颈椎轴变平:人口统计学和原因

Q4 Medicine
A. Demirel, B. Adak
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引用次数: 1

摘要

【摘要】目的颈部是连接头部和身体及其所包含的重要结构的重要部位。源自颈椎轴的疼痛构成了该区域疼痛的重要部分,是腰痛之后最常见的肌肉骨骼问题。诸如颈椎前凸减小或后凸的发展等偏差与疼痛和残疾有关。虽然颈轴变平是一种非常常见的情况,但关于其原因的数据还不够。本研究旨在揭示颈椎前凸矫直的潜在原因。材料与方法均采用中立位拍摄颈椎x线片,采用Cobb法测量C2-C7之间的颈椎轴角。对运动系统进行区域详细体格检查,并填写贝克抑郁和贝克焦虑量表。所有病例均行宫颈MRI检查。3个月后再次行局部详细体格检查和x线摄影。在最后一次颈椎x线片上前凸变平的病例被认为是慢性的。病例分为急性期和慢性期两组。结果25%的急性患者诊断为纤维肌痛综合征(FMS),45%的患者诊断为紧张性头痛(TTHA), 45%的患者诊断为颈椎病(CS), 30%的患者诊断为颈椎间盘突出(CDH), 15%的患者诊断为肌筋膜疼痛综合征(MPS), 10%的患者诊断为焦虑,10%的患者诊断为抑郁。在慢性病患者中,60%的人被诊断为FMS, 45%的人被诊断为TTHA, 22.5%的人被诊断为CS, 55%的人被诊断为CDH, 17.5%的人被诊断为MPS, 30%的人患有焦虑症,7.5%的人患有抑郁症,20%的人患有偏头痛。结论颈椎区域疼痛病因复杂,诊断时应鉴别与该区域相关的区域性疾病及FMS、TTH、抑郁、焦虑等问题。本文的研究将对文献的研究做出重要的贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cervical Vertebral Axis Flattening: Demographics and Causes
ABSTRACT Objective The neck is an important region that connects the head and body with the vital structures it contains. Pain originating from the cervical vertebral axis constitutes a significant part of the pain in this region and is the most common musculoskeletal problem after low back pain. Deviations such as decreased cervical lordosis or the development of kyphosis are associated with pain and disability. Although cervical axis flattening is a very common condition, there is not enough data on its causes. This study aimed to reveal the underlying causes of cervical lordosis straightening. Material and method Cervical radiographs of the cases were taken in the neutral position and the cervical axis angle was measured between C2-C7 by the Cobb method. A regional detailed physical examination was performed for the locomotor system and the Beck Depression and Beck Anxiety scales were filled in. A cervical MRI was performed in all cases. Three months later, regional detailed physical examinations and radiography were performed again. Cases in which lordosis flattening continued in the last cervical radiographs were considered chronic. The cases were divided into two groups: acute and chronic phases. Results 25% of the acute cases were diagnosed with fibromyalgia syndrome (FMS),45% of them with tension-type headache (TTHA), 45% of them cervical spondylosis (CS), 30% of them with cervical disc herniation (CDH), 15% of them with myofascial pain syndrome (MPS), 10% of them with anxiety, and 10% of them with depression. In cases with chronic phases, 60% of them were diagnosed with FMS, 45% of them with TTHA, 22.5% of them with CS, 55% of them with CDH, 17.5% of them with MPS, 30% of them with anxiety, 7.5% of them with depression and 20% of them with migraine. Conclusion Since cervical region pain has a very complex cause, regional diseases related to this region and problems such as FMS, TTH, depression, and anxiety should be differentiated in the diagnosis. This study will make an important contribution to the literature as a guide.
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来源期刊
Duzce Medical Journal
Duzce Medical Journal Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
59
审稿时长
12 weeks
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