Cervical & Lumbar Instability: A Morphology-First CBP Case Analysis

In this July 07, 2026 Refining Room recap, Dr. Jason Miller presents a complex case involving a 30-year-old male experiencing an acute neck and upper-back pain flare-up, recurrent episodes, restricted cervical motion, and longstanding lower-back discomfort.

In this episode

• How to apply a five-step, ground-up approach to complex spinal analysis

• Why pelvic morphology must be evaluated before interpreting lumbar alignment

• Cervical sigmoid presentation, abnormal coupling patterns, and signs suggesting previous snap-through buckling

• Identifying cervical and lumbar instability before flexion-extension imaging is available

• Significant thoracic hyperkyphosis, lumbar hyperlordosis, and lumbar scoliosis

• Why acute and unstable cases may require crisis care before corrective procedures begin

• Treatment precautions when excessive joint motion and instability are suspected

• Using corrective potential X-rays to evaluate flexibility, rigidity, postural sequencing, and corrective-care options

Watch the full Refining Room session in Video Gallery 2.0 for the complete case review, radiographic analysis, treatment recommendations, and participant discussion.

This AI-produced recap is grounded in the original session transcript and is intended to reinforce—not replace—the full session, instructor guidance, or independent clinical judgment.