[Purpose] To document the re-establishment of the cervical lordosis following
radiographically verified altered sagittal plane alignment both prior to, and following a
motor vehicle collision. [Participant and Methods] A 16-year-old male presented for a
non-motor collision complaint of low back pain. Initial lateral cervical radiograph
demonstrated cervical hypo-lordosis. The patient was treated with a 6-week plan (18
visits) utilizing Chiropractic BioPhysics
®
(CBP) methods to increase the
cervical lordosis. Eight months later the patient presented with new complaints as a
result of a motor collision. The cervical lordosis straightened. The patient received
another round of similar treatment to improve the lordosis. There was also a 6.5-month
follow-up. [Results] The initial round of treatment achieved a 21° improvement in cervical
lordosis. The motor vehicle collision caused a loss of 15° of lordosis. The second round
of treatment achieved a 12.5° improvement in lordosis that was demonstrated to be
maintained at a 6.5-month follow-up. [Conclusions] This case illustrates how a whiplash
event occurring during a motor vehicle collision subluxated the cervical spine. It was
also shown that CBP methods reliably corrected the lordosis after two separate treatment
programs using specialized methods. Beyond trauma, radiographic screening of specific
cervical subluxation is recommended following all motor collisions.
To present the case of a dramatic improvement in the cervical lordosis and relief from chronic headaches and neck pain in a pediatric having a recent neck trauma. [Participant and Methods] A 10 year old male presented with recent neck trauma, neck pain and pre-existing chronic headaches. Cervical range of motion was limited with pain. X-ray analysis showed dramatic loss of cervical lordosis and an acute atlantoaxial rotatory fixation. Chiropractic Biophysics technique methods incorporating spinal manual adjustments, cervical extension traction and corrective exercises were used to restore normal cervical lordosis. Treatments were performed intensively over 6.5-weeks, with a 17-month long-term follow-up. [Results] The pediatric patient responded well to treatment with near complete resolution of cranio-cervical complaints. The cervical lordosis was corrected to age-appropriate magnitude, the coronal symmetry was restored, and both were maintained after nearly 1.5 years. [Conclusion] Chiropractic Biophysics technique which includes the cervical extension traction using the pediatric Denneroll orthotic was effective in restoring lordosis in a pediatric patient with cervical kyphosis and chronic headaches presenting with recent neck pains from a traumatic origin. Routine X-ray of the cervical spine is recommended for patients presenting with craniocervical symptoms as spine alignment is often overlooked as pathognomonic for these conditions.
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