Hello Professionally Integrated. This is a 2017 study where the authors did a fusion from T9 down to the sacrum for abnormal sagittal alignment. The authors do say that the sagittal alignment is very important for better outcomes. WE can do this for a fraction of the cost and with what I feel , better outcomes as we are not… Read More
Hello Professionally Integrated! Here is a paper that correlates abnormal spinal shape and falls. I feel that educating our patients on the need of proper spinal shape is extremely important for both the short term and long term. On this site I have lots of papers that show how a loss of the normal spinal curves leads to health problems…. Read More
Hello Professionally Integrated! Here is some information form a study back in 2002. I will sometimes use “older” studies to educate patients and whoever else, about the “loss of curve” and how it is not something “new”. What these authors looked at were asymptomatic patients and WAD, or car crash patients necks and the shapes. What the authors found was… Read More
Hello Professionally Integrated, Here is a study where surgeons looked at kyphosis angulation, myelopathy, and surgical procedure to improve outcomes. Now these patients had myelopathy caused by long-term cervical kyphosis. If your a member of this site you have access to research and discussions about the physiological changes that occur with an abnormal curve. This is why I encourage my… Read More
Dear Professionally Integrated, Here is study where certain the outcomes for patients and cervical myelopathy and cervical kyphosis. This study is important for us to understand. We need to educate our patients that have a loss of curve, or a cervical kyphosis, that these findings has a very high chance that may lead to significant health complications including myelopathy. Many insurance companies… Read More
Dear Professionally Integrated, I want to go over study where the surgeons looked at myelopathy and fusion. However, the surgeons tried to restore the lordosis compared to a kyphosis that the patient presented with. I feel the goal of our office should be to educate our patients first about the deficits and the dangers of a kyphotic neck. In this… Read More
Hello Professionally Integrated Premium members. Here is a paper where the authors looked at clinical implications for loss of the alignment of the spine. We do our best to help our patients with this pathology and I believe they need our care. Lets take a look at what this paper says. Remember to educate our patients and ourselves on the… Read More
Hello Professionally Integrated members. Here is a break down I want you to discuss with your patients on 1) why continued care to improve sagittal alignment is important to reduce injury if they are unfortunately in a trauma 2) educate your patient and the attorney and insurance company that IF they did have an abnormal curve BEFORE the crash, that… Read More
Here is a breakdown for Professionally Integrated Premium members that I think is fantastic. This paper compares a normal lordotic cervical spine, compared to a straight, and kyphotic curve and how they are effected in a rear end collision. I have been asked in court many times “How do you know what the patients neck looked like before the crash?” The… Read More
Hello Professionally Integrated. Here is a great study where the authors suggest that MRIs are not the best at determining the sagittal alignment, but up right Xrays are a very good choice. At Professionally Integrated we want to help you build your practice based on your knowledge, not your sales tactics. Take this article to your surgeons in your area… Read More
Here is a paper where the authors did a cervical fusion and evaluated disc degeneration. This study confirms again why our treatment is important in PREVENTING further pathologies. The authors clearly mention that a lordosis in the cervical spine is extremely important. I feel we must do what we can to preserve our patients spine both in the short and… Read More
Hello Professionally Integrated, Here is another video and break down of a paper to help educate your patients and improve documentation to help validate your care. In this paper that authors look at an evaluate many MRIs and they measure many areas to look at the difference between patients in pain and those not in pain. Understanding these findings help… Read More
Hello professionally integrated, There is a great study that shows many factors are important from a clinical perspective. This paper discusses about the need for appropriate diagnosis, why somebody types may be more hurt in a crash, leading to significant injuries that can lead to disability. As a GOLD OR PREMIUM member you have access to papers and videos like… Read More
Hello Professionally Integrated, Here is a paper where the authors compared the sagittal alignment of 1026 asymptomatic individuals. Many people in the health care profession make statements like the “cervical curve has no clinical implication”, despite lots of evidence. In fact, on this site we have LOTS and LOTS of papers that show what happens with a loss of the… Read More
Hello Professionally Integrated, Here is a paper and video that I break down as I feel it will lead to better long term outcomes, and improved documentation to help validate our care. I have also added in a “HOW TO IMPLEMENT IN YOUR PRACTICE” section in the video where I show you how I use this paper to educate my… Read More
Hello Professionally Integrated, Here is a study that looks at over a 1000 cervical spines and the shape and findings as well as the patients pain and quality of life. This study suggests that a abnormal cervical spine, anterior head translation, and kyphosis decrease our patients quality of life and increase pain. We have the ability with CBP and corrective… Read More
Hello Professionally Integrated, Here is a paper where surgeons understand that an abnormal sagittal alignment leads to pathologies and poor outcomes. The surgeons are looking for ways to improve the alignment. We can do this for a fraction of the cost and a fraction of the possible complications of surgery. Lets educate our patients and community about how we can… Read More
Hello Professionally Integrated! Here is a full paper for you that discusses how an abnormal cervical alignment is associated with patient outcomes. Many docs may say “X-rays are not necessary” or the shape of the spine is not clinically relevant” etc etc etc.. However, in my opinion and experience, I do not agree with that and I do not feel… Read More
Hello Professionally Integrated! Here is a great paper that shows us that a correlation between sagittal alignment and pain does exist. We need to worry more about our patient outcomes and educating our patients compared to PV’s and our marketing efforts. Educate yourself and your patients by using this site, and you will not have to advertise again as your… Read More
Hello Professionally Integrated, Here is a paper where the authors looked at multiple dens fractures and basically found that sagittal alignment played a bigger role than the force of the impact. I feel this is a good study demonstrating that impact (like in crashes with little car damage) is not the main factor in injury. Lets take a look at… Read More
Hello Professionally integrated, Here is a paper that my wife and I published along with other wonderful doctors. First off, I would like to say thank you so much to the GOLD and Premium members. Your support of this site has allowed us to fund a study like this. We took multiple patients with abnormal cervical curves and did MRI… Read More
Dear Professionally Integrated, Here is a study where the authors looked at THOUSANDS of spinal images to determine if a change in the spinal shape leads to pain, dysfunction, and a change in the quality of life. Many providers feel a change of the spinal shape may be “normal” for a person and therefore treatment to address these changes is… Read More
Hello Professionally Integrated, Here is a great paper that I feel we should explain to our patients about the long term consequences if we do NOT improve the shape of their spine. “The aim of this study is to investigate the relationship between the Modic changes (MCs) and sagittal parameters of the cervical spine.” “We conducted a retrospective review… Read More
“Five hundred digital sets of standing A-P lumbo-pelvic and lateral lumbar radiographic images were randomly selected according to a computer-generated list and analyzed retrospectively from a pool of approximately 1300 radiographic series in the RMIT University Teaching Clinic archives. All radiographs were de-identified except for date of birth, gender and date of examination. One hundred ninety nine sets of images… Read More
Hello Professionally Integrated Care! Just take a look at the title of this paper. Here are surgeons explaining how an abnormally shaped neck leads to bad health!! Why does some of our profession ignore a fully subluxated neck? Why do we listen to insurance companies dictate how much care we should provide if most of the research completely disagrees with… Read More
Hello Professionally Integrated! Here is a paper that correlates abnormal spinal shape and falls. I feel that educating our patients on the need of proper spinal shape is extremely important for both the short term and long term. On this site I have lots of papers that show how a loss of the normal spinal curves leads to health problems…. Read More
Here is a study that in my opinion discusses many aspects to helping and understanding patients from trauma. This impact is similar to a rear end collision. This study discuses how the neck moves in a unnatural position (S shaped cervical curve) , how spinal cord injuries happen from a abnormal movement and how these injuries may not be detected… Read More
Here is a study that surgeons had patients with DDD and spinal cord compression. These are patients that should have been treated earlier on so it could have stopped degeneration. Anyway, here is what they had to say: “Posterior decompression and stabilization in lordosis is a valuable procedure for patients affected by multilevel CSM, leading to significant clinical improvement thanks to the spinal… Read More
MVC have been shown to cause a reversal of the cervical lordosis. This pathology has been shown to lead to future pain, spasms, disc pathologies, even CNS problems. Make sure you analyze this pathology and be sure to measure the curve. This will allow you to help your patient by explaining why they may hurt and why they need your… Read More