, F.A. Davis Company 2005

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Pathophysiology

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References

Causes

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Overview

Causes

  • Achondroplasia
  • Benign juvenile lordosis (not medically significant)
  • Spondylolisthesis

References

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Differentiating Lordosis from other Diseases

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References

Epidemiology and Demographics

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References

Risk Factors

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References

Natural History, Complications and Prognosis

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Diagnosis

Diagnosis

History and Symptoms | Physical Examination | X Ray | MRI

Treatment

Treatment

Surgery | Primary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case Studies

Case #1
Related Chapters
External links

Template:Diseases of the musculoskeletal system and connective tissue

de:Lordose et:Lordoos it:Lordosi nl:Lordose

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Cafer Zorkun, M.D., Ph.D. [2]