Figure 1. Full spine radiographs taken at an outside facility prior to presentation to the chiropractor. In the lateral view (A), the patient is noted to have an anterior head position with loss of the cervical lordosis. There is evidence of suboccipital craniectomy and laminectomy of C1 and C2. In the anteroposterior view (B), 3 scoliotic curvatures are evident, including a 20° levoconvex cervicothoracic curvature (upper Θ), a 20° dextroconvex lumbar curvature (lower Θ), and 13° levoconvex thoracic curvature (not shown).The visible span of the ventriculoperitoneal shunt appears intact in both views (arrows).