Lu Xin, Tian Ye, Wang Shu-Jie, Zhai Ji-Liang, Zhuang Qian-Yu, Cai Si-Yi, Qian Jun
Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Medicine (Baltimore). 2017 Aug;96(31):e7557. doi: 10.1097/MD.0000000000007557.
This study aimed to determine the relationship between the size of the cervical vertebral body and the morbidity of cervical spondylosis, and to examine the characteristics of spondylosis patients with small cervical vertebral bodies.The clinical data and the sagittal reconstructions of computed tomography images of 182 patients with cervical spondylosis were collected retrospectively. Patients included 74 males and 108 females, with a mean age of 31.8 years (range 20-40 years). The Torg-Pavlov ratio and the sagittal diameter of the vertebral body were measured. A Torg-Pavlov ratio above 1.2 was regarded as a small cervical vertebral body (SCVB), and below 1.2 as a nonsmall vertebral body (NSCVB).The NSCVB group was more prone to neurological symptoms than was the SCVB group (P < .05). There was no significant difference in neck pain between the 2 groups (P > .05). Conservative treatment achieved similar recovery rates in the SCVB group and the NSCVB group (81.8% vs 93.6%; P > .05). The rate of symptom (eg, axial neck pain) recurrence and persistence in the SCVB group was significantly higher than in the NSCVB group (P < .05).Our study found that smaller size of the cervical vertebral body is an attributing factor for cervical spondylosis. Patients with smaller cervical vertebral bodies are prone to persistent axial neck pain, but not neurological symptoms.
本研究旨在确定颈椎椎体大小与颈椎病发病率之间的关系，并研究颈椎椎体较小的颈椎病患者的特征。回顾性收集了182例颈椎病患者的临床资料及计算机断层扫描图像的矢状位重建图像。患者包括74名男性和108名女性，平均年龄31.8岁（范围20 - 40岁）。测量了Torg-Pavlov比值和椎体矢状径。Torg-Pavlov比值大于1.2被视为颈椎小椎体（SCVB），小于1.2被视为非小椎体（NSCVB）。NSCVB组比SCVB组更容易出现神经症状（P<0.05）。两组之间颈部疼痛无显著差异（P>0.05）。保守治疗在SCVB组和NSCVB组取得了相似的恢复率（81.8%对93.6%；P>0.05）。SCVB组症状（如颈部轴性疼痛）复发和持续的发生率显著高于NSCVB组（P<0.05）。我们的研究发现，颈椎椎体较小是颈椎病的一个影响因素。颈椎椎体较小的患者容易出现持续性颈部轴性疼痛，但不易出现神经症状。
