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Despite the skeletal adaptations, the cervical spine is strongly resonant of a mammalian heritage with a remarkably similar form and structure to house neurovascular contents and to allow muscular attachments. Despite the skeletal adaptations, the cervical spine is strongly resonant of a mammalian heritage with a remarkably similar form and structure to house neurovascular contents and to allow muscular attachments. Age-adjusted alignment targets in the context of distal junctional kyphosis (DJK) development have yet to be investigated.