Can the spine remain neutral if the pelvis is not?

The spine generally cannot remain neutral if the pelvis is not. Neutral spine alignment relies on proper positioning of the pelvis. When the pelvis is tilted, it can cause the lumbar spine to be either flexed or extended, which disrupts the natural curvature of the spine. A neutral spine is characterized by its three natural curves: the cervical, thoracic, and lumbar curves, which should be maintained through proper pelvic positioning. If the pelvis is not in a neutral alignment—whether it is anteriorly or posteriorly tilted—the impact on the spine's alignment is direct, leading to strain, misalignment, and potential injury. Therefore, both the pelvic position and spinal alignment are interconnected and crucial for maintaining proper biomechanics during movement.