Department of Orthopedics, Fujian Medical University Union Hospital, Fuzhou, China.
Department of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou, China.
Sci Rep. 2024 Sep 3;14(1):20467. doi: 10.1038/s41598-024-71429-9.
To explore whether the potential instability of the cervical spine and cervical muscle degeneration in patients with cervical spondylotic radiculopathy (CSR) affect the efficacy of cervical traction, and whether cervical traction can aggravate the potential instability of the cervical spine. We divided the 113 recruited CRS patients into three groups based on the differences in horizontal displacement and abnormal angle, and measured the degree of cervical muscle degeneration in the patients through MRI. Considering functional scores, VAS, NDI and PCS scores of the three groups post-treatment were significantly improved. Through the intergroup analysis, we found that the improvement in functional scores in the mild and moderate instability trend groups was better than that in the severe group. Through MRI measurements, we found that the degree of cervical muscle degeneration was significantly increased in the severe instability trend group. Regarding the changes in X-Ray imaging parameters pre- and post-treatment, no significant differences were observed pre- and post-treatment. For patients with CSR, the more serious their predisposition for cervical instability was, the more severe the degree of cervical muscle degeneration was, which means the worse the curative effect was, but cervical traction did not aggravate the potential degree of cervical instability.
探讨颈椎间盘突出症（CSR）患者颈椎潜在不稳定性和颈椎肌肉退变是否影响颈椎牵引的疗效，以及颈椎牵引是否会加重颈椎潜在不稳定性。方法：我们根据水平位移和异常角度的差异，将 113 名招募的 CSR 患者分为三组，并通过 MRI 测量患者颈椎肌肉退变程度。结果：考虑到三组患者治疗后的功能评分、VAS、NDI 和 PCS 评分均有显著改善。通过组间分析，我们发现轻度和中度不稳定趋势组的功能评分改善优于重度组。通过 MRI 测量，我们发现重度不稳定趋势组的颈椎肌肉退变程度显著增加。治疗前后 X 射线影像学参数的变化，治疗前后无明显差异。结论：对于 CSR 患者，颈椎不稳定的倾向性越严重，颈椎肌肉退变的程度越严重，说明疗效越差，但颈椎牵引并未加重颈椎潜在不稳定性。
