Kopacz K J, Connolly P J
Department of Orthopedic Surgery, SUNY-Health Science Center, Syracuse, NY, USA.
Orthopedics. 1999 Jul;22(7):677-9.
This study assessed the prevalence of cervical spondylolisthesis in patients undergoing radiographic studies for reasons unrelated to their cervical spine. Scout lateral cervical spine radiographs of 174 patients who had barium swallows were reviewed for the degree and level of cervical spondylolisthesis. Nine patients were found to have >2 mm of anterior subluxation of the cervical spine for a prevalence of 5.2%. Two patients had involvement at the C2-C3 level, one patient at C3-C4, four patients at C4-C5, one patient at C5-C6, and one patient at C7-T1. Subluxation ranged from 2 to 4 mm. Posterior subluxation (retrolisthesis) was not found in any patient. None of the nine patients with spondylolisthesis had complaints of neck pain or upper extremity symptoms, and none had a history of rheumatoid arthritis or cervical trauma.
本研究评估了因与颈椎无关的原因接受影像学检查的患者中颈椎滑脱的患病率。对174例进行了吞钡检查的患者的颈椎侧位定位片进行回顾,以确定颈椎滑脱的程度和节段。发现9例患者颈椎前滑脱>2mm,患病率为5.2%。2例患者病变位于C2-C3节段,1例位于C3-C4,4例位于C4-C5,1例位于C5-C6,1例位于C7-T1。滑脱范围为2至4mm。未发现任何患者有颈椎后滑脱(退变性滑脱)。9例颈椎滑脱患者均无颈部疼痛或上肢症状主诉,也均无类风湿关节炎或颈椎外伤史。