Current Concepts of Sagittal Alignment in Adult Cervical Deformity.

J Am Acad Orthop Surg · Jan 15 2026 · Review

Sardar ZM, Reyes JL, Coury JR, Riew KD

From the The Och Spine Hospital at NewYork-Presbyterian/Columbia University Medical Center, New York, NY (Sardar, US…

Spine

SUMMARY — THE REDUCTIONReview of contemporary concepts in adult cervical deformity, covering upper and regional cervical alignment parameters and the shape and deformity classification systems.
Abstract, as published

Spinopelvic sagittal alignment has been shown to play an important role in pediatric and adult thoracolumbar spinal deformity. However, less is understood about the importance of sagittal alignment in the cervical spine and patients with adult cervical deformity. The purpose of this review article is to provide a comprehensive overview of contemporary principles pertaining to adult cervical deformity. Upper cervical parameters, regional cervical parameters, cervical shape classifications, and cervical deformity classifications will be reviewed based on the current literature.

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