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They noted an inverse correlation between the thoracic and the cervical alignment.
The effect of baseline cervical alignment on achieving optimal thoracolumbar alignment in ASD surgery is unclear.
However, the relationship between T1 slope and postoperative cervical alignment change is not yet fully established.
Finally, proper restoration of cervical alignment through a careful surgical technique and close decompression of the neural structures cannot be overemphasized [34].
Cervical lordosis has been shown to be an important outcome of care; however, few conservative methods of rehabilitating sagittal cervical alignment have been reported.
For example, the procedure of choice for decompression of the cervical spine depends on a variety of factors including the source and location of the compression, the number of vertebral segments involved, cervical alignment, and surgeon experience [31].
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Future designs will benefit from a combination of these advances in order to achieve ideal disc heights, cervical alignments and fusions.
Cervical spine alignment was evaluated by sagittal segmental alignment and sagittal alignment of the whole cervical spine preoperatively, 6 months postoperatively and at the last follow-up.
Cervical spine alignment was evaluated by sagittal segmental alignment (SSA) and sagittal alignment of the cervical spine (SACS) on lateral radiographs, preoperatively, 6 months postoperatively, and at the last follow-up (Fig. 1) [15 16, 16].
Moreover, many reports on the effect of cervical sagittal alignment did not designate the ideal definition of alignment and used different definitions of lordosis.
On lateral radiographs, cervical spine alignment was evaluated by SSA and SACS, and preoperative and postoperative data were compared.
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