Hello Professionally Integrated,
Here is a paper that will help you be a better Chiropractor and allow you to educate more patients and separate your clinic, from all the others in town. In this paper, the authors discuss how a loss of curve, cervical kyphosis, and/or instability is a condition that will lead to further problems and decrease the patient’s overall health and quality of life. Let’s make sure we print this out for patients to continue their education, so we can continue to build our practice with exceptional knowledge and care. Also, make sure you cut-and-paste some of these references to put in your notes so if you have to go to court you can discuss this paper.
Cervical spondylotic myelopathy associated with kyphosis or sagittal sigmoid alignment: outcome after anterior or posterior decompression J Neurosurg Spine 11:521–528, 2009
“The kyphotic deformity associated with cervical spondylosis is the result of progressive subluxation of the apophyseal joints due to degenerative changes in the facet joints and discs. In patients with kyphotic deformities, the spinal cord shifts to the anterior portion of the spinal canal and abuts the posterior aspect of the vertebral bodies at the apex of the deformity. With the progression of kyphosis, the mechanical stress applied to the anterior aspect of the spinal cord eventually increases.” WE MUST DO WHAT WE CAN TO MINIMIZE THIS PROBLEM.
“In addition, dynamic forces caused by segmental instability, which is often seen at the level of kyphosis particularly in cervical flexion movement, contribute to compromised cord function.” DOCTOR, ARE YOU ANALYZING IF YOUR PATIENT HAS INSTABILITY?
“Loss of lordosis or kyphotic alignment of the cervical spine and spinal cord may contribute to the development of myelopathy, and in patients with cervical kyphotic deformity, the spinal cord could be compressed by tethering over the apical vertebra or intervertebral disc or by ossification of the posterior longitudinal ligament.16 Longitudinal distraction is a possible factor in progressive spinal cord dysfunction, and this issue is often discussed clinically in the pathophysiology of tethered spinal cord syndrome and tight dural tube mechanism” THIS IS HUGE!!!!
We conclude that the sagittal kyphotic deformity
related to flexion mechanical stress may be a significant
factor in the development of CSM