Department of Physical Medicine and Rehabilitation, Health Sciences University Sultan Abdulhamid Han Training and Research Hospital, Turkey.
Health Sciences University, Gaziosmanpasa Training and Research Hospital, Department of Neurosurgery, Istanbul, Turkey.
Pain Physician. 2020 Nov;23(6):E687-E694.
Cervicogenic headache (CEH) is a type of headache that is considered to be originated from the upper cervical spine. There are conflicting results in studies showing changes in the cervical spine in patients with CEH.
We aimed to compare the cervical radiographs of patients with CEH and nonspecific neck pain.
A single-blind, prospective study.
The department of neurosurgery and physical medicine and rehabilitation in a university hospital.
In this cross-sectional study; 45 women with CEH and 45 women with neck pain were involved. The pain assessment of the patients was done by the Visual Analog Scale (VAS), and the disability assessment was tested with the Neck Disability Index (NDI). General cervical lordosis (GCL) and upper cervical lordosis (UCL) angles were calculated on the lateral cervical x-ray. Clinical parameters including age, weight, height, pain (VAS), disability (NDI), and disease duration were recorded. Patients with CEH and neck pain were compared. Correlations between GCL, UCL, and pain assessment were analyzed.
Both groups were demographically similar. There was no significant difference at the lateral cervical x-ray measurements between CEH and neck pain groups (CEH group mean GCL = 19.2, UCL = 13.6; neck pain group mean GCL = 19.1, UCL= 14.8). The positive correlation between GCL and UCL in the neck pain group (r = 0.453; P = 0.002) was not found in the CEH group (P > 0.05).
Anesthetic blockade was not used for the diagnosis. Also, the whole spinal alignment was not evaluated.
According to cervical lateral x-ray, there was no significant difference in posture in patients with CEH and neck pain.
颈源性头痛（CEH）被认为是一种起源于上颈椎的头痛。在研究中，对于 CEH 患者颈椎变化的结果存在争议。
我们旨在比较 CEH 患者与非特异性颈痛患者的颈椎 X 线片。
单盲、前瞻性研究。
大学医院神经外科和物理医学与康复科。
在这项横断面研究中，纳入了 45 例 CEH 女性患者和 45 例颈痛女性患者。患者的疼痛评估采用视觉模拟评分（VAS），残疾评估采用颈部残疾指数（NDI）。在颈椎侧位 X 线片上计算总颈椎前凸角（GCL）和上颈椎前凸角（UCL）。记录患者的一般临床参数，包括年龄、体重、身高、疼痛（VAS）、残疾（NDI）和疾病持续时间。比较 CEH 组和颈痛组。分析 GCL 和 UCL 与疼痛评估之间的相关性。
两组患者的人口统计学特征相似。CEH 组和颈痛组的颈椎侧位 X 射线测量值无显著差异（CEH 组 GCL 平均值=19.2，UCL 平均值=13.6；颈痛组 GCL 平均值=19.1，UCL 平均值=14.8）。颈痛组 GCL 和 UCL 之间存在正相关（r=0.453；P=0.002），但在 CEH 组中未发现这种相关性（P＞0.05）。
诊断未使用麻醉阻滞。此外，也未评估整个脊柱的排列情况。
根据颈椎侧位 X 线片，CEH 患者与颈痛患者的姿势无显著差异。
