Loss of lordosis

The possibility to correlate clinical outcome with alignment of the spinal column seems appealing but is, however, not as easily translatable into practice as it might seem. Boden et al., in their landmark papers at the beginning of the 1990s on the correlation between imaging findings on spinal MRIs and clinical status, showed us how important it is to treat the patient and not the images 1) 2).


1)
Boden SD, Davis DO, Dina TS, Patronas NJ, Wiesel SW. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am. 1990;72:403–8.
2)
Boden SD, McCowin PR, Davis DO, Dina TS, Mark AS, Wiesel S. Abnormal magnetic-resonance scans of the cervical spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am. 1990;72:1178–84.
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