Differential Diagnosis for Straightening of the Normal Cervical Lordosis
Single Most Likely Diagnosis
- Musculoskeletal strain or sprain: This is often the most common cause of straightening of the normal cervical lordosis, resulting from muscle or ligament injury, usually due to trauma, poor posture, or overuse.
Other Likely Diagnoses
- Cervical spondylosis: A condition involving wear and tear on the discs in the neck, which can lead to loss of the normal cervical lordosis.
- Herniated cervical disc: A condition where the soft inner gel of the disc leaks out through a tear in the outer layer, potentially causing pain and altering the cervical spine's curvature.
- Cervical spine fracture: A break in one of the cervical vertebrae, which can occur due to trauma and may result in the loss of the normal cervical lordosis.
Do Not Miss Diagnoses
- Spinal cord injury or compression: Conditions such as spinal cord compression or injury can lead to serious neurological deficits and require immediate medical attention.
- Infection (e.g., osteomyelitis, discitis): Infections of the spine can cause severe pain, fever, and potentially life-threatening complications if not promptly treated.
- Tumor (e.g., metastatic disease): Tumors in the cervical spine can cause pain, neurological symptoms, and alterations in spinal curvature, necessitating early diagnosis and treatment.
Rare Diagnoses
- Rheumatoid arthritis: Although more commonly associated with the hands and feet, rheumatoid arthritis can also affect the cervical spine, leading to instability and loss of lordosis.
- Diffuse idiopathic skeletal hyperostosis (DISH): A condition characterized by calcification and thickening of ligaments and tendons, which can affect the cervical spine and alter its curvature.
- Scheuermann's disease: A rare condition that affects the spine, leading to kyphosis (forward rounding) of the thoracic spine, but can also affect the cervical region, causing an abnormal curvature.