Abnormal Findings on Magnetic Resonance Images of the Cervical Spines in 1211 Asymptomatic Subjects

Nakashima, Hiroaki; Yukawa, Yasutsugu; Suda, Kota; Yamagata, Masatsune; Ueta, Takayoshi; Kato, Fumihiko

doi:10.1097/brs.0000000000000775

Cited by 130 publications

(82 citation statements)

References 19 publications

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“…Asemptomatik bireylerde birçok anormal MR bulgusu fark edildiğinden, MR görüntülerinin yorumlanması önemlidir. [18] …”

Section: Mrunclassified

Servikal diskojenik ağrılar

Cebesoy¹,

Konukoğlu²

2017

TOTBID

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Her beş ortopedik muayeneden bir tanesinin servikal diskojenik ağrı ile ilgili ve bu ağrıların da %75 kadarı-nın C5-C6 ve C6-C7 kökenli olduğu saptanmıştır. En sık tutulan sinir kökünün C7 olduğu görülmüştür. [3] Servikal diskojenik ağrı sendromu, öncelikle proksimal semptomlarla başlayıp, zamanla distal bölgeleri etkileyerek brakiyalji tipi ağrıya yol açar. S ervikal intervertebral disk hastalıkları, tüm spinal intervertebral disk hastalıkları içinde %36 oranıyla ikinci sırada yer almaktadır. İlk sırada %62 oranıyla lomber vertebral disk hastalıkları yer alır. Servikal disk problemleri, lomber disk problemlerinden daha az kısıtlılığa yol açar ve onlar kadar sık işgücü kaybına neden olmaz. [1,2] Servikal diskojenik ağrılar Cervical discogenic pain is the second most common disease among all spinal intervertebral disc diseases with a rate of 36%. One of every five orthopedic examinations is associated with cervical discogenic pain, and 75% of these pains are of C5-C6 and C6-C7 origin. This disease group which is more common in females, accounts for 2-3% of injuries in contact sports. Cervical spine movements include flexion and extension in sagittal plane, lateral flexion in coronal plane, and rotation in horizontal plane. Lateral flexion and rotation are commonly seen together.Other cervical movements are protrusion and retraction. Prolonged sitting in a bad position, frequent neck flexion, sudden movements and trauma are the predisposing factors in cervical disc diseases. A good history is essential for assessing a patient with cervical pain. It is very important for the treatment to distinguish whether the problem is spinal origin and/or related with a serious problem. Inspection, palpation, and motor-sensory-reflex examinations should be performed at the physical examination. Direct radiographs, MRI and other special tests play important role in diagnosis. Most of the cervical discogenic pains can be treated by aggressive conservative treatment methods. NSAIDs, short-acting steroids, non-narcotic analgesics and short-acting narcotics may be used for medication. Selective surgery should be recommended for non-healing patients with selective injections, and comprehensive rehabilitation program. The prognosis of patients with cervical radiculopathy is excellent with appropriate treatment. Non-operative treatment options are effective in 80-90% of patients.

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“…Asemptomatik bireylerde birçok anormal MR bulgusu fark edildiğinden, MR görüntülerinin yorumlanması önemlidir. [18] …”

Section: Mrunclassified

Servikal diskojenik ağrılar

Cebesoy¹,

Konukoğlu²

2017

TOTBID

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“…MRI may also assist in assessing other causes of lumbar back pain such as facet degeneration, an infection or a tumour. While MRI has high sensitivity in diagnosing LDDD, degenerative disc changes are commonly seen with MRI in asymptomatic patients [1218]. However, a disc of normal dimensions, position and signal appearance on MRI is unlikely to be a substantial pain generator and should prompt a search for other causes of back pain including extraspinal factors.…”

Section: Imagingmentioning

confidence: 99%

Operative Management of Lumbar Degenerative Disc Disease

2016

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Lumbar degenerative disc disease is extremely common. Current evidence supports surgery in carefully selected patients who have failed non-operative treatment and do not exhibit any substantial psychosocial overlay. Fusion surgery employing the correct grafting and stabilization techniques has long-term results demonstrating successful clinical outcomes. However, the best approach for fusion remains debatable. There is some evidence supporting the more complex, technically demanding and higher risk interbody fusion techniques for the younger, active patients or patients with a higher risk of non-union. Lumbar disc arthroplasty and hybrid techniques are still relatively novel procedures despite promising short-term and mid-term outcomes. Long-term studies demonstrating superiority over fusion are required before these techniques may be recommended to replace fusion as the gold standard. Novel stem cell approaches combined with tissue engineering therapies continue to be developed in expectation of improving clinical outcomes. Results with appropriate follow-up are not yet available to indicate if such techniques are safe, cost-effective and reliable in the long-term.

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“…Gore et al [60] reported that 95 % of males and 70 % of females who were asymptomatic and 60-65 years old showed degeneration in the cervical spine on plain radiographs. In MRI studies, Nakashima et al [61] found that 87.6 % of 1211 asymptomatic subjects aged 20-79 years had disc protrusion, and Matsumoto et al [62] reported that 86-89 % of 497 asymptomatic subjects [60 years old had disc degeneration. The prevalence of degenerative changes on imaging studies increased with age [60][61][62] and differed greatly from the prevalence of neck pain.…”

Section: Etiologymentioning

confidence: 99%

“…In MRI studies, Nakashima et al [61] found that 87.6 % of 1211 asymptomatic subjects aged 20-79 years had disc protrusion, and Matsumoto et al [62] reported that 86-89 % of 497 asymptomatic subjects [60 years old had disc degeneration. The prevalence of degenerative changes on imaging studies increased with age [60][61][62] and differed greatly from the prevalence of neck pain. These results suggest that degenerative changes in the cervical spine do not always cause neck pain.…”

Section: Etiologymentioning

confidence: 99%

Spinal Disorders as a Cause of Locomotive Syndrome: The Influence on Functional Mobility and Activities of Daily Living

Makino

Kaito

Yonenobu

2016

Clinic Rev Bone Miner Metab

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Spinal disorders are one of the most common causes of locomotive syndrome because the spine plays an important role as the locomotive organs which provide the three functions: body frames, junction sites, and motors/ regulators. Previous reports have shown that low back pain or leg pain and/or intermittent claudication due to spinal stenosis in lumbar spine disorders, gait abnormality due to degenerative cervical myelopathy in cervical spine disorders, and trunk imbalance due to adult spinal deformity have negative effects on walking speed, walking distance, and movement ability, thereby increasing the risk of falling. Patients for whom conservative managements have failed are considered for surgical treatment. However, degenerative changes on radiographical examinations are sometimes observed in asymptomatic elderly people, which suggests that degenerative changes are not always the cause of pain or disability in the elderly, particularly non-specific low back pain and neck pain. Therefore, the evidence is insufficient regarding how effective surgical treatments can be for improving walking and movement ability and social participation of elderly patients. In addition to better evidence for the efficacy of various treatments, more attention concerning checkups and prevention of locomotive syndrome are urgently needed in aging populations.

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Abnormal Findings on Magnetic Resonance Images of the Cervical Spines in 1211 Asymptomatic Subjects

Abstract: 2.

Cited by 130 publications

References 19 publications

Servikal diskojenik ağrılar

Servikal diskojenik ağrılar

Operative Management of Lumbar Degenerative Disc Disease

Spinal Disorders as a Cause of Locomotive Syndrome: The Influence on Functional Mobility and Activities of Daily Living

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