Ogholoh Oghenetejiri Denise, Bemigho-Odonmeta Amenaghawon Precious, Orhrohoro Omuvwie Igberhi, Ikubor Joyce Ekeme, Idowu Bukunmi Michael, Tsebi Besiginwa Harrison, Kogha Nicholas, Nwafor Nkem Nnenna, Ogbeide Anthony Osayomwanbor
Department of Radiology, Delta State University, Abraka, Delta State, Nigeria.
Delta State University Teaching Hospital, Oghara, Delta State, Nigeria.
J West Afr Coll Surg. 2023 Jul-Sep;13(3):48-55. doi: 10.4103/jwas.jwas_11_23. Epub 2023 Jun 27.
This study was done to evaluate the relationship between cervical spine magnetic resonance imaging (MRI) findings and clinical features in adults with chronic neck pain (NP) at our tertiary hospital.
This was a prospective cross-sectional study of the cervical spine MRI of 90 adult patients with chronic NP. The clinical history, biodata, and cervical spine MRI findings were analysed. Statistical tests were considered significant at ≤ 0.05.
The mean age of the participants was 54.72 (13.51) years (range = 28-79 years). There were 52 (58%) males and 38 (42%) females. Cervical disc desiccation and disc herniation were the most prevalent MRI findings. C4/C5 and C5/C6 disc levels were most commonly affected. Disc height reduction correlated with shoulder pain ( = 0.23, = 0.030), unsteady gait ( = 0.27, = 0.010), and lower limb weakness ( = 0.23, = 0.029). Vertebral collapse correlated with shoulder pain ( = 0.22, = 0.036), upper limbs burning sensation ( = 0.33, = 0.001), and loss of dexterity ( = 0.22, = 0.037). Spondylolisthesis correlated significantly with unsteady gait ( = 0.34, = 0.001), dizziness/vertigo ( = 0.29, = 0.005), painful neck movement ( = 0.32, = 0.002), loss of dexterity ( = 0.37, < 0.001) and sphincteric dysfunction ( = 0.23, = 0.031). Modic changes correlated with loss of dexterity ( = 0.39, < 0.001) and upper limbs burning sensation ( = 0.21, = 0.048). Cervical canal stenosis did not correlate significantly with any symptom.
Cervical disc disease (C4/C5 and C5/C6 levels) was the most prevalent finding on MRI. Disc height reduction, vertebral collapse, spondylolisthesis, and Modic changes correlated with various clinical symptoms.
本研究旨在评估我院三级医院慢性颈部疼痛（NP）成年患者颈椎磁共振成像（MRI）结果与临床特征之间的关系。
这是一项对90例成年慢性NP患者颈椎MRI的前瞻性横断面研究。分析了临床病史、生物数据和颈椎MRI结果。统计学检验以P≤0.05为有显著性意义。
参与者的平均年龄为54.72（13.51）岁（范围=28 - 79岁）。男性52例（58%），女性38例（42%）。颈椎间盘退变和椎间盘突出是最常见的MRI表现。C4/C5和C5/C6椎间盘水平最常受累。椎间盘高度降低与肩部疼痛（r = 0.23，P = 0.030）、步态不稳（r = 0.27，P = 0.010）和下肢无力（r = 0.23，P = 0.029）相关。椎体塌陷与肩部疼痛（r = 0.22，P = 0.036）、上肢烧灼感（r = 0.33，P = 0.001）和灵活性丧失（r = 0.22，P = 0.037）相关。椎体滑脱与步态不稳（r = 0.34，P = 0.001）、头晕/眩晕（r = 0.29，P = 0.005）、颈部疼痛活动（r = 0.32，P = 0.002）、灵活性丧失（r = 0.37，P < 0.001）和括约肌功能障碍（r = 0.23，P = 0.031）显著相关。Modic改变与灵活性丧失（r = 0.39，P < 0.001）和上肢烧灼感（r = 0.21，P = 0.048）相关。颈椎管狭窄与任何症状均无显著相关性。
颈椎间盘疾病（C4/C5和C5/C6水平）是MRI上最常见的表现。椎间盘高度降低、椎体塌陷、椎体滑脱和Modic改变与各种临床症状相关。
