Liu Baoge, Wu Bingxuan, Van Hoof Tom, Okito Jean-Pierre Kalala, Liu Zhenyu, Zeng Zheng
Department of Orthopaedics, Beijing Tian Tan Hospital, Capital Medical University, Beijing, China;
Department of Basic Medical Sciences; and.
J Neurosurg Spine. 2015 Sep;23(3):274-9. doi: 10.3171/2015.1.SPINE14489. Epub 2015 Jun 19.
OBJECT: The aims of this study were 1) to establish the standard parameters of alignment and total and segmental range of motion (ROM) of the cervical spine in the asymptomatic population, and 2) to identify factors that influence cervical ROM and alignment. METHODS: The authors measured 636 standard cervical lateral, flexion, and extension plain radiographs of 212 asymptomatic volunteers. The relationship between cervical alignment and total ROM was assessed with simple linear regression. Multivariate linear regression was used to determine the effect of the influential factors on cervical alignment and total and segmental ROM. RESULTS: The mean value for C2-7 cervical alignment was 21.40° ± 12.15°, and the mean value for total ROM was 63.59° ± 15.37°. Sex was a significant factor in cervical alignment, total ROM, and segmental ROM for C2-3 and C5-6 (p < 0.05). Age had a significant negative association with both the total ROM and all of the segmental ROM measurements (p < 0.05). Cervical disc degeneration at the level of interest had a significant negative association with C4-5, C5-6, and C6-7 ROM (p < 0.05). CONCLUSIONS: Cervical alignment in female subjects was 2.47° lower than that in male subjects. Total ROM was 3.86° greater in female than in male subjects and decreased 6.46° for each decade of aging. Segmental ROM decreased 1.28° for each decade of aging and 2.26° for each category increase in disc degeneration at the level of interest.
目的:本研究的目的是:1)确定无症状人群颈椎对线及整体和节段活动范围(ROM)的标准参数;2)识别影响颈椎活动范围和对线的因素。 方法:作者对212名无症状志愿者的636张标准颈椎正侧位、屈曲位和伸展位X线平片进行了测量。采用简单线性回归评估颈椎对线与整体活动范围之间的关系。采用多元线性回归确定影响因素对颈椎对线、整体和节段活动范围的影响。 结果:C2-7颈椎对线的平均值为21.40°±12.15°,整体活动范围的平均值为63.59°±15.37°。性别是影响颈椎对线、整体活动范围以及C2-3和C5-6节段活动范围的显著因素(p<0.05)。年龄与整体活动范围以及所有节段活动范围测量值均呈显著负相关(p<0.05)。感兴趣节段的颈椎间盘退变与C4-5、C5-6和C6-7的活动范围呈显著负相关(p<0.05)。 结论:女性受试者的颈椎对线比男性受试者低2.47°。女性的整体活动范围比男性大3.86°,且每增长十岁减少6.46°。节段活动范围每增长十岁减少1.28°,感兴趣节段的椎间盘退变每增加一级减少2.26°。
Spine (Phila Pa 1976). 2010-4-15
J Neurosurg Spine. 2015-5-15
Medicina (Kaunas). 2024-9-13