Purpose: To investigate the relationship between C2 slope and pelvic tilt and provide clinicians with an additional radiographic parameter for evaluating global spinal balance using routine lateral cervical imaging.
Methods: Incorporating cervical analysis into full-spine evaluations may improve diagnostic accuracy when addressing persistent pelvic imbalance or recurrent postural compensations. For practitioners utilising Sacro Occipital Technique, these findings offer a measurable framework that may support traditional clinical observations regarding the cranial-pelvic relationship.
Conclusions: Assessment of C2 alignment may help identify compensatory postural adaptations that influence pelvic orientation and overall sagittal integrity Further clinical investigation may clarify whether evaluating C2 alignment prior to pelvic category correction could enhance stability and longevity of chiropractic adjustments.
Author keywords: Chiropractic spinal adjustment; Sacro-Occipital Technique (SOT), C2 slope, Myodural bridge, cerebral spinal fluid flow, Dural torque.
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