Sunset Chiropractic & Wellness Research Review: Cervical spine alignment, sagittal deformity, and clinical implications: a review
“The future direction of cervical deformity correction should include a comprehensive
approach in assessing global cervicalpelvic relationships.”
https://pubmed.ncbi.nlm.nih.gov/23768023/
This paper is a narrative review of normal cervical alignment, methods for quantifying alignment, and how alignment is associated with cervical deformity, myelopathy, and adjacent-segment
disease (ASD), with discussions of health-related quality of life (HRQOL). Popular methods currently used to quantify cervical alignment are discussed including cervical lordosis, sagittal
vertical axis, and horizontal gaze with the chin-brow to vertical angle.
Sunset Chiropractic & Wellness Research Review: Cervical
spine alignment, sagittal deformity, and clinical implications:
a review. The future direction of cervical deformity
correction should include a comprehensive approach in assessing global cervicalpelvic
relationships.
Cervical deformity is examined in detail as deformities localized to the cervical spine affect, and are affected by, other parameters of the spine in preserving global sagittal alignment. An evolving trend is defining cervical sagittal alignment. Evidence from a few recent studies suggests correlations between radiographic parameters in the cervical spine and HRQOL. Analysis of the cervical regional alignment with respect to overall spinal pelvic alignment is critical. The article details mechanisms by which cervical kyphotic deformity potentially leads to ASD and discusses previous studies that suggest how postoperative sagittal malalignment may promote ASD. Further clinical studies are needed to explore the relationship of cervical malalignment and the development of ASD. Sagittal alignment of the cervical spine may play a substantial role
in the development of cervical myelopathy as cervical deformity can lead to spinal cord compression and cord tension. Surgical correction of cervical myelopathy should always take into consideration cervical sagittal alignment, as decompression alone may not decrease cord tension induced by kyphosis. Awareness of the development of postlaminectomy kyphosis is critical as it relates to cervical myelopathy. The future direction of cervical deformity correction should include a comprehensive approach in assessing global cervicalpelvic relationships. Just as understanding pelvic incidence as it relates to lumbar lordosis was crucial in building our knowledge of thoracolumbar deformities, T-1 incidence and cervical sagittal balance can further our understanding of cervical deformities. Other important parameters that account for the cervical-pelvic relationship are surveyed in detail, and it is recognized that all such parameters need to be validated in studies that correlate HRQOL outcomes following cervical deformity correction.
Sunset Chiropractic & Wellness Research Review: Cervical
spine alignment, sagittal deformity, and clinical implications:
a review. To learn more about our unique spinal treatment and why you need a chiropractor for back pain
treatments visit our treatment page on our website.
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Dr. Mark N. Berry, D.C.
Sunset Chiropractic and Wellness
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STE 102
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