颈肋与骶化之间的关联。

The association between cervical rib and sacralization.

作者信息

Erken Eren, Ozer Huseyin T E, Gulek Bozkurt, Durgun Behice

机构信息

Department of Medicine, Division of Rheumatology-Immunology, Cukurova University Medical School, Adana, Turkey.

出版信息

Spine (Phila Pa 1976). 2002 Aug 1;27(15):1659-64. doi: 10.1097/00007632-200208010-00013.

DOI:10.1097/00007632-200208010-00013

PMID:12163729

Abstract

STUDY DESIGN

After determining the normal reference values for the length of the transverse processes of the seventh cervical vertebra, the association between the presence of cervical rib and sacralization was investigated.

OBJECTIVE

To determine the length of cervical rib and search for any association between cervical rib and sacralization.

SUMMARY OF BACKGROUND DATA

Both cervical ribs and sacralization have been noted in some patients in the authors' clinical practice.

METHODS

The cervical rib is a supernumerary rib arising from a cervical vertebra, or it might be simply an elongation of the transverse process of the seventh cervical vertebra. However, there is no consensus about a specified length of this process. For reference values, anteroposterior cervical radiographs of 210 normal individuals (112 male, 98 female, mean age 33.9 +/- 10.1 years, range 19-61 years) were taken, and elongation of the transverse processes beyond 2 standard deviations (30 mm) was considered as cervical rib. In the guide of the reference values, 324 outpatients (165 male, 159 female, mean age 42.0 +/- 14.6 years, range 17-85 years), having cervical ribs or sacralization detected by plain radiographs, were taken as the study group. As control 729 volunteers (364 male, 365 female, mean age 41.7 +/- 14.3 years, range 15-76 years) were studied.

RESULTS

In 1053 patients, of 471 patients having cervical ribs, 345 (73.2%) had also sacralization; of 536 patients with sacralization, 345 (64.4%) also had cervical ribs. Significant associations were found between cervical rib with or without articulation and sacralization [chi2 = 52.284, P < 0.001, odds ratio 5.097 (3.156-8.234); chi2 = 139.473, P < 0.001, odds ratio 5.204 (3.922-6.905), respectively].

CONCLUSION

Presence of cervical rib might be a clue to the existence of sacralization or vice versa. In patients with cervical or lumbar pain, this association may be helpful for differential diagnosis before applying sophisticated diagnostic techniques.

摘要

研究设计

在确定第七颈椎横突长度的正常参考值后，研究了颈肋与骶化之间的关联。

目的

确定颈肋的长度，并寻找颈肋与骶化之间的任何关联。

背景数据总结

在作者的临床实践中，一些患者同时出现了颈肋和骶化。

方法

颈肋是由颈椎长出的多余肋骨，或者可能只是第七颈椎横突的延长。然而，对于该结构的特定长度尚无共识。作为参考值，对210名正常个体（112名男性，98名女性，平均年龄33.9±10.1岁，范围19 - 61岁）进行了颈椎前后位X线摄影，横突延长超过2个标准差（30mm）被视为颈肋。在参考值的指导下，将324例经X线平片检测出有颈肋或骶化的门诊患者（165名男性，159名女性，平均年龄42.0±14.6岁，范围17 - 85岁）作为研究组。选取729名志愿者（364名男性，365名女性，平均年龄41.7±14.3岁，范围15 - 76岁）作为对照组。

结果

在1053例患者中,471例有颈肋的患者中，345例（73.2%）同时有骶化；536例有骶化的患者中，345例（64.4%）也有颈肋。发现有或无关节的颈肋与骶化之间存在显著关联[卡方值=52.284，P<0.001，比值比5.097（3.156 - 8.234）；卡方值=139.473，P<0.001，比值比5.204（3.922 - 6.905）]。