Overview
Hyperlordosis deformity of the lumbar spine refers to an exaggerated lumbar curvature, often observed in neonates and potentially linked to postural deformities such as those seen in the moulded baby syndrome (MBS). 1Diagnosis
Key Diagnostic Criteria: Presence of exaggerated lumbar lordosis.
Recommended Tests: Physical examination focusing on spinal alignment and posture.
Grading: Not explicitly detailed in provided abstracts; clinical assessment guides severity.Management
First-Line Treatments: Positioning advice and physical therapy to correct posture.
Adjunctive Treatments: Orthotic devices or bracing may be considered for persistent cases.
Specific Interventions: No specific drug classes or doses mentioned for hyperlordosis deformity.Special Populations
Pediatrics: Neonates with MBS may have increased incidence of postural deformities including hyperlordosis 1.
Pregnancy/Comorbidities: Risk factors related to maternal age, obstetrical history (e.g., preterm labor, breech presentation) may predispose neonates to postural deformities 1.Key Recommendations
Screen neonates for postural deformities including hyperlordosis as part of routine physical examination to identify MBS early 1 (Evidence: Moderate).
Provide positioning advice and follow-up evaluations for neonates identified with torticollis or plagiocephaly to monitor progression of postural deformities 1 (Evidence: Moderate).
Consider multidisciplinary intervention involving physiotherapy for management of postural deformities in affected neonates 1 (Evidence: Expert opinion).References
1 Rubio AS, Griffet JR, Caci H, Bérard E, El Hayek T, Boutté P. The moulded baby syndrome: incidence and risk factors regarding 1,001 neonates. European journal of pediatrics 2009. link