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KMID : 1001920230660060611
Journal of Korean Neurosurgical Society
2023 Volume.66 No. 6 p.611 ~ p.617
The Sagittal Balance of Cervical Spine : Comprehensive Review of Recent Update
Lee Sang-Hoon

Kim Tae-Hwan
Kim Seok-Woo
Rim Hyun-Take
Lee Heui-Seung
Kim Ji-Hee
Chang In-Bok
Song Joon-Ho
Hong Yong-Kil
Oh Jae-Keun
Abstract
The cervical spine plays a critical role in supporting the skull, maintaining horizontal gaze, and facilitating walking. Its unique characteristics, including the widest range of motion among spinal segments, have led to extensive research on cervical sagittal alignment. Various parameters have been proposed to evaluate cervical alignment, with studies investigating their clinical significance, correlation with symptoms, and implications for surgical interventions. Recent findings suggest that cervical sagittal alignment not only impacts the cervical spine but also influences global spine-pelvic alignment through compensatory mechanisms. This comprehensive review examines classical and new parameters of cervical sagittal alignment and considers the dynamic and muscular factors associated with it.
KEYWORD
Cervical spine, Cervical sagittal alignment, Cervical spine parameter, Cervical spine deformity
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