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. 2020 Apr 30;14(4):21–37. doi: 10.3941/jrcr.v14i4.3890

Figure 4.

Figure 4

46-year-old female with NP, bilateral upper trapezii pain, neck stiffness, restricted cervical ROM, cervical radicular symptoms, and a history of motor vehicle collision trauma.

Image Features: The green line represents a normal, ideal cervical alignment. The red line represents the actual posterior tangent lines of the C2–C7 vertebrae. The yellow line and text represent the spinal canal diameters and measurements at spondylolisthesis locations.

Figure 4a Patient 4 Pre-Treatment NLC Radiograph

4a Findings: NLC image shows anterior surgical fusion of C4–C6, Tz C2–C7 of 1.5 mm, ARA C2–C7 of −12.4°, spondylolisthesis at C2–C3 with a Tz measurement of −4.5 mm. Tz SCD at C2–C3 measures 15 mm.

Technique: 30 mAs, 200 mA, 76 kVp, 72″ FFD, CR at C4.

Figure 4b Patient 4 Post-Treatment NLC Radiograph

Intervention: Chiropractic BioPhysics® Mirror Image® spinal adjustments, exercises, and traction.

4b Findings: NLC image shows anterior surgical fusion at C4–C6, Tz C2–C7 of 7.4 mm, ARA C2–C7 of −19.1°, Tz C2–C3 measurement of −0.8 mm. Tz SCD at C2–C3 measures 18 mm.

Technique: 30 mAs, 200 mA, 76 kVp, 72″ FFD, CR at C4.