Science In Brief

Chiropractic Literature Review

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The Study: Cervical Sagittal Alignment Parameters of Patients Admitted to Neurosurgery and Emergency Clinics in a State Hospital at Eastern Part of Turkey.

The Facts:

a. The subjects were 99 patients who were admitted to emergency rooms or neurosurgery clinics in Turkey.

b. The authors sought to study the cervical spine which they indicated had "a bridge role between the head and the lower parts of the spine".

c. The mean age of the patients was 30.3 years of age plus or minus 18.9 years

d. The patients received AP and lateral cervical x-rays (head to T2) for which they stood in a relaxed position.

e. They used a Cobb method of measurement from C2-C7.

f. The cervical lordosis was found to be 17.15 plus or minus 11.48 degrees.

g. "Increased age was found to be correlated with increased cervical lordosis..."

h. Cervical spinal misalignment can cause cervical cord spinal myelopathy.

i. The authors noted that spinal alignment has been an area of interest and that Dubousset had described "spinal balance in the economic range of gravity named as 'cone of economy'.

Take Home:

The cervical spine has a "bridge role" between the head and the rest of the spine. Its alignment is important not only because misalignment can cause neurological problems but could also be of importance to spinal balance. The lordosis tends to increase with age.

Reviewer's Comments:

An interesting article and it was included because I wanted to point out that not only chiropractors but also the medical profession is interested in the alignment of the cervical spine. Note, this was in an emergency room or neurosurgical clinic. There are five tables of numbers in this article and for those interested in cervical lordosis the article makes interesting reading. One final note, the lordosis was somewhat less than what many might feel was normal but the patients were seeking care so that might lead one to wonder if perhaps their accidents could have contributed to a loss of cervical lordosis.

Reviewer: Roger Coleman DC

Editor: Mark R. Payne DC

 

Reference: Kaplan SC, Eksi MS. Cervical Sagittal Alignment Parameters of Patients Admitted to Neurosurgery and Emergency Clinics in a State Hospital at Eastern Part of Turkey. Korean J Spine.2015 Jun;12(2):75-8.

 

Link to Abstract: http://www.ncbi.nlm.nih.gov/pubmed/26217386

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