Cervical spine geometry correlated to cervical degenerative disease in a symptomatic group

Wiegand, Raymond; Kettner, Norman W.; Brahee, Deborah D.; Marquina, Nelson

doi:10.1016/s0161-4754(03)00068-x

Cited by 17 publications

(8 citation statements)

References 13 publications

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“…[13141516] Males are more prone to develop cervical degenerative disc disease. [1718192021222324] Higher incidence of spondylosis changes in population with increasing age and in males was reported by Sasaki et al . [18] Higher incidence of cervical degenerative disc disease in males was also reported by Hukuda and Kojima[19] Indian studies have also reported that age and gender are important risk factors for having cervical spondylosis.…”

Section: Discussionmentioning

confidence: 94%

Clinical presentation and outcome after anterior cervical discectomy and fusion for degenerative cervical disc disease

Srikhande

Kiran

Ghosh

et al. 2019

J Craniovert Jun Spine

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Background: Anterior cervical discectomy and fusion (ACDF) is a well-described surgical approach for symptomatic degenerative cervical disc disease which does not respond to conservative management. In the present study, we assessed clinical presentation and outcomes of ACDF. Materials and Methods: The present study was conducted from October 1, 2015, to October 31, 2017, in the Department of Neurosurgery, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, among 100 consecutive adult patients who underwent single- or two-level ACDF for degenerative cervical disc disease. Results: The mean age was 47.2 ± 12.8 years (range: 20–74 years). Majority of the patients were male (86/100). Presenting symptoms were neck pain (77%), limb weakness (73%), paresthesias (53%), radicular pain (49%), stiffness in limbs (16%), and bladder involvement (13%). Fusion was done with stand-alone titanium cage/bone graft or titanium cage/bone graft with anterior cervical plate. At the time of discharge, significant improvement in preoperative symptoms (neck pain [47/77-61%], radicular pain [31/49-63%], limb weakness [53/73-72.6%], paresthesias [44/53-83%], stiffness in limbs [13/16-81%], and bladder symptoms [8/13-61%]) was reported by majority of these patients. Majority of these patients also reported improvement in preoperative sensory deficits at the time of discharge. Postoperative complications were hoarseness of voice (22%), dysphagia (16%), deterioration of motor power (8%), and postoperative hematoma (7%). Conclusions: A significant proportion of patients with degenerative cervical disc disease show remarkable recovery after ACDF.

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Section: Discussionmentioning

confidence: 94%

Clinical presentation and outcome after anterior cervical discectomy and fusion for degenerative cervical disc disease

Srikhande

Kiran

Ghosh

et al. 2019

J Craniovert Jun Spine

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“…This may be due to a more narrow focus upon only the mechanical components of the spine and posture [16,17,22-27]. We hope that this review will help to shed some light upon the postural adaptations and responses that may not only cause neurophysiological dysfunction, but also those that may occur because of it.…”

Section: Discussionmentioning

confidence: 99%

“…The chiropractic interest in static global spinal structure and its correction is growing [16-27]. Most of this research has only surfaced within the last 10 years.…”

Section: Introductionmentioning

confidence: 99%

“…Research in the areas of spinal modeling [16,17,24,26,27] and posture analysis [21] have attempted to provide a clinically valid outcome measure for the treatment of posture-related symptoms and pathologies. For example, Wiegand et al [27] demonstrated a correlation between certain cervical spinal configurations and the presence of pathology. Harrison et al [17,24,26] reported average ranges of the sagittal spine curves for 3 sets of asymptomatic populations.…”

Section: Introductionmentioning

confidence: 99%

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Reflex control of the spine and posture: a review of the literature from a chiropractic perspective

et al. 2005

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Objective: This review details the anatomy and interactions of the postural and somatosensory reflexes. We attempt to identify the important role the nervous system plays in maintaining reflex control of the spine and posture. We also review, illustrate, and discuss how the human vertebral column develops, functions, and adapts to Earth's gravity in an upright position. We identify functional characteristics of the postural reflexes by reporting previous observations of subjects during periods of microgravity or weightlessness.Background: Historically, chiropractic has centered around the concept that the nervous system controls and regulates all other bodily systems; and that disruption to normal nervous system function can contribute to a wide variety of common ailments. Surprisingly, the chiropractic literature has paid relatively little attention to the importance of neurological regulation of static upright human posture. With so much information available on how posture may affect health and function, we felt it important to review the neuroanatomical structures and pathways responsible for maintaining the spine and posture. Maintenance of static upright posture is regulated by the nervous system through the various postural reflexes. Hence, from a chiropractic standpoint, it is clinically beneficial to understand how the individual postural reflexes work, as it may explain some of the clinical presentations seen in chiropractic practice.

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“…In our series, the average value of cervical lordosis, calculated with the Cobb's method, resulted statistically lower in patients with chronic AC dislocation than in the control group. Furthermore, three quarters of the patients, with respect to fifty percent of the controls, had a value lower than 27°, which is considered the average value in the asymptomatic general population [25-27]. …”

Section: Discussionmentioning

confidence: 99%

The relationship between chronic type III acromioclavicular joint dislocation and cervical spine pain

Gumina

Carbone

Arceri

et al. 2009

BMC Musculoskelet Disord

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BackgroundThis study was aimed at evaluating whether or not patients with chronic type III acromioclavicular dislocation develop cervical spine pain and degenerative changes more frequently than normal subjects.MethodsThe cervical spine of 34 patients with chronic type III AC dislocation was radiographically evaluated. Osteophytosis presence was registered and the narrowing of the intervertebral disc and cervical lordosis were evaluated. Subjective cervical symptoms were investigated using the Northwick Park Neck Pain Questionnaire (NPQ). One-hundred healthy volunteers were recruited as a control group.ResultsThe rate and distribution of osteophytosis and narrowed intervertebral disc were similar in both of the groups. Patients with chronic AC dislocation had a lower value of cervical lordosis. NPQ score was 17.3% in patients with AC separation (100% = the worst result) and 2.2% in the control group (p < 0.05). An inverse significant nonparametric correlation was found between the NPQ value and the lordosis degree in the AC dislocation group (p = 0.001) wheras results were not correlated (p = 0.27) in the control group.ConclusionsOur study shows that chronic type III AC dislocation does not interfere with osteophytes formation or intervertebral disc narrowing, but that it may predispose cervical hypolordosis. The higher average NPQ values were observed in patients with chronic AC dislocation, especially in those that developed cervical hypolordosis.

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Cervical spine geometry correlated to cervical degenerative disease in a symptomatic group

Cited by 17 publications

References 13 publications

Clinical presentation and outcome after anterior cervical discectomy and fusion for degenerative cervical disc disease

Clinical presentation and outcome after anterior cervical discectomy and fusion for degenerative cervical disc disease

Reflex control of the spine and posture: a review of the literature from a chiropractic perspective

The relationship between chronic type III acromioclavicular joint dislocation and cervical spine pain

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