Cervical Alignment and Sagittal Balance

  • Alexander Tuchman
  • Dominque M. O. Higgins


In patients with cervical spine pathologies, surgical consideration of alignment and balance is critical for obtaining optimal outcomes [1]. Preoperative evaluation of these patients must therefore take into account baseline deformity, as well as potential risk of progression. As such, reliable methods of describing cervical alignment and balance and awareness of their surgical implications are of the utmost importance. Here, we describe standard parameters utilized in classification of cervical spine alignment, deformity, and their key clinical associations.


Cervical alignment Sagittal balance Spinal alignment Spondylolisthesis Scoliosis Lordosis Horizontal gaze Chin-brow vertical angle Thoracolumbar deformity 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Neurological SurgeryColumbia University Medical CenterNew YorkUSA

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