C.B.P. and Structural Issues

Understanding Thoracic Spine Morphology, Shape, and Proportionality

Lafage, Renaud MS SPINE: February 1, 2020 – Volume 45 – Issue 3 – p 149-157 doi: 10.1097/BRS.0000000000003227 Study Design. Retrospective review. Objective. The aim of this study was to describe thoracic kyphosis (TK) in a normal asymptomatic population and to evaluate the association between TK magnitude and its shape. Summary of Background Data. Understanding […]

2020 Young Investigator Award Winner: Age- and Sex-related Normative Value of Whole-body Sagittal Alignment Based on 584 Asymptomatic Chinese Adult Population From Age 20 to 89 – Full Text

Hu, Zongshan PhD SPINE: January 15, 2020 – Volume 45 – Issue 2 – p 79-87 doi: 10.1097/BRS.0000000000003187 Study Design. A cross-sectional radiographic study. Objective. The aim of this study was to establish the age- and sex-related normative values of whole-body sagittal alignment in asymptomatic Chinese adult population, and to investigate the changes and possible […]

Age-related Changes in Cervical Sagittal Alignment

A Radiographic Analysis Tang, Ray BA; Ye, Ivan B. BA; Cheung, Zoe B. MD, MS; Kim, Jun S. MD; Cho, Samuel Kang-Wook MD Spine: October 1, 2019 – Volume 44 – Issue 19 – p E1144-E1150 doi: 10.1097/BRS.0000000000003082 Study Design. Retrospective cohort study. Objective. To identify age-related changes in cervical sagittal parameters using standard radiographs. […]

Twenty-year Longitudinal Follow-up MRI Study of Asymptomatic Volunteers: The Impact of Cervical Alignment on Disk Degeneration

Clinical Spine Surgery. Publish Ahead of Print():, AUG 2018 DOI: 10.1097/BSD.0000000000000706 , PMID: 30102637 Issn Print: 2380-0186 Publication Date: 2018/08/10 Eijiro Okada; Kenshi Daimon; Hirokazu Fujiwara; Yuji Nishiwaki; Kenya Nojiri; Masahiko Watanabe; Hiroyuki Katoh; Kentaro Shimizu; Hiroko Ishihama; Nobuyuki Fujita; Takashi Tsuji; Masaya Nakamura; Morio Matsumoto; Kota Watanabe Abstract Study Design: A 20-year longitudinal study. […]

Relationship Between Radiographic Lumbosacral Spine Mensuration and Chronic Low Back Pain Intensity: A Cross-sectional Study

Journal of Chiropractic Medicine Volume 17, Issue 1, March 2018, Pages 1-6 Savannah K.ShortzDC, MS, DACBR Abstract Objective The purpose of this study was to investigate correlative factors affecting chronic low back pain (CLBP), with special emphasis on the radiographic postural findings in the sagittal lumbosacral spine. Methods A cross-sectional study alongside a randomized trial […]

Non-surgical improvement of cervical lordosis is possible in advanced spinal osteoarthritis: a CBP® case report – Full Text Article

J Phys Ther Sci. 2018 Jan;30(1):108-112. doi: 10.1589/jpts.30.108. Epub 2018 Jan 27. Fortner MO1, Oakley PA2, Harrison DE3. Abstract [Purpose] To present a case of the non-surgical improvement in cervical kyphosis in a patient with history of cervical spine trauma and advanced osteoarthritis. [Subject and Methods] A 38 year old male presented with a chief complaint […]

Cervical lordosis: the effect of age and gender

The Spine Journal Volume 17, Issue 6, June 2017, Pages 880–888 Ella Been, PT, PhD Abstract Background Context Cervical lordosis is of great importance to posture and function. Neck pain and disability is often associated with cervical lordosis malalignment. Surgical procedures involving cervical lordosis stabilization or restoration must take into account age and gender differences […]

Correction of Grade 2 Spondylolisthesis Following a Non-Surgical Structural Spinal Rehabilitation Protocol Using Lumbar Traction: A Case Study and Selective Review of Literature – Full Text Article

J Radiol Case Rep. 2017 May 31;11(5):13-26. doi: 10.3941/jrcr.v11i5.2924. eCollection 2017 May. Fedorchuk C, Lightstone DF, McRae C, Kaczor D. Abstract OBJECTIVE: Discuss the use of non-surgical spinal rehabilitation protocol in the case of a 69-year-old female with a grade 2 spondylolisthesis. A selective literature review and discussion are provided. CLINICAL FEATURES: A 69-year-old female […]

The relationships between low back pain and lumbar lordosis: a systematic review and meta-analysis.

Spine J. 2017 May 2. pii: S1529-9430(17)30191-2. doi: 10.1016/j.spinee.2017.04.034. [Epub ahead of print] Chun SW Abstract BACKGROUND CONTEXT: Clinicians regard lumbar lordotic curvature (LLC) with respect to low back pain (LBP) in a contradictory fashion. The time-honored point of view is that LLC itself, or its increment, causes LBP. On the other hand, recently, the […]

Loss of cervical lordosis: What is the prognosis? – Full Text

J Craniovertebr Junction Spine. 2017 Jan-Mar; 8(1): 9–14. doi: 10.4103/0974-8237.199877 PMCID: PMC5324370 PMID: 28250631 Laura Lippa Abstract Neck pain is a diffuse problem with a high incidence and often leads to the more or less appropriate prescription of imaging studies of the cervical spine. In general, this is represented by a magnetic resonance imaging (MRI) […]

Isometric Exercise for the Cervical Extensors Can Help Restore Physiological Lordosis and Reduce Neck Pain: A Randomized Controlled Trial

American Journal of Physical Medicine & Rehabilitation. 96(9):621–626, SEP 2017 DOI: 10.1097/PHM.0000000000000698 , , PMID: 28118272 Issn Print: 0894-9115 Publication Date: 2017/09/01 Mahmut Alpayci Abstract Objective The aim of this study was to investigate whether isometric neck extension exercise restores physiological cervical lordosis and reduces pain. Design Sixty-five patients with loss of cervical lordosis were […]

Variations in Occipitocervical and Cervicothoracic Alignment Parameters Based on Age: A Prospective Study of Asymptomatic Volunteers Using Full-Body Radiographs Iyer, Sravisht MD

Spine: 1 December 2016 – Volume 41 – Issue 23 – p 1837–1844 doi: 10.1097/BRS.0000000000001644 Abstract Study Design. Cross-Sectional Cohort Study Objective. To describe age-stratified normative values of novel occipitocervical, cervical, and cervicothoracic alignment parameters. Summary of Background Data. Full-body radiographic images obtained without stitching or vertical distortion represent an ideal method to evaluate occipitocervical […]

Variations in Sagittal Alignment Parameters Based on Age: A Prospective Study of Asymptomatic Volunteers Using Full-Body Radiographs

Iyer, Sravisht MD Spine: 1 December 2016 – Volume 41 – Issue 23 – p 1826–1836 doi: 10.1097/BRS.0000000000001642 bstract Study Design. Cross-sectional cohort study. Objective. Describe age-stratified normative values of traditional and novel sagittal alignment parameters. Summary of Background Data. Full-body radiographic techniques can capture coronal and sagittal standing images from the occiput to the […]

Cervico-occipital Posture in Women With Migraine: A Case-Control Study

Authors: Gabriela Natália Ferracini, PT, MD Study Design Case-control study. Background Previous studies have assessed forward head posture in patients with migraine using photographs. To date, no study has compared postural differences using both radiographs and photographs. Objective To determine the differences in head extension posture between women with migraine and healthy women assessed with […]

Cervico-occipital Posture in Women With Migraine

Cervico-occipital Posture in Women With Migraine: A Case-Control Study Authors: Gabriela Natália Ferracini, PT, MD Published: Journal of Orthopaedic & Sports Physical Therapy, 2016 Volume:0 Issue:0 Pages:1–25 Study Design Case-control study. Background Previous studies have assessed forward head posture in patients with migraine using photographs. To date no study has compared postural differences using both […]

Decreased Vertebral Artery Hemodynamics in Patients with Loss of Cervical Lordosis

Med Sci Monit. 2016 Feb 15;22:495-500. Bulut MD1, Alpayci M2, Şenköy E2, Bora A1, Yazmalar L3, Yavuz A1, Gülşen İ4. Abstract BACKGROUND Because loss of cervical lordosis leads to disrupted biomechanics, the natural lordotic curvature is considered to be an ideal posture for the cervical spine. The vertebral arteries proceed in the transverse foramen of […]

Comparison of manual therapy and exercise therapy for postural hyperkyphosis: A randomized clinical trial

Physiotherapy Theory and Practice: An International Journal of Physiotherapy Volume 32, Issue 2, 2016 Fahimeh Kamali PhD ABSTRACT Objective: To compare the efficacy of a manual therapy and an exercise therapy program in improving postural hyperkyphosis among young adults. Methods: Forty-six women between the ages of 18 to 30 years with thoracic kyphosis diagnosed by […]

Quantitative evaluation of the lumbosacral sagittal alignment in degenerative lumbar spinal stenosis

Int J Spine Surg. 2015 Dec 2;9:68. doi: 10.14444/2068. eCollection 2015. Makirov SK, Yuz AA, Jahaf MT, Nikulina AA. Abstract GOAL OF THE STUDY: This study intends to develop a method of quantitative sagittal balance parameters assessment, based on a geometrical model of lumbar spine and sacrum. METHODS: One hundred eight patients were divided into […]

Does cervical lordosis change after spinal manipulation for non-specific neck pain?

Does cervical lordosis change after spinal manipulation for non-specific neck pain? A prospective cohort study Michael Shilton Chiropractic & Manual Therapies 201523:33 DOI: 10.1186/s12998-015-0078-3 ©  Shilton et al. 2015 Received: 2 March 2015 Accepted: 4 November 2015 Published: 7 December 2015 Abstract Background The association between cervical lordosis (sagittal alignment) and neck pain is controversial. Further, it is unclear whether spinal manipulative therapy […]

Effect of Lumbar Disc Degeneration and Low-Back Pain on the Lumbar Lordosis in Supine and Standing: A Cross-Sectional MRI Study

Spine: November 2015 – Volume 40 – Issue 21 – p 1690–1696 Hansen, Bjarke B. MD Abstract Study Design. Cross-sectional study. Objective. To examine the influence of low-back pain (LBP) and lumbar disc degeneration (LDD) on the lumbar lordosis in weight-bearing positional magnetic resonance imaging (pMRI). Summary of Background Data. The lumbar lordosis increases with […]