Ma Ming, Zhang Shi-Min, Zhang Yong-Dong, Li Zuo-Xu, Wu Guan-Nan, Zhang Xiu-Jiang, Jin Jiao, Liu Yu-Zhang, Zhang Zhao-Jie
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China.
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China;
Zhongguo Gu Shang. 2019 Mar 25;32(3):225-229. doi: 10.3969/j.issn.1003-0034.2019.03.006.
To analyze the X-ray characteristics in youth neck type of cervical spondylosis with upper crossed syndrome(UCS).
The patients who had a neck type of cervical spondylosis with or without UCS were selected from January to October 2017, 20 cases in each group, and 10 normal volunteers were chosen in the study. X-ray examination of lateral and hyperextension-hyperflexion of cervical spine were performed to observe cervical spine angle, angular displacement and adjacent vertebral body slip.
The cervical spine angle was (-0.40±9.64)° in the UCS group, significantly less than (14.35±9.01)° in the normal group and (12.34±5.65)° in the non-UCS group(<0.05). The change of angular displacement of the upper cervical vertebra in anterior flexion and posterior extension was (8.18±4.81)° in UCS group, which was also significantly less than (12.14±3.48)° in the normal group and (12.34±5.65)° in the non-UCS group(<0.05). The slippage of the vertebral posterior margin of the lower cervical spine in the anterior flexion was 15.41±2.21 in the UCS group, which was significantly greater than 13.26±2.42 in normal group(<0.05), and was not obviously different from 15.64±2.07 in non-UCS group(>0.05).
In young patients who has a neck type of cervical spondylosis with UCS, the cervical curvature prone to straighten or reverse, the upper cervical flexion and extension are limited, while the lower cervical is in a flexion.
分析青年型颈椎病伴上交叉综合征（UCS）的X线特征。
选取2017年1月至10月就诊的有或无UCS的青年型颈椎病患者，每组20例，另选10名正常志愿者作为对照。对所有研究对象行颈椎侧位及过伸过屈位X线检查，观察颈椎曲度、角度位移及相邻椎体滑移情况。
UCS组颈椎曲度为（-0.40±9.64）°，明显小于正常组的（14.35±9.01）°和非UCS组的（12.34±5.65）°（P<0.05）。UCS组上位颈椎前屈和后伸时角度位移变化为（8.18±4.81）°，也明显小于正常组的（12.14±3.48）°和非UCS组的（12.34±5.65）°（P<0.05）。UCS组下位颈椎前屈时椎体后缘滑移值为15.41±2.21，明显大于正常组的13.26±2.42（P<0.05），与非UCS组的15.64±2.07比较差异无统计学意义（P>0.05）。
青年型颈椎病伴UCS患者颈椎曲度易变直或反曲，上位颈椎屈伸活动受限，下位颈椎呈前屈状态。
