Name of the Condition

• Congenital Lordosis, Lumbosacral Region
• Also known as "Excessive curvature of the lower back due to congenital causes."

Summary

• Congenital lordosis in the lumbosacral region is a condition present at birth characterized by an abnormal inward curve of the spine in the lower back. This curvature can affect posture and may be associated with other skeletal abnormalities.

Causes

• The condition is primarily due to congenital (present at birth) factors, often resulting from developmental abnormalities of the vertebrae.

Risk Factors

• Genetic predisposition may play a role.
• A family history of spinal abnormalities may increase risk.

Symptoms

• Visible exaggerated curvature of the lower back.
• Possible back pain or discomfort.
• Impact on mobility in severe cases.

Diagnosis

• Physical examination by a healthcare professional.
• Imaging tests such as X-rays or MRI to confirm the curvature and assess severity.

Treatment Options

• Observation: In mild cases, monitoring the condition may be sufficient.
• Physical Therapy: Helps strengthen muscles and improve posture.
• Bracing: Used in some children to prevent progression.
• Surgery: Reserved for severe cases impacting quality of life, correcting the spinal structure.

Prognosis and Follow-Up

• Prognosis varies; many cases are mild with minimal impact if managed correctly.
• Regular follow-up is crucial to monitor spine development and manage any changes.

Complications

• If not managed, may lead to significant posture issues.
• Can result in chronic pain or discomfort in adulthood.

Lifestyle & Prevention

• Maintaining a healthy weight and encouraging activities to strengthen the back muscles may help in managing symptoms.
• While congenital factors cannot be prevented, early detection and treatment can mitigate worsening curvature.

When to Seek Professional Help

• If back pain persists or an obvious abnormal spinal curvature is noticed, consult a healthcare provider.

Additional Resources

• National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
• Scoliosis Research Society (SRS) for information on spine and spinal conditions.

Tips for Medical Coders

• Ensure the specificity of the ICD code aligns with the congenital nature (Q76.427).
• Avoid confusing congenital lordosis with acquired types of lordosis seen in older patients.