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Ziad Bakouny, Nour Khalil, Joeffroy Otayek, Aren Joe Bizdikian, Fares Yared, Michel Salameh, Naji Bou Zeid, Ismat Ghanem, Khalil Kharrat, Gaby Kreichati, Renaud Lafage, Virginie Lafage and Ayman Assi

cervical spine, asymptomatic adults have recently been shown to present with both cervical lordosis and cervical kyphosis. 10 The Ames–International Spine Study Group (ISSG) classification’s sagittal cervical alignment modifiers describe cervical deformity patients as having a nonhorizontal gaze, an anteriorly projected C-2 vertebra, and a cervical curvature that does not sufficiently compensate for the TS. 2 However, there have been no studies to determine whether the cervical anomalies described in the Ames-ISSG classification overlap with the variations in cervical