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Shriners Hospitals for Children Medical Center — Lexington

110 Conn Terrace Lexington, KY 40508

Lexington, KY

859-266-2101

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859-266-2101

Spine and scoliosis

Kyphosis

This is a condition of the spine that results in more of a round back than normal. It typically presents in the adolescent age range and can be a source of back pain. The physician will perform a thorough history and physical examination to identify the reason for kyphosis, and obtain images to confirm the diagnosis and assess its severity. Treatment ranges from observation and physical therapy to bracing to surgical intervention depending on the cause and severity of the kyphosis.

Lordosis

This is an excessive inward curvature of the spine in the lower back. Some children have pronounced lordosis, which fixes itself as the child grows. When a child with significant lordosis lies face-up on a table, there will be a large space between the lower back and the table. Lordosis tends to make the buttocks more pronounced. Treatment varies depending on the severity of the curvature and may include medication, physical therapy, bracing and surgical intervention.

Scoliosis

This is a condition of the spine which causes the spine to grow in a curved fashion rather than straight. It most commonly occurs in otherwise healthy individuals during the adolescent growth spurt, but may also present in infants or younger children. Certain conditions are associated with scoliosis and may contribute to the development of spinal curvature as well. The physician will perform a thorough history and physical examination, and obtain images to confirm the diagnosis and assess its severity. Treatment for scoliosis varies depending on the severity of the curvature and ranges from observation to bracing to surgical intervention.

Spondylolysis (stress fracture alone) and spondylolisthesis (stress fracture with slight slippage of the vertebra)

These conditions are common reasons for low back pain in adolescents. The physician will perform a thorough history and physical examination, obtain images to confirm the diagnosis and assess the severity of the stress fracture. Treatment options include observation, activity modification, bracing, physical therapy and surgery.