04/28/2024
Hi Friends! Please review this paper and download the article from the JCM (Journal of Clinical
Medicine). This is an interesting assessment on the differences between the parameters and magnitude of the lordosis in a lateral cervical sectional radiograph in comparison to a lateral full spine radiograph. 
https://www.mdpi.com/2077-0383/13/9/2502
Conclusions
This multi-center comparison study of upright lateral cervical analysis versus sagittal full-spine radiographs with specific analysis of the cervical spine is important to both conservative and surgical practitioners interested in the origination, evaluation, and treatment of spine disorders using radiography. We identified that the total cervical lordosis (ARA C2-C7) and upper cervical lordosis (APL) are strikingly different on the sectional LC vs. the FS radiograph when considering intra-person differences using the R2 analysis (only weak to moderate correlations were found). In contrast, we identified that anterior head translation (C2-C7 plumbline) showed strong correlation between the two radiographic views; thus, this can be considered relatively interchangeable between the LC and FS analysis. When considering any cervical spine conditions, it is crucial to not only evaluate the FS for global spine abnormalities and misalignments but also the LC sectional view to determine specific local spine biomechanics. Our findings suggest that spine alignment variables for the cervical spine need to be based on the sectional LC and not the FS radiograph. Data from one type of radiograph should not be compared with data from the other. Also, clinicians should only use data from the literature that is obtained as performed for the same type of radiograph (LC vs. FS). The interpretation of these comparative data demonstrates that the differences between measurements obtained from the LC and FS radiographs are significant enough to necessitate that the practitioner perform both assessments and compare them to determine the most appropriate clinical and diagnostic determination of the best treatment protocol. Failure to do so could be clinically detrimental in conservative care which uses traction vectors to improve spine alignment and could be especially detrimental to surgeons making pre-treatment decisions of cervical spine alignment based solely on the FS radiograph.
(1) Background: This study assessed the relationship between cervical spine parameters taken on standing full-spine lateral radiographic images compared to sectional lateral cervical radiographs. (2) Methods: Full-spine (FS) and sectional lateral cervical (LC) radiographs from four spine treatment f...
