Radiographic Sagittal Alignment and Neurological Changes Following Conservative Cervical Structural Rehabilitation After Motor Vehicle Collision in a Patient With Pre-existing Scoliosis: A Case Report
Abstract
This peer-reviewed case report examines the radiographic and neurological findings of a patient who presented following a motor vehicle collision (MVC) in the setting of pre-existing scoliosis. The case documents measurable changes in cervical sagittal alignment alongside associated neurological findings after a course of conservative cervical structural rehabilitation.
The report details objective imaging findings, clinical examination results, and post-intervention changes, with a focus on the relationship between spinal alignment, ligament integrity, and functional neurological presentation. The paper emphasizes the importance of evaluating sagittal parameters and structural biomechanics in patients with trauma layered upon pre-existing spinal conditions.
Key Findings & Clinical Significance
This research contributes to the growing body of literature examining post-traumatic spinal biomechanics and the clinical implications of sagittal alignment restoration.
Documents Radiographic Change:
The study presents measurable changes in cervical sagittal alignment following conservative structural rehabilitation in a post-MVC context.
Addresses Pre-Existing Structural Modifiers:
The patient’s pre-existing scoliosis adds clinical complexity. The case highlights the importance of differentiating baseline structural characteristics from trauma-related changes.
Links Alignment to Neurological Findings:
The paper discusses the relationship between sagittal alignment parameters and neurological presentation, reinforcing the relevance of structural assessment in post-collision care.
Supports Objective Documentation in Personal Injury:
As a peer-reviewed publication, the report underscores the role of imaging, biomechanical assessment, and structured rehabilitation documentation in cases involving motor vehicle trauma.
Relevance to Our Patients
For individuals involved in motor vehicle collisions—particularly those with known spinal conditions such as scoliosis—this case illustrates the importance of comprehensive structural evaluation.
Trauma does not occur in isolation. Pre-existing spinal alignment, ligament integrity, and sagittal balance may influence clinical presentation and recovery patterns. This publication reflects our clinic’s emphasis on objective assessment, radiographic analysis when indicated, and individualized structural rehabilitation strategies.
Patients seeking evaluation after a car accident can benefit from a structured approach that considers both the traumatic event and the underlying biomechanical context.
Dick J M, Paige P (March 02, 2026) Radiographic Sagittal Alignment and Neurological Changes Following Conservative Cervical Structural Rehabilitation After Motor Vehicle Collision in a Patient With Pre-existing Scoliosis: A Case Report. Cureus 18(3): e104584. doi:10.7759/cureus.104584
