Kudo Y, Toyone T, Endo K, et al. - Researchers tried to find out the surgical outcomes of the dropped head syndrome (DHS), including the correction of cervical and global spinal sagittal alignment. A retrospective observational study was conducted to include a total of 15 patients with DHS who underwent correction surgery. They evaluated surgical outcomes, including complications and implant failures. They evaluated cervical alignment parameters as well as spinopelvic global alignment parameters, including pelvic incidence (PI), lumbar lordosis (LL), and C7-sacral sagittal vertical axis (SVA). The pre- and postoperative whole spine lateral radiographs were applied to analyze the changes in these parameters. The data imply that the global sagittal alignment parameters, including PI-LL and SVA, were different between the individuals with failure and non-failure, and these parameters might have notable effects on surgical outcomes. For patients with DHS, surgeons should recognize PI-LL and SVA while determining the surgical course.