Roentgenographic Analysis of Cervical Lordosis and Disc Degeneration in Neck Pain Patients with or without Low Back Pain

요통 유무에 따른 경항통 환자의 경추 전만각 퇴행성 변화 비교분석

  • Lee, Sang-Ho (Dept. of Rehabilitation Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Chung, Seok-Hee (Dept. of Rehabilitation Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Lee, Jong-Soo (Dept. of Rehabilitation Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Sung-Soo (Dept. of Rehabilitation Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Shin, Hyun-Dae (Dept. of Rehabilitation Medicine, College of Oriental Medicine, Kyung Hee University)
  • 이상호 (경희대학교 한의과대학 한방재활의학교실) ;
  • 정석희 (경희대학교 한의과대학 한방재활의학교실) ;
  • 이종수 (경희대학교 한의과대학 한방재활의학교실) ;
  • 김성수 (경희대학교 한의과대학 한방재활의학교실) ;
  • 신현대 (경희대학교 한의과대학 한방재활의학교실)
  • Published : 2001.12.20

Abstract

Objectives : To study the cervical lordosis and disc degeneration in neck pain patients with or without low back pain. Subjects. The study was composed of 57 neck pain patients with low back pain(LBP group) and 40 neck pain patients without low back pain(Non-LBP group). Methods : Radiographic measures of spinal lordosis(cervical and lumbar) and disc degeneration were collected, and statistically analyzed. Results: LBP group showed a significant increase in cervical lordotic angle as compared with Non-LBP group, whereas no significant change in cervical disc degeneration. A relationship was found between cervical and lumbar disc degeneration in LBP $group({\gamma}-0.3064)$. Conclusions : The findings from this study suggest that the curvature of the cervical spine is related to the subject's low back pain.

Keywords

References

  1. Spine. v.20 no.12 Analysis of Sagital Spinal Alignment in 100 Asymtomatic Middle and Older Aged Volunteers. Gelb, D.E.;Lenke, L.G.;Bridwell, K.H.;Blank K;McEnery, K.W.
  2. Spine. v.11 Roentgenorgraphic findings of the cervical spine in asymtomatic people Gore, D.R.;Sepic, S.B.;Gardener, G.M.
  3. Low Back Syndrome. Cailliet.
  4. 대한척추외과학회 v.6 no.2 퇴행성 경추질환의 병태생리 김동준
  5. Spine. v.12 no.1 Neck pain: a long-term follow-up of 205 patients. Gore, D.R.;Sepic, S.B.;Gardner, G.M.;Murray, M.P.
  6. J Bone Joint Surg. v.56A Soft-tissue Injuries of the Neck in Automobile Accidents Hohl M
  7. Spine. v.22 no.13 Radiographic standing cervical segmental alignment in adult volunteers without neck symptoms. Hardacker, J.W.;Shuford, R.F.;Capicotto, P.N.;Pryor, P.W.
  8. Injury v.29 no.10 Cervical curvature in acute whiplash injuries: prospective comparative study with asymptomatic subjects. Mastsumtoto M.;Fujimura Y;Suzuki N;Toyama Y;Shiga H.
  9. J Neurosurg v.94 no.(1 SUP.) Effects of cervical spine posture on axial load bearing ability: a biomechanical study Oktenoglu T;Ozer, A.F.;Ferrara, L.A.;Andalkar N;Sarioglu, A.C.;Benzel, E.C.
  10. Spine. v.22 no.8 Apophysial Joint Degeneration, Disc Degeneration, and Sagittal Curve of the Cervical Spine. Cote P;Cassidy, J.D.;Yong-Hing K;Sibley J;Loewy J.
  11. Motion Palpation and Chiropractic Technique. Schafer, R.C.;Faye, L.J.
  12. Spine. v.13 no.5 The Vertical Stability of the Cervical Spine. Pal, G.P.;Sherk, H.H.
  13. Chiropractic Technique. Bergmann, T.F.;Peterson, D.H.;Lawrence, D.J.
  14. J Manipulative Physiol Ther v.22 Prevalence of hyperplastic articular pillars in the cervical spine and relationship with cervical lordosis Peterson, C.K.;Kirk, R.J.;Isdahl M;Humphrey, B.K.
  15. J Manipulative Physiol Ther v.16 no.9 The Curve of the Cervicall Spine: variations and Significance Gay, R.E.
  16. Spine. no.6 Comparisons of lordotic cervical spine curvatures to a theoretical ideal model of the static sagittal cervical spine. Harrison, D.D.;Janik, T.J.;Troyanovich, S.J.;Holland B.
  17. J Bone Joint Surg(Am) v.76 The Straight Cervical Spine: Does it indicate musle spasm? Helliwell, P.S.;Evans, P.F.;Wright V.
  18. Eur Spine J. v.10 Slight Head Extensiion: Does It Change the Sagittal Cervical Curve? Harrison, D.E.;Harrison, D.D.;Janik, T.J.;Holland B;Siskin, L.A.
  19. Disorders of the cervical spine. Bland J.
  20. Spine v.12 A new clinical model for the treatment of low-back pain. Waddel G.
  21. Spine. v.21 The Influence of Different Sitting Positions on Cervical and Lumbar Posture Black, K.M.;McClure P;Polansky M
  22. Radiology v.168 Imaging of degenerative disk disease Modic, M.T.;Masaryk, T.J.
  23. 계명의대논문집 v.10 no.4 경추의 퇴행성 변화와 추간판 탈출증에 의한 이차적 소견의 자기공명 영상 우영훈;주양구
  24. Spine v.7 Syopsis Workshop of Idiopathic Low-back Pain. White, A.A.;Gordon, S.L.
  25. Neurosurgery. v.22 no.5 Analysis of Cervical Spine Curature in Patients with Cervical Spondylosis Batzdorf U;Batzdorff A
  26. J Bone Joint Surg v.45A Degenerative Disc Disease of the Cervical Spine: A Comparative Study of Asymtomatic and Symptomatic Patients. Friedenberg, Z.B.;Miller, W.T.
  27. Ann Rheum Dis. v.28 Disc Degeneration: Its Frequency and Relationship to Symptoms. Lawrence, J.s.