Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 26628
  Title Medical radiologists may not consider the cervical lordosis in radiology reports: A comparison of subjective qualitative assessment versus objective quantitative mensuration in 100 consecutive patients at one medical imaging center
Journal J Contemp Chiropr. 2021 ;4(1):17-25
Peer Review Yes
Publication Type Article

Objective: To compare medical radiologists’ subjective qualitative commentary on cervical spine alignment to the images’ actual quantitative and objective mensuration.

Methods: One-hundred-and-eight consecutive lateral cervical x-ray radiology reports were reviewed for commentary about cervical alignment. The radiographs were digitized and quantified into theoretical categories and compared to the commentary.

Results: Of the 100 images included for evaluation, 55 images had comments pertaining to ‘normal,’ 20 had ‘no comment,’ and 25 reports mentioned some sort of ‘abnormal’ alignment. Excessively hypolordotic/kyphotic necks were typically labeled as normal. Forward head posture and intersegmental kyphosis were frequently found in this patient sample but were never mentioned in a report even when in the severe range.

Conclusion: Medical radiologists in this study made generalized, non-specific comments regarding cervical lordosis, if mentioned at all. This suggests that they may not perceive the importance of cervical spine alignment as being involved in a patient’s complaint even when evidence suggests that cervical spine sagittal alignment is implicated in neck and headache symptomatology, physiological function, neurophysiological outcomes, and degenerative changes. This situation may fuel existing barriers between differing healthcare professionals as to how much emphasis should be placed on spinal alignment in the etiology of a patient’s cranio-cervical complaints.

Author keywords: Cervical Lordosis; Cervical Kyphosis; Radiology; Forward Head Posture; Subluxation

Author affiliations: PAO: Private practice, Newmarket, Ontario, Canada; LJS: Private practice, Aurora, Ontario, Canada; DEH: CBP NonProfit Inc., Eagle, Idaho, United States

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text. Online access only.


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