Improvement in Spine Pain, Functional Performance, and Quality of Life in a 26-Year-Old Male With a Failed Spine Fusion Surgery After Chiropractic BioPhysics® Structural Spinal Rehabilitation: A Case Report With a Six-Month Follow-Up
Bibliographic record
Abstract
Neck pain (NP) is a leading cause of disability and can be a consequence of failed cervical spine surgeries. Articles showing successful conservative therapies after a failed surgery in the cervical spine are very rare. A 26-year-old male reported six years of worsening and disabling NP. The short-form 36-question health status questionnaire revealed a decrease in quality-of-life scores, with a physical component score (PCS) of 25.2 and a mental component score (MCS) of 29.9, compared to the normal scores of 46.8 and 52.8, respectively. Grip strength measured 36.7 kg on the left and 37.1 kg on the right (normal range: 45-52 kg). Radiography revealed cervical hypolordosis (absolute rotation angle, ARA, C2-C7) and anterior head translation (Tz C2-C7) measuring -14.6° and 20.6 mm (ideal is -42° and 0 mm). Chiropractic BioPhysics® (CBP®) (CBP Non-Profit, Inc., Eagle, ID) spinal rehabilitation sessions were administered involving Mirror Image® (CBP Non-Profit, Inc.) spinal exercises, traction, and adjustments to correct cervical spinal alignment. Following 30 treatments over nine weeks, the patient reported near-resolution of initial symptoms, discontinued pain medications, and improved quality of life. Posttreatment outcomes included the following: improvement in PCS (45.6) and MCS (37.1), normalized grip strength on the left (45.3 kg) and right (49.4 kg), and improvement in ARA C2-C7 (30.1°) and Tz C2-C7 (15.6 mm). After six months without treatment, a follow-up examination showed sustained improvements in symptoms and outcome measures, including ARA C2-C7 (30.9°) and Tz C2-C7 (10.6 mm). Failed cervical spine surgeries and persistent spine pain syndrome can occur with devastating consequences. CBP® may be an effective, conservative approach to help improve pain and disability in patients with poor surgical outcomes and abnormal spinal alignment.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".