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Study Design A prospective case-control study. Purpose To determine the effect of axial loading on the cervical spine when weights are carried on the head. Overview of Literature Traditionally, carrying weights on the head has been a common practice in developing countries. The laborers working in agriculture, construction, and other industries, as well as porters at railway platforms, are required to lift heavy weights. Since controversy exists regarding carrying weights on the head, we decided to evaluate its effect on the cervical