case_images: PMC10765128_01
case_images: Initial lateral cervical radiograph. The red dashed red line demonstrates the Harrison Posterior Tangent Method of mensuration. The green line represents ideal cervical lordosis.
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case_images: FIG1
case_images: Absolute rotation angle (ARAs) of the cervical spine found significant loss of normal lordosis (-2.6 /34 -41 ) (Figure 1); patient value/average-ideal) with large anterior head translation (AHT) (24.6mm/0mm). MI  traction was performed with a distraction load and a transverse load across the mid-cervical spine to induce lordosis (Figure 1). Meyers cervical remodeling collar (CRCollar , Circular Traction
case_images: Initial lateral thoracic and lateral lumbar radiographs stitched for sagittal balance analysis. The red dashed line measures the posterior tangents of the vertebral bodies using the Harrison Posterior Tangent Method. The green line represents ideal thoracic kyphosis and lumbar lordosis.
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case_images: FIG2
case_images: Lumbar spine biomechanical analysis found well-maintained lordosis; however, there were some degenerative changes at the endplates of L4/L5 and L5/S1 with apparent osteoarthritis as well as loss of disc height (Figure 2).
case_images: Mirror Image  MI  exercises were performed using whole body vibration (WBV) on the Power Plate . Example patient exercises performed by author (TJW) included thoracic z-axis rotation exercise (left), extension and posterior translation of the cervical spine against resistance with the ProLordotic  (right) cervical Circular Traction device (Center).
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case_images: FIG3
case_images: Power Plate  (Power Plate USA, Northbrook, IL, USA) was performed for two minutes per treatment (Figure 3). ProLordotic  (Circular Traction LLC., Huntington Beach, CA, USA) was used on the Power Plate holding for five seconds with two seconds of rest for two minutes per treatment.
case_images: MI  standing traction. The patient is standing while a force is translating the thorax anterior, and the pelvis is allowed to flex forward while the patient is instructed to translate the head posterior.
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case_images: FIG4
case_images: The traction involves a force to place the thorax anteriorly, while simultaneously pressing the pelvis posteriorly and having the patient translate their head posterior with simultaneous slight extension (Figure 4).
case_images: Re-examination lateral cervical radiograph following 12 in office treatments and 24 Denneroll  home treatments. The red line demonstrates abnormal spine alignment. The green line represents ideal lateral cervical lordosis.
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case_images: FIG5
case_images: Posture (Figures 5, 6) and radiographic analysis of upright digitized sectional and stitched full-spine films found stability and some continued improvement.
case_images: Re-examination lateral thoracic and lateral lumbar radiographs stitched. Lateral thoracic and lumbar radiographs demonstrated significant improvement in spine alignment and sagittal balance. The dashed red line measures vertebral body posterior tangents and the green line represents ideal thoracic and lumbar curvature.
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case_images: FIG6
case_images: Posture (Figures 5, 6) and radiographic analysis of upright digitized sectional and stitched full-spine films found stability and some continued improvement.
case_images: Three-year lateral thoracic and lateral lumbar radiographs demonstrating slight increased forward sagittal balance. Long-term stitched lateral lumbar and lateral thoracic show some increase in positive translation of the torso; however, the patient maintained good contours with no in-office treatment for three years.
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case_images: FIG7
case_images: Radiography showed maintained, WNL translation values in the cervical, thoracic, and lumbar spine, some loss of normal cervical curvature, and some degenerative changes in the mid-cervical segments (C3/C4, C5/C6 and C; T7/T8 and T8/T9; L3/L4 and L5/S1) (Figure 7).