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The Relationship of Cervical Spine Curvature and Neck Pain  

Jung, Doo-Young (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Hee University)
Kim, Sung-Soo (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Hee University)
Chung, Seok-Hee (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Hee University)
Lee, Jong-Soo (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Hee University)
Publication Information
Journal of Korean Medicine Rehabilitation / v.21, no.2, 2011 , pp. 239-252 More about this Journal
Abstract
Objectives : To investigate and compare the curvature of the cervical spine for the neck pain patients and asymptomatic participants. Methods : Clinical study was carried out for 64 neck pain patients in Conmaul oriental hospital and 56 asymptomatic volunteers. Cervical spine curvature was measured by 7 types of measuring methods. Results : Curvature angles of the cervical spine were significantly lower in the patients group(p<0.05). In segmental analysis of curvature, segmental curvature of C3-C4 were significantly lower in the patients group. There is no significant relationship among the classifications by the types of cervical spine curvature in the 2 groups. Conclusions : The results suggest that the cervical spines of neck pain patients are straightened and kyphotic and most of cervical curvature decrease are occurred at middle cervical spine.
Keywords
Cervical spine curvature; Neck pain; Cervical curvature decrease;
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1 Broberg KB. On the mechanical behaviour of intervertebral discs. Spine. 1983;8(2):151-65.   DOI   ScienceOn
2 Bagnall KM, Harris PF, Jones PRM. A radiographic study of the human foetal spine I. The development of the secondary cervical curvature. J Anat. 1977;123:777-82.
3 Kasai T, Ikata T, Katoh S, Miyake R, Tsubo M. Growth of the cervical spine with reference to its lordosis and mobility. Spine. 1996;21:2067-73.   DOI   ScienceOn
4 Kapandji I. A. 관절생리학 3권. 5판. 서울:영문출판사. 2001:14-5.
5 Robert Maigne. 최훈 역. 척추 통증의 진단과 치료. 서울:군자출판사. 2001:6-7.
6 John HJ, Sydney MM, Gomer WR. Roentgenographic variations in the normal cervical spine. Radiology. 1962;78:591-7.   DOI
7 Calliet R. Neck and arm pain. FA Davis. 1991:348-67.
8 Harrison DE, Harrison DD, Troyanovich SJ, Harmon S. A normal spinal position: it"s time to accept the evidence. J Manipulative Physiol Ther. 2000;23(9):623-44.   DOI   ScienceOn
9 Katsumura A, Kukuda S, Imanaka T, Miyamoto K, Kanemoto M. Anterior cervical plate used in degenerative disease can maintain cervical lordosis. J Spinal Disord. 1996;9:470-76.
10 Kawakami M, Tamaki T, Yoshida M, Hayashi N, Ando M, Yamada H. Axial symptoms and cervical alignments after cervical anterior spinal fusion for patients with cervical myelopathy. J Spinal Disord. 1999;12:50-6.
11 Matsunaga S, Sakou T, Sunahara N, Oonishi T, Maeda S, Nakanisi K. Biomechanical analysis of buckling alignment of the cervical spine. Spine. 1997;22:765-71.   DOI   ScienceOn
12 Harrison DD, Troyanovich SJ, Harrison DE, Janik TJ, Murphy DJ. A normal sagittal spinal configuration: a desirable clinical outcome. J Manipulative Physiol Ther. 1996;19:398-405.
13 Cote P, Cassidy JD, Yong-Hing K, Sibley J, Loewy J. Apophysial joint degeneration, disc degeneration, and sagittal curve of the cervical spine. Spine. 1997;22:859-64.   DOI   ScienceOn
14 Weir DC. Roentgenographic signs of cervical injury. Clin Orthop Relat Res. 1975;109:9-17.   DOI
15 Visscher CM, de Boer W, Naeije M. The relationship between posture and curvature of the cervical spine. Manipulative Physiol Ther. 1998;21:388-91.
16 Peterson CK, Kirk RJ, Isdahl M, Humphrey BK. Prevalence of hyperplastic articular pillars in the cervical spine and relationship with cervical lordosis. Manipulative Physiol Ther. 1999;22(6):390-4.   DOI   ScienceOn
17 Gore DR, Sepic SB, Gardner GM. Roentgenographic findings of the cervical spine in asymptomatic people. Spine. 1986;11:521-4.   DOI   ScienceOn
18 Yochum, Terry R. Essentials of skeletal radiology. Williams & Wilkins. 1987:54.
19 Mayoux-Benhamou MA, Revel M, Vallee C. Longus colli has a postural function on cervical curvature. Surg Radiol Anat. 1994;16:367-71.   DOI   ScienceOn
20 Ishihara A. Roentgenographic studies on the normal pattern of the cervical curvature. Nippon Seikeigeka Gakkai Zasshi(Journal Jpn Orthop Assoc). 1968;42:1033-44.
21 박상욱, 장영욱, 김성식, 장기언. 경부통 환자에서 세가지 측정법에 의한 경추 전만의 변화. 대한재활의학회지. 2000;24(4):756-64.
22 Harrison DD. Chiropractic the physics of spinal corrention. National Library of Medicine. 1986:319.
23 Yamazaki A, Homma T, Uchiyama S, Katsumi Y, Okumura H. Morphologic limitations of posterior decompression by midsagittal splitting method for myelopathy caused by ossification of the posterior longitudinal ligament in the cervical spine. Spine. 1999;24(1):32-4.   DOI   ScienceOn
24 Borden AGB, Rechtman AM, Gershon-Cohen J. The normal cervical lordosis. Radiology. 1960;74:806-9.   DOI
25 Jocumsen OH. The curve of the cervical spine. ACA J Chiro. 1970:49.
26 Jackson R. The Cervical Syndrome. Charles C. Thomas. 1957.
27 Uematsu Y, Tokuhashi Y, Matsuzaki H. Radiculopathy after laminoplasty of the cervical spine. Spine. 1998;23(19):2057-62.   DOI   ScienceOn
28 Baba H, Maezawa Y, Furusawa N. Flexibility and alignment of the cervical spine after laminoplasty for spondylotic myelopathy. Int Orthop. 1995;19:116-21.
29 Hardacker JW, Shuford RF, Capicotto PN. Radiographic standing cervical segmental alignment in adult volunteers without neck symptoms. Spine. 1997;22:1472-80.   DOI   ScienceOn
30 Harrison DD, Janik TJ, Troyanovich SJ. Comparisons of lordotic cervical spine curvatures to a theoretical ideal model of the static sagittal cervical spine. Spine. 1996;21:667-75.   DOI   ScienceOn
31 Saruhashi Y, Hukuda S, Katsuura A, et al. A long-term follow-up study of cervical spondylotic myelopathy treated by French Window laminoplasty. J Spinal Disord. 1999;12:99-101.
32 Chemukha KV, Daffner RH, Reigel DH. Lumbar lordosis measurement: a new method versus Cobb technique. Spine. 1998;23(1):74-80.   DOI   ScienceOn
33 Drexler L. Rontgenanatmische untersuchringen uber Form und Krumning der Halswirbelsaule in den Verscchiedenen Lebensaltern, Stuttgart, Hippokrates. 1962.
34 William MC, John AG, Richard L. Twelve significant signs of cervical spine trauma. Skeletal Radiology. 1979;3:201-5.   DOI   ScienceOn
35 Juhl JH, Miller SM, Roberts GW. Roentgenographic variations in the normal cervical spine. Radiology. 1962;78:591-7.   DOI
36 Haas M, Taylor JAM, Gillete RG. The routine use of radiographic spinal displacement analysis: a dissent. J Manipulative Physiol Ther. 1999;22:254-9.   DOI   ScienceOn
37 Matsumoto M, Fujimura Y, Suzaki N, Toyama Y, Shiga H. Cervical curvature in acute whiplash injuries: prospective comparative study with asymptomatic subjects. Injury. 1998;29(10):775-8.   DOI   ScienceOn
38 Helliwell PS, Evans PF, Wright VJ. The straight cervical spine: does it indicate muscle spasm? Bone Joint Surg Br. 1994;76(1):103-6.
39 Mamairas C, Barnes MR, Allen MJ. "Whiplash injuries" of the neck: a retrospective study. Injury. 1988;19:393-6.   DOI   ScienceOn
40 Pedersen PL. A prospective pilot study of the shape of cervical hypolordosis. Eur J Chiropr. 1990;38:148-63.
41 Marshall DL, Tuchin PJ. Correlation of cervical lordosis measurement with incidence of motor vehicle accidents. J Austr Chiropr Osteopathy. 1996;5:79-85.
42 Gay RE. The curve of the cervical spine: variations and significance. J Manipulative Physiol Ther. 1993;16:591-4.
43 Harrison DD, Harrison DLJ. Pathological stress formations on the anterior vertebral body in the cervicals. In: Suh CH(ed). The Proceedings of the 14th Annual Biomechanics Conference on the Spine. Mechanical Engineering Department, University of Colorado. 1983:31-50.
44 Harrison DE, Cailliet R, Harrison DD, Janik TJ, Holland B. A new 3-point bending traction method for restoring cervical lordosis and cervical manipulation: a non-randomized clinical controlled trial. Arch Phys Med Rehabil. 2002;83:447-53.   DOI   ScienceOn
45 Harrison DE, Harrison DD, Betz JJ, Janik TJ, Holland B, Colloca CJ. Increasing the cervical lordosis with chiropractic biophysics seated combined extension-compression and transverse load cervical tractiion with cervical manipulation: nonrandomized clinical control trial. J Manipulative Physiol Ther. 2003;26(3):139-51.   DOI   ScienceOn
46 Braaf MM, Rosner S. Trauma of the cervical spine as a cause of chronic headache. J Trauma. 1975;15:441-6.   DOI   ScienceOn
47 Batzdorf U, Batzdorff A. Analysis of cervical spine curvature in patients with cervical spondylosis. Neurosurgery. 1988;22(5):827-36.   DOI
48 Polly DW, Kilkelly FX, McHale KA, Asplund LM, Mulligan M, Chang AS. Measurement of lumbar lordosis: evaluation of intraobserver, interobserver, and technique vatiability. Spine. 1996;21:1530-6.   DOI   ScienceOn
49 Nagasawa A, Sakakibara T, Takahashi A. Roentgenographic findings of the cervical spine in tension-type headache. Headache. 1993;33:90-5.   DOI   ScienceOn
50 Goto S, Kita T. Long-term follow-up evaluation of surgery for ossification of the posterior longitudinal ligament. Spine. 1995;20:2247-56.   DOI   ScienceOn
51 Hohl M. Soft-tissue injuries of the neck in automobile accidents. J Bone Joint Surg Am. 1974;56A:1675-82.
52 Norris SH, Watt I. The prognosis of neck injuries resulting from rear-end vehicle collisions. J Bone Joint Surg Br. 1983;65B:608-11.
53 Harrison DE, Harrison DD, Cailliet R, Troyanovich SJ, Janik TJ, Holland B. Cobb method or Harrison posterior tangent method: which to choose for lateral cervical radiographic analysis. Spine. 2000;25(16):2072-8.   DOI   ScienceOn