Journal of Korean Neurosurgical Society

  • 제53권2호
  • /
  • Pages.89-95
  • /
  • 2013
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

Prevalence of Disc Degeneration in Asymptomatic Korean Subjects. Part 2 : Cervical Spine

  • Lee, Tae Hoon (Department of Neurosurgery, 21st Century Hospital) ;
  • Kim, Sang Jin (Department of Neurosurgery, Ewha Womans University School of Medicine, Mokdong Hospital) ;
  • Lim, Soo Mee (Department of Radiology, Ewha Womans University School of Medicine, Mokdong Hospital)
  • 투고 : 2012.06.14
  • 심사 : 2013.02.04
  • 발행 : 2013.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective : Similar to back pain, neck pain has recently shown to have increasing prevalence. Magnetic resonance imaging (MRI) is useful in identifying the causes of neck pain. However, MRI shows not only pathological lesions but also physiological changes at the same time, and there are few Korean data. The authors have attempted to analyze the prevalence of disc degeneration in highly selective asymptomatic Korean subjects using MRI. Methods : We performed 3 T MRI sagittal scans from C2 to T1 on 102 asymptomatic subjects (50 men and 52 women) who visited our hospital between the ages of 14 and 82 years (mean age 46.3 years). All images were read independently by three observers (two neurosurgeons and one neuroradiologist) who were not given any information about the subjects. We classified grading for cervical disc herniation (HN), annular fissure (AF), and nucleus degeneration (ND), using disc degeneration classification. Results : The prevalence of HN, AF, and ND were 81.0%, 85.9%, and 95.4%, respectively. High prevalence of HN, AF, and ND was shown compared to previous literature. Conclusion : In asymptomatic Korean subjects, the abnormal findings of 3 T MRI showed a high prevalence in HN, AF, and ND. Several factors might play important roles in these results, such as population-specific characters, MRI field strength, and disc degeneration grading system.

키워드

참고문헌

  1. Aprill C, Bogduk N : High-intensity zone : a diagnostic sign of painful lumbar disc on magnetic resonance imaging. Br J Radiol 65 : 361-369, 1992 https://doi.org/10.1259/0007-1285-65-773-361
  2. Boden SD, McCowin PR, Davis DO, Dina TS, Mark AS, Wiesel S : Abnormal magnetic-resonance scans of the cervical spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am 72 : 1178-1184, 1990
  3. Boos N, Rieder R, Schade V, Spratt KF, Semmer N, Aebi M : 1995 Volvo Award in clinical sciences. The diagnostic accuracy of magnetic resonance imaging, work perception, and psychosocial factors in identifying symptomatic disc herniations. Spine (Phila Pa 1976) 20 : 2613-2625, 1995 https://doi.org/10.1097/00007632-199512150-00002
  4. Brant-Zawadzki MN, Jensen MC, Obuchowski N, Ross JS, Modic MT : Interobserver and intraobserver variability in interpretation of lumbar disc abnormalities. A comparison of two nomenclatures. Spine (Phila Pa 1976) 20 : 1257-1263; discussion 1264, 1995
  5. Christe A, Läubli R, Guzman R, Berlemann U, Moore RJ, Schroth G, et al. : Degeneration of the cervical disc : histology compared with radiography and magnetic resonance imaging. Neuroradiology 47 : 721-729, 2005 https://doi.org/10.1007/s00234-005-1412-6
  6. Fejer R, Kyvik KO, Hartvigsen J : The prevalence of neck pain in the world population : a systematic critical review of the literature. Eur Spine J 15 : 834-848, 2006 https://doi.org/10.1007/s00586-004-0864-4
  7. Fries P, Runge VM, Kirchin MA, Watkins DM, Buecker A, Schneider G : Magnetic resonance imaging of the spine at 3 Tesla. Semin Musculoskelet Radiol 12 : 238-252, 2008 https://doi.org/10.1055/s-0028-1083107
  8. Griffith JF, Wang YX, Antonio GE, Choi KC, Yu A, Ahuja AT, et al. : Modified Pfirrmann grading system for lumbar intervertebral disc degeneration. Spine (Phila Pa 1976) 32 : E708-E712, 2007 https://doi.org/10.1097/BRS.0b013e31815a59a0
  9. Harris RI, Macnab I : Structural changes in the lumbar intervertebral discs; their relationship to low back pain and sciatica. J Bone Joint Surg Br 36-B : 304-322, 1954
  10. Masaryk TJ, Ross JS, Modic MT, Boumphrey F, Bohlman H, Wilber G : High-resolution MR imaging of sequestered lumbar intervertebral disks. AJR Am J Roentgenol 150 : 1155-1162, 1988 https://doi.org/10.2214/ajr.150.5.1155
  11. Matsumoto M, Fujimura Y, Suzuki N, Nishi Y, Nakamura M, Yabe Y, et al. : MRI of cervical intervertebral discs in asymptomatic subjects. J Bone Joint Surg Br 80 : 19-24, 1998 https://doi.org/10.1302/0301-620X.80B1.7929
  12. Miyazaki M, Hong SW, Yoon SH, Morishita Y, Wang JC : Reliability of a magnetic resonance imaging-based grading system for cervical intervertebral disc degeneration. J Spinal Disord Tech 21 : 288-292, 2008 https://doi.org/10.1097/BSD.0b013e31813c0e59
  13. Teresi LM, Lufkin RB, Reicher MA, Moffit BJ, Vinuela FV, Wilson GM, et al. : Asymptomatic degenerative disk disease and spondylosis of the cervical spine : MR imaging. Radiology 164 : 83-88, 1987 https://doi.org/10.1148/radiology.164.1.3588931

피인용 문헌

  1. Prevalence of Disc Degeneration in Asymptomatic Korean Subjects. Part 3 : Cervical and Lumbar Relationship vol.53, pp.3, 2013, https://doi.org/10.3340/jkns.2013.53.3.167
  2. Nonoperative interventions for spinal pain vol.57, pp.4, 2013, https://doi.org/10.5124/jkma.2014.57.4.308
  3. Role of Diffusion Tensor MR Imaging in Degenerative Cervical Spine Disease: a Review of the Literature vol.26, pp.3, 2016, https://doi.org/10.1007/s00062-015-0467-y
  4. Level of Education as a Risk Factor for Extensive Prevalence of Cervical Intervertebral Disc Degenerative Changes and Chronic Neck Pain vol.25, pp.3, 2013, https://doi.org/10.21101/cejph.a4897
  5. Whole Spine Disc Degeneration Survey according to the Ages and Sex Using Pfirrmann Disc Degeneration Grades vol.14, pp.4, 2017, https://doi.org/10.14245/kjs.2017.14.4.148
  6. Degenerative Lumbar Spine Disease: Estimating Global Incidence and Worldwide Volume vol.8, pp.8, 2013, https://doi.org/10.1177/2192568218770769
  7. Cervical Ultrasound Utilization in Selective Cervical Nerve Root Injection for the Treatment of Cervical Radicular Pain: a Review vol.7, pp.4, 2013, https://doi.org/10.1007/s40141-019-00248-1
  8. Evaluation of the Source and Quality of Information Regarding Cervical Disc Herniation on Websites vol.27, pp.2, 2020, https://doi.org/10.4184/jkss.2020.27.2.77
  9. Minor Structural Differences in the Cervical Spine Between Patients With Cervical Dystonia and Age-Matched Healthy Controls vol.11, pp.None, 2013, https://doi.org/10.3389/fneur.2020.00472