[Rational reflection on clinical concept and diagnosis and treatment of cervical kyphosis]

With the rising incidence of cervical kyphosis, the clinical understanding of this condition has evolved. Studies have shown that a subset of asymptomatic individuals exhibit cervical kyphosis, indicating that not all cases represent pathological changes. A thorough understanding of the common causes, underlying mechanisms, and imaging criteria for pathological cervical kyphosis is essential for establishing a tiered treatment model. Proficiency in stiffness assessment, clinical classification systems, and cervical osteotomy techniques is crucial for surgical planning and complication prevention. However, several key issues remain unresolved, including the optimal surgical approach for rigid cervical kyphosis, sagittal alignment correction targets, and long-term postoperative outcomes. Addressing these challenges requires high-quality clinical research to refine treatment strategies and improve patient care.