Upper Cross Syndrome is associated with which spinal posture changes?

• A. Scoliosis
• B. Neutral spine
• C. Excessive kyphosis at cervical and lumbar spine, lordosis at thoracic
• D. Excessive lordosis at cervical and lumbar spine, kyphosis at thoracic

Answer: (D)

In Upper Cross Syndrome, postural imbalances around the shoulder girdle and neck shift the spine into a distinctive pattern in the sagittal plane. The forward head and rounded shoulders tend to drive the cervical region into extension, increasing cervical lordosis, while the upper back rounds more, increasing thoracic kyphosis. To keep the pelvis and trunk balanced over the feet, the lumbar spine often compensates with increased lordosis as well. Put together, the posture shows excessive lordosis in the cervical and lumbar regions with kyphosis in the thoracic region. This combination aligns with the classic UCS pattern.