Roentgenographic findings in the cervical spine in asymptomatic persons - A ten-year follow-up
Roentgenographic findings in the cervical spine in asymptomatic persons - A ten-year follow-up
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DOI：
10.1097/00007632-200111150-00013
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发表时间：
2001-11-15
期刊：
影响因子：
3
通讯作者：
Gore, DR
中科院分区：
文献类型：
--
作者：
Gore, DR
研究设计.每隔一年对无症状者的侧位X线片检查结果进行回顾。在最后一次X线检查时进行问卷调查，以确定疼痛的发生率。确定在这10年期间经历疼痛的人数，描述X线摄影的变化，并确定症状的发展和X线摄影结果之间的关联。众所周知，颈椎的退行性变化随着年龄的增长而增加，并且可能发生在无症状的人中。然而，目前尚不清楚是否更容易发展的人与退行性病变比那些正常的X线片。对200名无症状者（100名女性和100名男性）进行颈椎侧位X线摄片，以获得20 - 65岁人群颈椎前凸和退行性变化的正常值。10年后，159名参与者再次接受了X线检查，并就是否存在疼痛进行了问卷调查。半脱位数量增加，退行性变化增加。在10年的时间间隔内，15%的参与者出现了疼痛。在初次X线片上C6-C7的退行性改变的存在是疼痛的统计学显著预测因素。随着年龄的增长，半脱位的数量以及生殖变化的发生率和严重程度增加，疼痛更可能发生在C6-C7退行性变化的NS中。
Study Design. The lateral roentgenographic findings asymptomatic persons were reviewed at a year interval. A questionnaire was used at the time of the last roentgenogram to determine the incidence of pain.Objectives. To identify the number of persons who experienced pain during that 10-year period, describe the roentgenographic changes, and determine the association between the development of symptoms and roentgenographic findings.Summary of Background Data. It is well established that degenerative changes of the cervical spine increase with age and may occur in asymptomatic persons. However, it is unknown whether pain is more likely to develop in persons with degenerative changes than in those with normal roentgenograms.Methods. Lateral cervical roentgenograms were obtained in 200 asymptomatic persons, 100 women and 100 men, to obtain normal values of cervical lordosis and degenerative changes in persons aged 20-65 years. Ten ars later, 159 participants had repeat roentgenograms and were administered a questionnaire regarding the presence or absence of pain.Results. There was an increase in the number of subluxations and an increase in degenerative changes. Pain developed in 15% of participants in the 10-year interval. The presence of degenerative changes at C6-C7 on the initial roentgenogram was a statistically significant predictor of pain.Conclusion. With age, there is an increase in the number of subluxations and the incidence and severity of generative changes, Pain is more likely to develop in ns with degenerative changes at C6-C7.