Cevik S, Kaplan A, Katar S
School of Health Sciences, Gelişim University; Department of Neurosurgery, Memorial Şişli Hospital, İstanbul, Turkey.
Department of Radiology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey.
Niger J Clin Pract. 2020 Dec;23(12):1748-1752. doi: 10.4103/njcp.njcp_605_19.
The study aimed to define the association between spinal degeneration parameters and the rise in smartphone usage time. This was a cross-sectional study.
Young adults aged 20-35 years, who presented to our outpatient clinic due to neck pain between 2016 and 2018, were examined. Cervical disc degeneration, disc placement, Modic changes, and sagittal balance were retrospectively measured using magnetic resonance imaging (MRI) in 107 relatively patients. Data about daily phone usage times of the participants were obtained by a questionnaire filled in at the time of admission.
The total number of disc distances analyzed was 535 (Group 1; n = 200, Group 2; 335). In Group 1, the disc displacement was present in 30%, and in Group 2, the disc displacement was present in 35%. In terms of DD severity, the total DD score was >10 in 18 (18/40; 45%) patients in Group 1, and in 39 patients (39/67; 58%) in Group 2. The mean Cobb angle of Group 1 was 10.3° ± 6.57° (range, 2° to 34°), and that of Group 2 was 7.6° ± 5.14° (range, 1° to 26°) (Pcobb = 0.048). Modic changes were detected in 17 of the 107 patients (15.8%). Of the 17 patients, 3 (3/40, %7.5) were Group 1 and 14 (14/67, %20.9) were Group 2. MC was detected in 4 vertebrae in Group 1, and 24 vertebrae in Group 2 (P = 0.001).
The analysis of cervical spine MRI data of young adult patients with neck pain shows that the smartphone usage time is effective in cervical sagittal balance disruption, disc degeneration, and development of Modic changes.
本研究旨在确定脊柱退变参数与智能手机使用时间增加之间的关联。这是一项横断面研究。
对2016年至2018年间因颈部疼痛前来我院门诊就诊的20至35岁年轻成年人进行检查。对107例相对应的患者使用磁共振成像（MRI）回顾性测量颈椎间盘退变、椎间盘位置、Modic改变和矢状面平衡。通过入院时填写的问卷获取参与者每日手机使用时间的数据。
分析的椎间盘节段总数为535个（第1组；n = 200，第2组；335）。第1组中，椎间盘移位的发生率为30%，第2组中为35%。就椎间盘退变严重程度而言，第1组中18例（18/40；45%）患者的总椎间盘退变评分>10，第2组中为39例（39/67；58%）。第1组的平均Cobb角为10.3°±6.57°（范围，2°至34°），第2组为7.6°±5.14°（范围，1°至26°）（Pcobb = 0.048）。107例患者中有17例（15.8%）检测到Modic改变。在这17例患者中，3例（3/40，7.5%）属于第1组，14例（14/67，20.9%）属于第2组。第1组在4个椎体中检测到Modic改变，第2组在24个椎体中检测到（P = 0.001）。
对颈部疼痛的年轻成年患者颈椎MRI数据的分析表明，智能手机使用时间对颈椎矢状面平衡破坏、椎间盘退变和Modic改变的发生有影响。
