Correlation between kinematic sagittal parameters of the cervical lordosis or head posture and disc degeneration in patients with posterior neck pain

The purpose of this retrospective cross-sectional study was to examine the degrees of the cervical disc degeneration and the parameters of cervical sagittal balance in plain radiographs, representing cervical lordosis or head posture in subjects with posterior neck pain. A total of 113 patients with...

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Autores principales:	Lee Hyo Jeong, Jeon Dae Geun, Park Jung Hyun
Formato:	article
Lenguaje:	EN
Publicado:	De Gruyter 2021
Materias:	cervical vertebrae intervertebral disc degeneration kyphosis lordosis neck pain Medicine R
Acceso en línea:	https://doaj.org/article/eb9d29cd25144b27acba6541a8c5693c
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spelling	oai:doaj.org-article:eb9d29cd25144b27acba6541a8c5693c2021-12-05T14:10:54ZCorrelation between kinematic sagittal parameters of the cervical lordosis or head posture and disc degeneration in patients with posterior neck pain2391-546310.1515/med-2021-0219https://doaj.org/article/eb9d29cd25144b27acba6541a8c5693c2021-01-01T00:00:00Zhttps://doi.org/10.1515/med-2021-0219https://doaj.org/toc/2391-5463The purpose of this retrospective cross-sectional study was to examine the degrees of the cervical disc degeneration and the parameters of cervical sagittal balance in plain radiographs, representing cervical lordosis or head posture in subjects with posterior neck pain. A total of 113 patients with posterior neck pain with or without radiating pain were analyzed. The kinematic sagittal parameters of cervical radiographs were obtained at the occipito–cervical (O–C2) angle, sagittal Cobb’s angles of C1–C2, C2–C7, and sagittal vertical axis (SVA) of C1–C7 and C2–C7. Cervical disc degeneration was evaluated using the sum of Pfirrmann grades and total modified Matsumoto scores calculated from MRI of the cervical spine. A significant positive correlation was found for the C2–C7 angle using the sum of the Pfirrmann grades and total modified Matsumoto scores, whereas the O–C2 angle and the C1–C2 angle were negatively correlated. The sagittal cervical parameters representing cervical kyphosis and jaw lifting posture were found to be significantly correlated with the degree of cervical disc degeneration. These findings suggest that the loss of the natural sagittal lordosis of the cervical spine may contribute to the progression of disc degeneration, rather than the forward head posture.Lee Hyo JeongJeon Dae GeunPark Jung HyunDe Gruyterarticlecervical vertebraeintervertebral disc degenerationkyphosislordosisneck painMedicineRENOpen Medicine, Vol 16, Iss 1, Pp 161-168 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cervical vertebrae intervertebral disc degeneration kyphosis lordosis neck pain Medicine R
spellingShingle	cervical vertebrae intervertebral disc degeneration kyphosis lordosis neck pain Medicine R Lee Hyo Jeong Jeon Dae Geun Park Jung Hyun Correlation between kinematic sagittal parameters of the cervical lordosis or head posture and disc degeneration in patients with posterior neck pain
description	The purpose of this retrospective cross-sectional study was to examine the degrees of the cervical disc degeneration and the parameters of cervical sagittal balance in plain radiographs, representing cervical lordosis or head posture in subjects with posterior neck pain. A total of 113 patients with posterior neck pain with or without radiating pain were analyzed. The kinematic sagittal parameters of cervical radiographs were obtained at the occipito–cervical (O–C2) angle, sagittal Cobb’s angles of C1–C2, C2–C7, and sagittal vertical axis (SVA) of C1–C7 and C2–C7. Cervical disc degeneration was evaluated using the sum of Pfirrmann grades and total modified Matsumoto scores calculated from MRI of the cervical spine. A significant positive correlation was found for the C2–C7 angle using the sum of the Pfirrmann grades and total modified Matsumoto scores, whereas the O–C2 angle and the C1–C2 angle were negatively correlated. The sagittal cervical parameters representing cervical kyphosis and jaw lifting posture were found to be significantly correlated with the degree of cervical disc degeneration. These findings suggest that the loss of the natural sagittal lordosis of the cervical spine may contribute to the progression of disc degeneration, rather than the forward head posture.
format	article
author	Lee Hyo Jeong Jeon Dae Geun Park Jung Hyun
author_facet	Lee Hyo Jeong Jeon Dae Geun Park Jung Hyun
author_sort	Lee Hyo Jeong
title	Correlation between kinematic sagittal parameters of the cervical lordosis or head posture and disc degeneration in patients with posterior neck pain
title_short	Correlation between kinematic sagittal parameters of the cervical lordosis or head posture and disc degeneration in patients with posterior neck pain
title_full	Correlation between kinematic sagittal parameters of the cervical lordosis or head posture and disc degeneration in patients with posterior neck pain
title_fullStr	Correlation between kinematic sagittal parameters of the cervical lordosis or head posture and disc degeneration in patients with posterior neck pain
title_full_unstemmed	Correlation between kinematic sagittal parameters of the cervical lordosis or head posture and disc degeneration in patients with posterior neck pain
title_sort	correlation between kinematic sagittal parameters of the cervical lordosis or head posture and disc degeneration in patients with posterior neck pain
publisher	De Gruyter
publishDate	2021
url	https://doaj.org/article/eb9d29cd25144b27acba6541a8c5693c
work_keys_str_mv	AT leehyojeong correlationbetweenkinematicsagittalparametersofthecervicallordosisorheadpostureanddiscdegenerationinpatientswithposteriorneckpain AT jeondaegeun correlationbetweenkinematicsagittalparametersofthecervicallordosisorheadpostureanddiscdegenerationinpatientswithposteriorneckpain AT parkjunghyun correlationbetweenkinematicsagittalparametersofthecervicallordosisorheadpostureanddiscdegenerationinpatientswithposteriorneckpain
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Correlation between kinematic sagittal parameters of the cervical lordosis or head posture and disc degeneration in patients with posterior neck pain

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