The Relationship of Cervical Spine Curvature and Neck Pain

경항통과 경추 만곡도의 상관성 고찰

  • Jung, Doo-Young (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Kim, Sung-Soo (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Chung, Seok-Hee (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Lee, Jong-Soo (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Hee University)
  • 정두영 (경희대학교 한의과대학 한방재활의학과교실) ;
  • 김성수 (경희대학교 한의과대학 한방재활의학과교실) ;
  • 정석희 (경희대학교 한의과대학 한방재활의학과교실) ;
  • 이종수 (경희대학교 한의과대학 한방재활의학과교실)
  • Received : 2011.03.14
  • Accepted : 2011.04.11
  • Published : 2011.04.30

Abstract

Objectives : To investigate and compare the curvature of the cervical spine for the neck pain patients and asymptomatic participants. Methods : Clinical study was carried out for 64 neck pain patients in Conmaul oriental hospital and 56 asymptomatic volunteers. Cervical spine curvature was measured by 7 types of measuring methods. Results : Curvature angles of the cervical spine were significantly lower in the patients group(p<0.05). In segmental analysis of curvature, segmental curvature of C3-C4 were significantly lower in the patients group. There is no significant relationship among the classifications by the types of cervical spine curvature in the 2 groups. Conclusions : The results suggest that the cervical spines of neck pain patients are straightened and kyphotic and most of cervical curvature decrease are occurred at middle cervical spine.

References

  1. Broberg KB. On the mechanical behaviour of intervertebral discs. Spine. 1983;8(2):151-65. https://doi.org/10.1097/00007632-198303000-00006
  2. Bagnall KM, Harris PF, Jones PRM. A radiographic study of the human foetal spine I. The development of the secondary cervical curvature. J Anat. 1977;123:777-82.
  3. Kasai T, Ikata T, Katoh S, Miyake R, Tsubo M. Growth of the cervical spine with reference to its lordosis and mobility. Spine. 1996;21:2067-73. https://doi.org/10.1097/00007632-199609150-00003
  4. Kapandji I. A. 관절생리학 3권. 5판. 서울:영문출판사. 2001:14-5.
  5. Robert Maigne. 최훈 역. 척추 통증의 진단과 치료. 서울:군자출판사. 2001:6-7.
  6. John HJ, Sydney MM, Gomer WR. Roentgenographic variations in the normal cervical spine. Radiology. 1962;78:591-7. https://doi.org/10.1148/78.4.591
  7. Calliet R. Neck and arm pain. FA Davis. 1991:348-67.
  8. Harrison DE, Harrison DD, Troyanovich SJ, Harmon S. A normal spinal position: it"s time to accept the evidence. J Manipulative Physiol Ther. 2000;23(9):623-44. https://doi.org/10.1067/mmt.2000.110941
  9. Katsumura A, Kukuda S, Imanaka T, Miyamoto K, Kanemoto M. Anterior cervical plate used in degenerative disease can maintain cervical lordosis. J Spinal Disord. 1996;9:470-76.
  10. Kawakami M, Tamaki T, Yoshida M, Hayashi N, Ando M, Yamada H. Axial symptoms and cervical alignments after cervical anterior spinal fusion for patients with cervical myelopathy. J Spinal Disord. 1999;12:50-6.
  11. Matsunaga S, Sakou T, Sunahara N, Oonishi T, Maeda S, Nakanisi K. Biomechanical analysis of buckling alignment of the cervical spine. Spine. 1997;22:765-71. https://doi.org/10.1097/00007632-199704010-00011
  12. Harrison DD, Troyanovich SJ, Harrison DE, Janik TJ, Murphy DJ. A normal sagittal spinal configuration: a desirable clinical outcome. J Manipulative Physiol Ther. 1996;19:398-405.
  13. Cote P, Cassidy JD, Yong-Hing K, Sibley J, Loewy J. Apophysial joint degeneration, disc degeneration, and sagittal curve of the cervical spine. Spine. 1997;22:859-64. https://doi.org/10.1097/00007632-199704150-00007
  14. Weir DC. Roentgenographic signs of cervical injury. Clin Orthop Relat Res. 1975;109:9-17. https://doi.org/10.1097/00003086-197506000-00003
  15. Visscher CM, de Boer W, Naeije M. The relationship between posture and curvature of the cervical spine. Manipulative Physiol Ther. 1998;21:388-91.
  16. Peterson CK, Kirk RJ, Isdahl M, Humphrey BK. Prevalence of hyperplastic articular pillars in the cervical spine and relationship with cervical lordosis. Manipulative Physiol Ther. 1999;22(6):390-4. https://doi.org/10.1016/S0161-4754(99)70084-9
  17. Gore DR, Sepic SB, Gardner GM. Roentgenographic findings of the cervical spine in asymptomatic people. Spine. 1986;11:521-4. https://doi.org/10.1097/00007632-198607000-00003
  18. Yochum, Terry R. Essentials of skeletal radiology. Williams & Wilkins. 1987:54.
  19. Mayoux-Benhamou MA, Revel M, Vallee C. Longus colli has a postural function on cervical curvature. Surg Radiol Anat. 1994;16:367-71. https://doi.org/10.1007/BF01627655
  20. Ishihara A. Roentgenographic studies on the normal pattern of the cervical curvature. Nippon Seikeigeka Gakkai Zasshi(Journal Jpn Orthop Assoc). 1968;42:1033-44.
  21. 박상욱, 장영욱, 김성식, 장기언. 경부통 환자에서 세가지 측정법에 의한 경추 전만의 변화. 대한재활의학회지. 2000;24(4):756-64.
  22. Harrison DD. Chiropractic the physics of spinal corrention. National Library of Medicine. 1986:319.
  23. Borden AGB, Rechtman AM, Gershon-Cohen J. The normal cervical lordosis. Radiology. 1960;74:806-9. https://doi.org/10.1148/74.5.806
  24. Jocumsen OH. The curve of the cervical spine. ACA J Chiro. 1970:49.
  25. Jackson R. The Cervical Syndrome. Charles C. Thomas. 1957.
  26. Yamazaki A, Homma T, Uchiyama S, Katsumi Y, Okumura H. Morphologic limitations of posterior decompression by midsagittal splitting method for myelopathy caused by ossification of the posterior longitudinal ligament in the cervical spine. Spine. 1999;24(1):32-4. https://doi.org/10.1097/00007632-199901010-00008
  27. Uematsu Y, Tokuhashi Y, Matsuzaki H. Radiculopathy after laminoplasty of the cervical spine. Spine. 1998;23(19):2057-62. https://doi.org/10.1097/00007632-199810010-00004
  28. Baba H, Maezawa Y, Furusawa N. Flexibility and alignment of the cervical spine after laminoplasty for spondylotic myelopathy. Int Orthop. 1995;19:116-21.
  29. Hardacker JW, Shuford RF, Capicotto PN. Radiographic standing cervical segmental alignment in adult volunteers without neck symptoms. Spine. 1997;22:1472-80. https://doi.org/10.1097/00007632-199707010-00009
  30. Harrison DD, Janik TJ, Troyanovich SJ. Comparisons of lordotic cervical spine curvatures to a theoretical ideal model of the static sagittal cervical spine. Spine. 1996;21:667-75. https://doi.org/10.1097/00007632-199603150-00002
  31. Saruhashi Y, Hukuda S, Katsuura A, et al. A long-term follow-up study of cervical spondylotic myelopathy treated by French Window laminoplasty. J Spinal Disord. 1999;12:99-101.
  32. Chemukha KV, Daffner RH, Reigel DH. Lumbar lordosis measurement: a new method versus Cobb technique. Spine. 1998;23(1):74-80. https://doi.org/10.1097/00007632-199801010-00016
  33. Drexler L. Rontgenanatmische untersuchringen uber Form und Krumning der Halswirbelsaule in den Verscchiedenen Lebensaltern, Stuttgart, Hippokrates. 1962.
  34. William MC, John AG, Richard L. Twelve significant signs of cervical spine trauma. Skeletal Radiology. 1979;3:201-5. https://doi.org/10.1007/BF00360936
  35. Juhl JH, Miller SM, Roberts GW. Roentgenographic variations in the normal cervical spine. Radiology. 1962;78:591-7. https://doi.org/10.1148/78.4.591
  36. Matsumoto M, Fujimura Y, Suzaki N, Toyama Y, Shiga H. Cervical curvature in acute whiplash injuries: prospective comparative study with asymptomatic subjects. Injury. 1998;29(10):775-8. https://doi.org/10.1016/S0020-1383(98)00184-3
  37. Helliwell PS, Evans PF, Wright VJ. The straight cervical spine: does it indicate muscle spasm? Bone Joint Surg Br. 1994;76(1):103-6.
  38. Mamairas C, Barnes MR, Allen MJ. "Whiplash injuries" of the neck: a retrospective study. Injury. 1988;19:393-6. https://doi.org/10.1016/0020-1383(88)90131-3
  39. Haas M, Taylor JAM, Gillete RG. The routine use of radiographic spinal displacement analysis: a dissent. J Manipulative Physiol Ther. 1999;22:254-9. https://doi.org/10.1016/S0161-4754(99)70053-9
  40. Pedersen PL. A prospective pilot study of the shape of cervical hypolordosis. Eur J Chiropr. 1990;38:148-63.
  41. Marshall DL, Tuchin PJ. Correlation of cervical lordosis measurement with incidence of motor vehicle accidents. J Austr Chiropr Osteopathy. 1996;5:79-85.
  42. Gay RE. The curve of the cervical spine: variations and significance. J Manipulative Physiol Ther. 1993;16:591-4.
  43. Harrison DD, Harrison DLJ. Pathological stress formations on the anterior vertebral body in the cervicals. In: Suh CH(ed). The Proceedings of the 14th Annual Biomechanics Conference on the Spine. Mechanical Engineering Department, University of Colorado. 1983:31-50.
  44. Harrison DE, Cailliet R, Harrison DD, Janik TJ, Holland B. A new 3-point bending traction method for restoring cervical lordosis and cervical manipulation: a non-randomized clinical controlled trial. Arch Phys Med Rehabil. 2002;83:447-53. https://doi.org/10.1053/apmr.2002.30916
  45. Harrison DE, Harrison DD, Betz JJ, Janik TJ, Holland B, Colloca CJ. Increasing the cervical lordosis with chiropractic biophysics seated combined extension-compression and transverse load cervical tractiion with cervical manipulation: nonrandomized clinical control trial. J Manipulative Physiol Ther. 2003;26(3):139-51. https://doi.org/10.1016/S0161-4754(02)54106-3
  46. Braaf MM, Rosner S. Trauma of the cervical spine as a cause of chronic headache. J Trauma. 1975;15:441-6. https://doi.org/10.1097/00005373-197505000-00011
  47. Polly DW, Kilkelly FX, McHale KA, Asplund LM, Mulligan M, Chang AS. Measurement of lumbar lordosis: evaluation of intraobserver, interobserver, and technique vatiability. Spine. 1996;21:1530-6. https://doi.org/10.1097/00007632-199607010-00008
  48. Nagasawa A, Sakakibara T, Takahashi A. Roentgenographic findings of the cervical spine in tension-type headache. Headache. 1993;33:90-5. https://doi.org/10.1111/j.1526-4610.1993.hed3302090.x
  49. Goto S, Kita T. Long-term follow-up evaluation of surgery for ossification of the posterior longitudinal ligament. Spine. 1995;20:2247-56. https://doi.org/10.1097/00007632-199510001-00012
  50. Batzdorf U, Batzdorff A. Analysis of cervical spine curvature in patients with cervical spondylosis. Neurosurgery. 1988;22(5):827-36. https://doi.org/10.1227/00006123-198805000-00004
  51. Hohl M. Soft-tissue injuries of the neck in automobile accidents. J Bone Joint Surg Am. 1974;56A:1675-82.
  52. Norris SH, Watt I. The prognosis of neck injuries resulting from rear-end vehicle collisions. J Bone Joint Surg Br. 1983;65B:608-11.
  53. Harrison DE, Harrison DD, Cailliet R, Troyanovich SJ, Janik TJ, Holland B. Cobb method or Harrison posterior tangent method: which to choose for lateral cervical radiographic analysis. Spine. 2000;25(16):2072-8. https://doi.org/10.1097/00007632-200008150-00011