At which vertebra is the apex of lumbar (lower back) lordosis located?

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From the Research

The apex of lumbar lordosis is typically located at the L3-L4 vertebral level, as supported by the most recent and highest quality study 1. This means that the forward curvature of the lumbar spine reaches its maximum point between the third and fourth lumbar vertebrae. The natural curvature is essential for proper weight distribution and shock absorption in the spine. The lumbar lordosis develops as humans learn to walk upright and serves to balance the thoracic kyphosis (backward curve in the upper spine), helping to position the head over the pelvis and maintain an efficient upright posture. Some key points to consider include:

  • The degree of lumbar lordosis varies between individuals and can be influenced by factors such as age, gender, body weight, and muscle tone 2.
  • Excessive lordosis (hyperlordosis) or reduced lordosis (hypolordosis) can contribute to back pain and other spinal issues, as they alter the normal biomechanics of the spine and the distribution of forces through the vertebral bodies and intervertebral discs 3, 4.
  • Postural changes can modify the location of the lumbar apex, usually shifting it to a more caudal position, but the position of the lumbar apex remains stable when calculated as the angular point of the global lordosis, regardless of postural changes 1. The most recent study 1 provides the strongest evidence for the location of the apex of lumbar lordosis, and its findings should be prioritized in clinical decision-making.

References

Research

Static and dynamic sagittal lumbar apex: a new concept for the assessment of lumbar lordosis distribution in spinal deformity.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2021

Research

Lumbar lordosis.

The spine journal : official journal of the North American Spine Society, 2014

Research

Low back pain sufferers: is standing postural balance facilitated by a lordotic lumbar brace?

Orthopaedics & traumatology, surgery & research : OTSR, 2010

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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