# Post-MVC Cervical Kyphosis Deformity Reduction Using Chiropractic BioPhysics Protocols: 1-Year Follow-Up Case Report

## TL;DR

A man with cervical spine injury and kyphosis showed long-term improvement after one year of Chiropractic BioPhysics treatment.

## Contribution

Demonstrates long-term efficacy of CBP protocols in reducing cervical kyphosis post-MVC.

## Key findings

- Cervical lordosis improved to 21.8 degrees after eight weeks of CBP treatment.
- Subjective and objective outcome indices showed sustained improvement at 12 months.
- CBP care reduced radiographic spinal misalignment and chronic pain symptoms.

## Abstract

Background/Objectives: This case represents the successful treatment of cervical spine injury from high-speed rear-impact motor vehicle collision and abnormal cervical kyphosis with left arm radiculopathy, utilizing conservative spine care rehabilitation methods. This patient was treated with a multimodal treatment approach integrating a cervical spine extension traction protocol. Subject and Methods: A 50-year-old male with a history of motor vehicle collision presented with left arm radiculopathy, as well as cervical and upper thoracic spine pain. Notably the cervical spine presented with kyphotic deformity. The patient presented, after a being struck during a rear-end motor vehicle collision, with neck, upper back, and left arm radiculopathy. Prescription medication and traditional chiropractic care proved ineffective for substantive symptom and quality-of-life improvement. Treatment frequency was three times per week for eight weeks using the Chiropractic Biophysics® protocol of mirror image (MI®) postural exercise, spinal adjustment, and cervical spinal traction. On completion of in-office care, the patient was treated monthly, performed home care at least three times per week, and was re-examined at one year. Results: Final examination after eight weeks of care showed significant improvement in cervical lordosis (21.8 degrees), resulting in reduced cervical kyphosis. The patient completed outcome indices before, during, and 12 months after cessation of active care, all indicating improvement. Conclusions: This case report demonstrates both subjective and objective improvement in cervical spine kyphosis and attendant symptoms. The successful treatment of chronic pain, peripheral weakness, and radiculopathy with long-term follow-up using CBP care is documented as well. The treatment was designed to improve sagittal balance and reduce radiographic abnormalities evincing spinal misalignment. Administration of subjective, objective, and health-related quality-of-life outcome indices during, following, and 12 months post-treatment are suggestive of long-term efficacy of Chiropractic BioPhysics® (CBP) treatment methods. Larger studies are needed to substantiate this given the limitations of a case report.