Department of Radiology, Faculty of Medicine, Alaaddin Keykubat University, Alanya, Turkey.
Medicine (Baltimore). 2022 Oct 21;101(42):e31132. doi: 10.1097/MD.0000000000031132.
This study aimed to investigate the relationship between the presence and degree of cervical intervertebral disc degeneration (IVDD) and the cervical region muscle areas.
The magnetic resonance imaging (MRI) examination of the patients who were sent to our clinic for investigation of neck pain between 2019 and 2020 years were evaluated retrospectively. 143 Turkish women patients between 30 and 40 ages were examined in the study. The presence and degree of IVDD was evaluated for each patient. The areas of the cervical flexor and extensor paravertebral muscles were measured.
No cervical disc degeneration was present in 44 (30.76%) patients (grade 1). The cervical intervertebral disc degeneration was grade 2 in 28 (19.58%), grade-3 in 41 (28.67%), and grade 4 in 30 (20.97%) patients. In early stage degeneration (grade 2), an increase was observed in the area of all cervical paravertebral flexor and extensor muscles examined. As the degree of degeneration increased (grades 3 and 4), a decrease was observed in the areas of all muscles. Statistical significance was found for musculus (m) sternocleidomastoideus, m. levator scapulae, m. splenius capitis, m. semispinalis capitis, and m. multifidus muscles (P = .009, r = -0.261; P = .014, r = -0.248; P = .008, r = -0.267; P = .002, r = -0.307; P = .028, r = -0.222, respectively).
IVDD is common in middle-aged females with neck pain. An increase in muscles areas is observed in the early stages of cervical disc degeneration but progressive decrease develops in all cervical paraspinal muscles areas as the degree of disc degeneration increases.
本研究旨在探讨颈椎间盘退变（IVDD）的存在和程度与颈椎区域肌肉面积之间的关系。
回顾性分析 2019 年至 2020 年间因颈部疼痛到我院就诊的患者的磁共振成像（MRI）检查结果。该研究共检查了 143 名 30 至 40 岁的土耳其女性患者。评估每位患者 IVDD 的存在和程度。测量颈椎前、后伸肌群的面积。
44 例（30.76%）患者无颈椎间盘退变（1 级）。28 例（19.58%）患者颈椎间盘退变 2 级，41 例（28.67%）患者 3 级，30 例（20.97%）患者 4 级。在早期退变（2 级）中，所有检查的颈椎旁前、后伸肌的面积均增加。随着退变程度的增加（3 级和 4 级），所有肌肉的面积均减少。胸锁乳突肌（m）、斜方肌上束（m）、头夹肌（m）、头半棘肌（m）和多裂肌（m）的肌肉面积有统计学意义（P =.009，r = -0.261；P =.014，r = -0.248；P =.008，r = -0.267；P =.002，r = -0.307；P =.028，r = -0.222）。
中年女性颈部疼痛常伴有 IVDD。颈椎间盘退变早期肌肉面积增加，但随着椎间盘退变程度的增加，所有颈椎旁棘旁肌面积逐渐减少。
