Cervical disc degeneration is associated with a reduction in mobility: A cross-sectional study of 1211 asymptomatic healthy subjects

Machino, Masaaki; Nakashima, Hiroaki; Ito, Keigo; Ando, Kei; Ito, Sadayuki; Kato, Fumihiko; Imagama, Shiro

doi:10.1016/j.jocn.2022.03.035

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…Regardless of the presence or absence of pain, disc narrowing increases the risk of stenosis and/or radicular compression, zygapophyseal degeneration, motion segment laxity, decreased ROM, and facetogenic pain [ 167 , 168 , 169 , 170 , 171 , 172 , 173 , 174 ]. Furthermore, disc degeneration leads to nerve innervation in growth beyond the outer third of the annulus fibrosis into the inner two thirds [ 175 ].…”

Section: Discussionmentioning

confidence: 99%

Plain Radiography: A Unique Component of Spinal Assessment and Predictive Health

Arnone,

McCanse,

Farmen

et al. 2024

Healthcare

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While some research supports utilizing plain radiography for measuring biomechanical alignment of the spine for prognosis and treatment, there are contrasting viewpoints regarding both the value and utilization of these procedures in conservative care. Evaluation of both conservative and non-conservative approaches to spinal care revealed vast differences in radiographic utilization and interpretation between orthopedic surgeons, primary care physicians, chiropractic physicians, and physical therapists, which may account for the different viewpoints and rationales in the literature. A research summary is provided to explore any unique biomechanical parameters identified with plain radiography of the spine (PROTS) and how these measurements may relate to patient health. Understanding any unique value provided through biomechanical assessment utilizing PROTS may help chiropractic physicians determine the appropriate use of radiographic procedures in clinical practice and how to coordinate efforts with other conservative and non-conservative spinal healthcare professions to improve patient health.

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Section: Discussionmentioning

confidence: 99%

Plain Radiography: A Unique Component of Spinal Assessment and Predictive Health

Arnone,

McCanse,

Farmen

et al. 2024

Healthcare

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“…The mid-cervical spine-between the head and cervicothoracic junction-is normally mobile and therefore subject to high stresses as the head swings following a traumatic impact. Nevertheless, the response of the cervical spine to external forces is altered in the elderly because degeneration reduces the mobility of the mid-cervical spine 20 . This may result not only in an increase in upper cervical injuries 2 but also in stress concentrations at the lower-cervical in high-energy trauma due to the long lever arm action of the head and stiffness changes within the cervicothoracic junction area.…”

Section: Discussionmentioning

confidence: 99%

Comparative Analysis of Characteristics of Lower- and Mid-Cervical Spine Injuries in the Elderly

Segi,

Nakashima,

Ito

et al. 2024

Spine Surg Relat Res

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ObjectiveElderly patients have a higher frequency of upper cervical fractures caused by minor trauma; nevertheless, the clinical differences between mid-and lower-cervical (C6-C7) injuries are unclear. The aim of this study was to compare the epidemiology of lower-and mid-cervical injuries in the elderly. MethodsThis multicenter, retrospective study included 451 patients aged 65 years or older who had mid-or lower-cervical fractures/dislocations. Patients' demographic and treatment data were examined and compared based on mid-and lower-cervical injuries. ResultsThere were 139 patients (31%) with lower-cervical injuries and 312 (69%) with midcervical injuries. High-energy trauma (60% vs. 47%, p = 0.025) and dislocation (55% vs. 45%, p = 0.054) were significantly experienced more often by elderly patients with lowercervical injuries than by patients with mid-cervical injuries. Although the incidence of key muscle weakness at the C5 to T1 levels were all significantly lower in patients with lowercervical injuries than those with mid-cervical injuries, impairments at C5 occurred in 49% of them, and at C6, in 65%. No significant differences were found in the rates of death, pneumonia, or tracheostomy requirements, and no significant differences existed in ambulation or ASIA impairment scale grade for patients after 6 months of treatment.

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Morphologic aspects of the cervical (C3-C7) annular epiphysis: a skeletal study

et al. 2023

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Cervical disc degeneration is associated with a reduction in mobility: A cross-sectional study of 1211 asymptomatic healthy subjects

Cited by 3 publications

References 27 publications

Plain Radiography: A Unique Component of Spinal Assessment and Predictive Health

Plain Radiography: A Unique Component of Spinal Assessment and Predictive Health

Comparative Analysis of Characteristics of Lower- and Mid-Cervical Spine Injuries in the Elderly

Morphologic aspects of the cervical (C3-C7) annular epiphysis: a skeletal study

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