Cervical Pathologic Anterolisthesis

Last updated: February 8, 2026Reviewed date: February 8, 2026Reading time: 14 min read
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Article Summary

Cervical Pathologic Anterolisthesis is a condition in which one vertebra in the neck (cervical spine) slips forward over the one below it due to underlying disease or degeneration. This abnormal shift can compress nerves, strain ligaments, and alter normal spinal mechanics, causing pain, stiffness, and neurological symptoms. Cervical pathologic anterolisthesis refers to forward slippage of a cervical vertebra relative to its adjacent segment caused by...

Key Takeaways

  • This article explains Anatomy of the Cervical Spine in simple medical language.
  • This article explains Types of Cervical Anterolisthesis in simple medical language.
  • This article explains  Causes in simple medical language.
  • This article explains Symptoms in simple medical language.
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Definition

Pathologic Anterolisthesis is a condition in which one in the neck (cervical spine) slips forward over the one below it due to underlying disease or degeneration. This abnormal shift can compress nerves, , and alter normal spinal mechanics, causing , , and neurological symptoms.

Cervical pathologic anterolisthesis refers to forward slippage of a cervical vertebra relative to its adjacent segment caused by disease processes (, tumors, ) rather than by alone. It disrupts normal alignment, narrows spinal canals or foramina, and may pinch nerve roots or the .

of the Cervical Spine

Understanding anatomy helps explain why anterolisthesis causes symptoms.

  1. Structure & Location

    • The cervical spine has seven labeled C1–C7, starting just below the (C1) and ending above the spine (C7).

  2. Vertebral Body, Pedicles, Laminae, and Facet Joints

    • Each vertebra has a body bearing weight in front, and a bony ring behind (pedicles, laminae) protecting the spinal cord. Facet joints on each side guide motion.

  3. Origins & Insertions (Muscular Attachments)

    • Deep neck muscles (e.g., longus colli) originate on anterior vertebral bodies and insert on transverse processes, stabilizing and flexing the neck.

    • Posterior muscles (e.g., splenius capitis) attach from spinous processes to skull, supporting extension and rotation.

  4. Blood Supply

    • Vertebral travel through transverse foramina of C1–C6, supplying the and spinal cord. Segmental branches feed vertebral bodies.

  5. Nerve Supply

    • Cervical nerve roots exit above corresponding vertebrae (e.g., C5 root exits between C4 and C5). They carry motor and sensory fibers.

  6. Functions

    1. Support: Holds head upright.

    2. Protection: Shields spinal cord and nerve roots.

    3. Mobility: Allows flexion, extension, lateral bending, rotation.

    4. Absorption: Intervertebral discs cushion load.

    5. Motion Guidance: Facet joints direct safe movement.

    6. Neurological Conduit: Houses nerve pathways to arms and upper trunk.

Types of Cervical Anterolisthesis

  • Degenerative: From wear-and-tear arthritis leading to facet joint and disc collapse.

  • Pathologic: Caused by tumors, infections (), or bone disease weakening vertebrae.

  • Isthmic (rare in neck): Stress fractures of the pars interarticularis allow slippage.

  • Traumatic: Acute -, excluded here.

  • : Abnormal development at birth predisposes to slippage.

 Causes

  1. of facet joints

  2. with disc height loss

  3. eroding bone

  4. Tumors (metastatic or primary) weakening vertebrae

  5. Infection (e.g., ) destroying bone

  6. Paget’s disease causing abnormal remodeling

  7. reducing bone strength

  8. Ankylosing spondylitis fusing segments unevenly

  9. Congenital bone dysplasia

  10. Spondylolytic defect (pars fracture)

  11. Spinal cysts eroding bone

  12. Chordoma in cervical spine

  13. Metastatic breast cancer to vertebrae

  14. Lymphoma involving vertebral bodies

  15. Radiation-induced bone necrosis

  16. Long-standing neck strain weakening ligaments

  17. Post-surgical destabilization

  18. High-dose corticosteroids causing osteoporosis

  19. Chronic infection (e.g., Brucella)

  20. Genetic collagen disorders (e.g., Ehlers–Danlos)

Symptoms

  1. Neck pain aggravated by movement

  2. Stiffness limiting rotation

  3. Headaches at base of skull

  4. Radiating arm pain down one or both arms

  5. Paresthesia (tingling) in hands

  6. Muscle weakness in arms or hands

  7. Clumsiness or dropping objects

  8. Gait instability if spinal cord affected

  9. Balance problems

  10. Neck muscle spasms

  11. Reduced reflexes

  12. Hyperreflexia (overactive reflexes) with cord compression

  13. Bowel/bladder changes (severe stenosis)

  14. Neck grinding sensation (crepitus)

  15. Postural changes (head forward)

  16. Pain at night or rest pain

  17. Shoulder blade discomfort

  18. Fatigue from chronic pain

  19. Limited extension (looking up)

  20. Audible clicking on movement

 Diagnostic Tests

  1. Plain X-rays (lateral views with flexion/extension)

  2. CT scan to view bone detail

  3. MRI to assess cord, nerves, discs

  4. Myelography with CT for canal detail

  5. Electromyography (EMG) for nerve function

  6. Nerve conduction study

  7. Bone scan for infection or tumor

  8. DEXA scan for osteoporosis

  9. Blood tests (ESR, CRP for infection)

  10. Tumor markers in blood

  11. Biopsy of suspected tumor

  12. Ultrasound for soft-tissue mass

  13. Flexion/extension radiographs to gauge instability

  14. Dynamic fluoroscopy

  15. Positron emission tomography (PET) for metastasis

  16. CT angiography if vascular involvement suspected

  17. Video fluoroscopic swallowing study if dysphagia

  18. Pulmonary function tests if high cervical lesion

  19. Urinary flow studies if bladder involvement

  20. Genetic testing for collagen disorders

Non-Pharmacological Treatments

  1. Physical therapy for strength and flexibility

  2. Cervical collars for short-term support

  3. Traction therapy to reduce slippage

  4. Heat therapy to relieve muscle spasm

  5. Cold packs for acute pain

  6. Ultrasound therapy for deep heating

  7. Electrical stimulation for muscle re-education

  8. Massage therapy to ease tension

  9. Posture correction exercises

  10. Ergonomic adjustments at work/home

  11. Yoga for gentle stretching

  12. Pilates for core stability

  13. Tai Chi for balance and flow

  14. Acupuncture for pain relief

  15. Chiropractic manipulation (with caution)

  16. Spinal decompression therapy

  17. Hydrotherapy (pool exercises)

  18. Biofeedback for muscle relaxation

  19. Mindfulness meditation for pain coping

  20. Cognitive behavioral therapy to manage chronic pain

  21. Traction pillows at bedtime

  22. Kinesio taping for support

  23. Traction devices for home use

  24. Scar tissue mobilization post-surgery

  25. Nutritional counseling for bone health

  26. Weight management to reduce load

  27. Smoking cessation to improve healing

  28. Sleep hygiene techniques

  29. Orthotic pillows for neck alignment

  30. Patient education on movement mechanics

Drugs

Drug Class Typical Dosage Time Common Side Effects
Ibuprofen NSAID 400–800 mg every 6 hrs With meals Upset stomach, dizziness
Naproxen NSAID 250–500 mg twice daily Morning/Evening Heartburn, headache
Celecoxib COX-2 inhibitor 100–200 mg once or twice daily With food Edema, abdominal pain
Diclofenac gel Topical NSAID Apply 2–4 g 3–4 times daily As needed Local rash, itching
Acetaminophen Analgesic 500–1000 mg every 6 hrs As needed Liver toxicity (overdose)
Gabapentin Anticonvulsant 300 mg at bedtime, titrate up Bedtime Drowsiness, peripheral edema
Pregabalin Anticonvulsant 75 mg twice daily Morning/Evening Dizziness, weight gain
Amitriptyline TCA 10–25 mg at bedtime Bedtime Dry mouth, sedation
Duloxetine SNRI 30 mg once daily Morning Nausea, insomnia
Baclofen Muscle relaxant 5–10 mg 3 times daily With meals Weakness, drowsiness
Cyclobenzaprine Muscle relaxant 5 mg 3 times daily As needed Dry mouth, dizziness
Methocarbamol Muscle relaxant 1500 mg 4 times daily As needed Drowsiness, blurred vision
Prednisone Corticosteroid 5–60 mg daily (taper) Morning Weight gain, osteoporosis
Methylprednisolone Corticosteroid 4–48 mg daily (taper) Morning Mood changes, fluid retention
Oxycodone Opioid 5–10 mg every 4–6 hrs As needed Constipation, sedation
Tramadol Opioid-like 50–100 mg every 4–6 hrs As needed Nausea, dizziness
Lidocaine patch Local anesthetic Apply 1–3 patches daily 12 hrs on/off Skin irritation
Capsaicin cream Topical analgesic Apply thin layer 3–4 times/day As needed Burning sensation
Ketorolac NSAID (IM/IV) 15–30 mg every 6 hrs (max 5 days) In clinic GI bleed, renal impairment
Duloxetine SNRI 60 mg once daily Morning Dry mouth, fatigue

Dietary Supplements

  1. Calcium + Vitamin D – for bone strength

  2. Magnesium – for muscle relaxation

  3. Vitamin C – supports collagen repair

  4. Vitamin K2 – directs calcium to bone

  5. Omega-3 fish oil – reduces inflammation

  6. Glucosamine – may ease joint pain

  7. Chondroitin – supports cartilage health

  8. Turmeric (curcumin) – anti-inflammatory effects

  9. Boswellia serrata – reduces joint swelling

  10. Collagen peptides – may support connective tissue

Surgical Options

  1. Anterior cervical discectomy and fusion (ACDF)

  2. Posterior cervical fusion

  3. Laminectomy for decompression

  4. Foraminotomy to enlarge nerve exits

  5. Disc replacement arthroplasty

  6. Corpectomy to remove vertebral body

  7. Laminoplasty to hinge open lamina

  8. Combined anterior–posterior fusion

  9. Vertebroplasty/kyphoplasty (pathologic fractures)

  10. Tumor resection with stabilization

Prevention Strategies

  1. Maintain good posture (neutral neck)

  2. Ergonomic workstation

  3. Regular neck-strengthening exercises

  4. Avoid heavy backpacks

  5. Use head support when driving

  6. Stop smoking (improves bone health)

  7. Maintain healthy weight

  8. Balanced diet for bone density

  9. Limit repetitive neck stress

  10. Early treatment of neck pain

When to See a Doctor

Seek medical help if you experience:

  • Persistent or worsening neck pain ≥ 2 weeks

  • Radiating arm pain or weakness

  • Numbness, tingling, or loss of coordination

  • Sudden severe pain after minor trauma

  • Changes in bladder/bowel control
    Early evaluation can prevent nerve damage and guide treatment.

Frequently Asked Questions

  1. What exactly causes cervical anterolisthesis?
    It happens when a vertebra slips forward due to degeneration, arthritis, infection, or tumor weakening spine structures.

  2. Can good posture prevent slippage?
    Yes, keeping a neutral neck reduces extra stress on discs and joints.

  3. Is neck traction safe?
    Under professional guidance, traction can relieve pressure and help alignment.

  4. How long does recovery take after fusion surgery?
    Most recover in 3–6 months, but full bone fusion may take up to a year.

  5. Are cervical collars helpful long term?
    Collars can ease pain short term; long-term use may weaken muscles.

  6. Will I need surgery?
    If non-surgical treatments fail and neurologic symptoms worsen, surgery may be recommended.

  7. Can pathologic slippage lead to paralysis?
    In severe spinal cord compression, it can—but early treatment reduces risk.

  8. Is physical therapy enough?
    Many patients improve significantly with targeted PT exercises.

  9. Do I need MRI or CT?
    MRI shows soft tissues and nerves; CT shows bone detail. Your doctor decides.

  10. Which pain medicines work best?
    NSAIDs (e.g., ibuprofen) often help; for severe pain, muscle relaxants or short-term opioids may be used.

  11. Are injections useful?
    Epidural steroid injections can reduce inflammation and pain temporarily.

  12. Can supplements reverse slippage?
    Supplements support bone and joint health but cannot slip vertebrae back in place.

  13. Is anterolisthesis always painful?
    Some have mild slippage without pain; symptoms depend on nerve involvement.

  14. What lifestyle changes help most?
    Posture correction, weight management, regular exercise, and quitting smoking.

  15. How often should I follow up?
    Usually every 3–6 months initially; more often if symptoms change.

Disclaimer: Each person’s journey is unique, treatment plan, life style, food habit, hormonal condition, immune system, chronic disease condition, geological location, weather and previous medical  history is also unique. So always seek the best advice from a qualified medical professional or health care provider before trying any treatments to ensure to find out the best plan for you. This guide is for general information and educational purposes only. Regular check-ups and awareness can help to manage and prevent complications associated with these diseases conditions. If you or someone are suffering from this disease condition bookmark this website or share with someone who might find it useful! Boost your knowledge and stay ahead in your health journey. We always try to ensure that the content is regularly updated to reflect the latest medical research and treatment options. Thank you for giving your valuable time to read the article.

The article is written by Team Rxharun and reviewed by the Rx Editorial Board Members

Last Updated: May 06, 2025.

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  73. MRI in Lumber Disc Degenerative Diseases[rxharun.com]
  74. ARTIFICIAL INTERVERTEBRAL DISCS LUMBAR SPINE[rxharun.com]
  75. 2022985[rxharun.com]
  76. amandersson[rxharun.com]
  77. lumbardischerniation[rxharun.com]
  78. Anaesthesia-for-paediatric-dentistry[rxharun.com]
  79. Developments in intervertebral disc disease research_ pathophysiotherapy[rxharun.com]
  80. 2025.03.13.643128v1.full[rxharun.com]
  81. Lumbar_Disc_Herniation[rxharun.com]
  82. Biomechanics of the Lumbar[rxharun.com]
  83. percutaneous annular puncture[rxharun.com]
  84. The nucleus pulposus microenvironment i[rxharun.com]
  85. Intervertebral Disc Stress [rxharun.com]
  86. degenerative changes of the intervertebral disc[rxharun.com]
  87. Dixon_AR, Mechanical Engineering, PhD, 2022[rxharun.com]
  88. INTERVERTEBRAL DISC DEGENERATION [rxharun.com]
  89. Intervertebral disc degeneration rx[rxharun.com]
  90. Biological Therapeutic Modalities for Intervertebral[rxharun.com]
  91. intervertebral-disc-mechanics-[rxharun.com]
  92. Intervertebral Disc Damage & Repair[rxharun.com]
  93. disc_prolapse_pathology_2016[rxharun.com]
  94. Strontium Ranelate Ameliorates Intervertebral Disc[rxharun.com]
  95. faysal_bas_it,+841_221-223[rxharun.com]
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  1. https://upload-media.rxharun.com/wp-content/uploads/2017/02/Nomenclature.pdf
  2. https://pubmed.ncbi.nlm.nih.gov/27887750/
  3. https://www.ncbi.nlm.nih.gov/books/NBK537139/
  4. https://www.ncbi.nlm.nih.gov/books/NBK537236/
  5. https://www.ncbi.nlm.nih.gov/books/NBK537140/
  6. https://pubmed.ncbi.nlm.nih.gov/30335291/
  7. https://pubmed.ncbi.nlm.nih.gov/30725921/
  8. https://pubmed.ncbi.nlm.nih.gov/30725824/
  9. https://www.ncbi.nlm.nih.gov/books/NBK559006/
  10. https://pubmed.ncbi.nlm.nih.gov/30725825/
  11. https://en.wikipedia.org/wiki/Muscle
  12. https://en.wikipedia.org/wiki/List_of_skeletal_muscles_of_the_human_body
  13. https://medlineplus.gov/ency/imagepages/19841.htm
  14. https://www.britannica.com/science/human-muscle-system
  15. https://training.seer.cancer.gov/anatomy/muscular/types.html
  16. https://www.britannica.com/science/human-muscle-system
  17. https://www.sciencedirect.com/topics/medicine-and-dentistry/skeletal-muscle
  18. https://academic.oup.com/nar/article/32/5/1792/2380623
  19. https://onlinelibrary.wiley.com/journal/10974598
  20. https://medlineplus.gov/skinconditions.html
  21. https://en.wikipedia.org/wiki/Category:Kidney_diseases
  22. https://kidney.org.au/your-kidneys/what-is-kidney-disease/types-of-kidney-disease
  23. https://www.niddk.nih.gov/health-information/kidney-disease
  24. https://www.kidney.org/kidney-topics/chronic-kidney-disease-ckd
  25. https://www.kidneyfund.org/all-about-kidneys/types-kidney-diseases
  26. https://www.aad.org/about/burden-of-skin-disease
  27. https://www.usa.gov/federal-agencies/national-institute-of-arthritis-musculoskeletal-and-skin-diseases
  28. https://www.cdc.gov/niosh/topics/skin/default.html
  29. https://www.mayoclinic.org/diseases-conditions/brain-tumor/symptoms-causes/syc-20350084
  30. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Understanding-Sleep
  31. https://www.cdc.gov/traumaticbraininjury/index.html
  32. https://www.skincancer.org/
  33. https://illnesshacker.com/
  34. https://endinglines.com/
  35. https://www.jaad.org/
  36. https://www.psoriasis.org/about-psoriasis/
  37. https://books.google.com/books?
  38. https://www.niams.nih.gov/health-topics/skin-diseases
  39. https://cms.centerwatch.com/directories/1067-fda-approved-drugs/topic/292-skin-infections-disorders
  40. https://www.fda.gov/files/drugs/published/Acute-Bacterial-Skin-and-Skin-Structure-Infections—Developing-Drugs-for-Treatment.pdf
  41. https://dermnetnz.org/topics
  42. https://www.aaaai.org/conditions-treatments/allergies/skin-allergy
  43. https://www.sciencedirect.com/topics/medicine-and-dentistry/occupational-skin-disease
  44. https://aafa.org/allergies/allergy-symptoms/skin-allergies/
  45. https://www.nibib.nih.gov/
  46. https://www.nei.nih.gov/
  47. https://en.wikipedia.org/wiki/List_of_skin_conditions
  48. https://en.wikipedia.org/?title=List_of_skin_diseases&redirect=no
  49. https://en.wikipedia.org/wiki/Skin_condition
  50. https://oxfordtreatment.com/
  51. https://www.nidcd.nih.gov/health/
  52. https://consumer.ftc.gov/articles/w
  53. https://www.nccih.nih.gov/health
  54. https://catalog.ninds.nih.gov/
  55. https://www.aarda.org/diseaselist/
  56. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets
  57. https://www.nibib.nih.gov/
  58. https://www.nia.nih.gov/health/topics
  59. https://www.nichd.nih.gov/
  60. https://www.nimh.nih.gov/health/topics
  61. https://www.nichd.nih.gov/
  62. https://www.niehs.nih.gov
  63. https://www.nimhd.nih.gov/
  64. https://www.nhlbi.nih.gov/health-topics
  65. https://obssr.od.nih.gov/
  66. https://www.nichd.nih.gov/health/topics
  67. https://rarediseases.info.nih.gov/diseases
  68. https://beta.rarediseases.info.nih.gov/diseases
  69. https://orwh.od.nih.gov/

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Doctor visit helper

Prepare before seeing a doctor

A simple rural-patient checklist to help you explain symptoms clearly, ask better questions, and avoid unsafe self-treatment.

Safety note: This is not a prescription or diagnosis. For severe symptoms, pregnancy danger signs, children with serious illness, chest pain, breathing difficulty, stroke-like weakness, or major injury, seek urgent care.

Which doctor may help?

Orthopedic doctor, spine specialist, neurologist, or physiotherapist depending on severity.

What to tell the doctor

  • Mark pain area and whether pain travels to leg.
  • Write numbness, weakness, bladder/bowel problem, fever, injury, or night pain if present.
  • Bring previous X-ray/MRI and medicine list.

Questions to ask

  • Is this muscle pain, disc problem, nerve pressure, arthritis, infection, or another cause?
  • Do I need X-ray or MRI now?
  • Which activities should I avoid and which exercises are safe?
  • When can I return to work?

Tests to discuss

  • Spine and neurological examination
  • Straight leg raise or similar nerve tension tests
  • X-ray if trauma/deformity/chronic pain is suspected
  • MRI if leg weakness, sciatica, or red flags are present

Avoid these mistakes

  • Avoid heavy lifting, long bed rest, and untrained spinal manipulation.
  • Avoid NSAIDs if ulcer, kidney disease, blood thinner use, pregnancy, or allergy unless doctor says safe.

Medicine safety and first-aid guide

This section is for patient education only. It does not replace a doctor, pharmacist, or emergency care.

Safe first steps

  • Avoid heavy lifting, sudden bending, and prolonged bed rest.
  • Use comfortable posture and gentle movement as tolerated.
  • Discuss physiotherapy, X-ray, or MRI only when clinically needed.

OTC medicine safety

  • For mild back pain, pain-relief medicine may be discussed with a doctor or pharmacist.
  • Avoid repeated painkiller use if you have kidney disease, stomach ulcer, uncontrolled blood pressure, or are taking blood thinners.

Avoid these mistakes

  • Do not start antibiotics without a proper medical decision.
  • Do not use steroid tablets or injections casually for quick relief.
  • Do not delay emergency care because of home remedies.

Get urgent help if

  • Back pain with leg weakness, numbness around private area, loss of urine/stool control, fever, cancer history, or major injury needs urgent care.
Medicine names, dose, and timing must be decided by a qualified clinician or pharmacist after checking age, pregnancy, allergy, other diseases, and current medicines.

For rural patients and family caregivers

Patient health record and symptom diary

Write your symptoms, medicines already taken, test results, and questions before visiting a doctor. This note stays on your device unless you print or copy it.

Doctor to discuss: Orthopedic / spine specialist, physical medicine doctor, or qualified clinician
Tests to discuss with doctor
  • Neurological examination for leg power, sensation, reflexes, and straight leg raise
  • X-ray only if injury, deformity, long-lasting pain, or doctor suspects bone problem
  • MRI discussion if severe nerve symptoms, weakness, bladder/bowel problem, or persistent symptoms
Questions to ask
  • What is the most likely cause of my symptoms?
  • Which warning signs mean I should go to emergency care?
  • Which tests are really needed now?
  • Which medicines are safe for my age, pregnancy status, allergy, kidney/liver/stomach condition, and current medicines?
  • Is physiotherapy, posture correction, or activity modification needed?

Emergency warning signs such as chest pain, severe breathing difficulty, sudden weakness, confusion, severe dehydration, major injury, or loss of bladder/bowel control need urgent medical care. Do not wait for online information.

Safe pathway to proper treatment

Care roadmap for: Cervical Pathologic Anterolisthesis

Use this simple roadmap to understand the next safe steps. It is educational and does not replace examination by a doctor.

Go to emergency care if you notice:
  • Severe or rapidly worsening symptoms
  • Breathing difficulty, chest pain, fainting, confusion, severe weakness, major injury, or severe dehydration
Doctor / service to discuss: Qualified healthcare provider; specialist depends on symptoms and examination.
  1. Step 1

    Check danger signs first

    If danger signs are present, seek emergency care and do not wait for online information.

  2. Step 2

    Record the symptom story

    Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.

  3. Step 3

    Visit a qualified clinician

    A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.

  4. Step 4

    Do only useful tests

    Do tests after clinical assessment. Avoid unnecessary tests, random antibiotics, or repeated medicines without diagnosis.

  5. Step 5

    Follow up and return early if worse

    If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips
  • Take a written symptom diary and all previous prescriptions/test reports.
  • Do not hide medicines already taken, even herbal or over-the-counter medicines.
  • Ask which warning signs mean urgent referral to hospital.

This roadmap is for education. A real diagnosis and treatment plan requires history, examination, and clinical judgment.

Internal learning pathway

Explore related RX articles

Related guides from RX Harun are grouped to help readers move from overview to symptoms, tests, treatment, and safe next steps.

Degenerative Bones, Joints, and Spine Care (A - Z)
  1. Undescended Shoulder Disease DefinitionUndescended shoulder disease is not the usual medical name. Doctors usually call this condition Sprengel deformity,…
  2. Sprengel Deformity DefinitionSprengel deformity is a birth condition in which one shoulder blade?, called the scapula?, stays higher…
  3. High Shoulder Blade DefinitionA high shoulder blade? usually means one shoulder blade sits higher than normal from birth. The…
  4. High Scapula DefinitionHigh scapula? is a condition where one shoulder blade? sits higher than normal on the back…
  5. Upward Displacement of the Scapula DefinitionUpward displacement of the scapula? usually means congenital? elevation of the scapula, which is most often…
  6. Congenital Elevation of Scapula DefinitionCongenital? elevation of scapula? means a baby is born with one shoulder blade? sitting higher than…