[颈椎曲度异常与颈椎病发病关系的病例对照研究]

Zhang Ming-Cai, Shi Yin-Yu, Wang Xiang, Huang Shi-Rong, Zhan Hong-Sheng

Department of Orthopaedics and Traumatology, Affiliated Shuguang Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China.

Zhongguo Gu Shang. 2010 Oct;23(10):746-9.

OBJECTIVE

To explore the relationship between the abnormality curvature of cervical spine and pathogenesy of cervical spondylosis, in order to provide a new way in diagnosis of cervical spondylosis.

METHODS

There were two groups in the study, which were non-cervical spondylosis group (with heath adults) and cervical spondylosis group. From March 2006 to December 2008, 333 patients (out-patients in department of orthopaedics of Shuguang hospital) in cervical spondylosis group, which were 119 males, 214 females with an average age of (48.11 +/- 12.21) years. There were 73 subjects in non-cervical spondylosis group, which was 18 males, 55 females with an average age of (45.99 +/- 11.47) years. Based on the lateral view X-ray pictures of cervical spine, the abnormality curvature and character of cervical spine were studied in two groups.

RESULTS

The incidence rate in abnormality curvature of cervical spine in cervical spondylosis group (achieved to 95.50%) was more than that of non-cervical spondylosis group, there was significant difference between two groups (P = 0.000 < 0.01). Furthermore, the patterns of the abnormality curvature of cervical spine in cervical spondylosis group was complicated and variegated, of which physiological curvature diminished had 23.12% (77 cases), turn straight had 40.84% (136 cases), increased had 0.60% (2 cases), recurved had 12.01% (40 cases), S shape had 4.20%(14 cases), contra-S shape had 2.70% (9 cases), upper flex and lower straight had 4.50% (15 cases), upper straight and lower flex had 7.51% (25 cases).

CONCLUSION

The abnormality curvature of cervical spine may be an X-ray diagnostic indication to the cervical spondylosis, which is complicated and variegated. It will provide the guidance for the diagnosis and treatment of cervical spondylosis.

目的

探讨颈椎曲度异常与颈椎病发病的关系，为颈椎病的诊断提供新途径。

方法

本研究分为两组，即非颈椎病组（健康成年人）和颈椎病组。2006年3月至2008年12月，颈椎病组有333例患者（曙光医院骨科门诊患者），其中男性119例，女性214例，平均年龄（48.11±12.21）岁。非颈椎病组有73例受试者，其中男性18例，女性55例，平均年龄（45.99±11.47）岁。根据颈椎侧位X线片，对两组颈椎曲度异常情况及特点进行研究。

结果

颈椎病组颈椎曲度异常发生率（达95.50%）高于非颈椎病组，两组间差异有统计学意义（P = 0.000＜0.01）。此外，颈椎病组颈椎曲度异常类型复杂多样，其中生理曲度变直占23.12%（77例），变直占40.84%（136例），增大占0.60%（2例），反曲占12.01%（40例），S形占4.20%（14例），反S形占2.70%（9例），上曲下直占4.50%（15例），上直下曲占7.51%（25例）。