Characteristics affecting cervical sagittal alignment in patients with chronic low back pain

被引：2

作者：

Arima, Hideyuki ^{[1
]}

Yamato, Yu ^{[1
]}

Sato, Kimihito ^{[2
]}

Uchida, Yoshihiro ^{[3
]}

Tsuruta, Toshiyuki ^{[4
]}

Hashiguchi, Kanehisa ^{[5
]}

Hamamoto, Hajime ^{[6
]}

Watanabe, Eiichiro ^{[7
]}

Yamanaka, Kaoru ^{[8
]}

Hasegawa, Tomohiko ^{[1
]}

Yoshida, Go ^{[1
]}

Yasuda, Tatsuya ^{[1
]}

Banno, Tomohiro ^{[1
]}

Oe, Shin ^{[1
]}

Ushirozako, Hiroki ^{[1
]}

Yamada, Tomohiro ^{[1
]}

Ide, Koichiro ^{[1
]}

Watanabe, Yuh ^{[1
]}

Matsuyama, Yukihiro ^{[1
]}

机构：

[1] Hamamatsu Univ, Sch Med, Dept Orthopaed Surg, Higashi Ku, 1-20-1 Handayama, Hamamatsu, Shizuoka 4313192, Japan

[2] Sato Orthoped Clin, Edogawa Ku, 5-4-1-16 Nakakasai, Tokyo 1340084, Japan

[3] Seisen Clin, 191-1 Kakita, Shimizu, Shizuoka 4110904, Japan

[4] Tsuruta Orthoped Clin, 1241-6 Ushizuchoukatsu, Ogi City, Saga 8400306, Japan

[5] Hashiguchi Orthoped Clin, 1-41-3 Komatsubara, Kagoshima, Kagoshima 8910114, Japan

[6] Hamamoto Orthoped Clin, Aoi Ku, 40-5 Johoku, Shizuoka, Shizuoka 4200805, Japan

[7] Fuji Orthoped Hosp, 1-4-23 K Nishiki Cho, Fuji, Shizuoka 4170045, Japan

[8] Yamanaka Orthoped Clin, Suruga Ku, 1-28-6 Shikiji, Shizuoka, Shizuoka 4228036, Japan

来源：

JOURNAL OF ORTHOPAEDIC SCIENCE | 2021年 / 26卷 / 04期

关键词：

QUALITY-OF-LIFE; SPINOPELVIC PARAMETERS; CHRONIC NECK; CLASSIFICATION; BALANCE; AGE; VOLUNTEERS; DEFORMITY; PELVIS; EQ-5D;

D O I：

10.1016/j.jos.2020.07.004

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: Sagittal spino-pelvic malalignment in patients with chronic low back pain (CLBP) have been reported in the past, which may also affect cervical spine lesions. The purpose of this study is to investigate the cervical alignment in patients with CLBP. Method: Of the patients who visited an orthopedic specialist due to low back pain lasting more than three months, 121 cases (average 71.5-years-old, 46 male and 75 female) with whole standing spinal screening radiographs were reviewed (CLBP group). Cervical parameters included cervical lordosis (CL), C2-C7 sagittal vertical axis (C2-7 SVA), and the T1 slope minus CL (T1S-CL). Cervical spine deformity was defined as C2-7 SVA >4 cm, CL <0 degrees, or T1S-CL S20 degrees. We compared the cervical alignment of these patients with 121 age and gender matched volunteers (control group). Results: The prevalence of cervical spine deformity was significantly higher in the CLBP group than in the control group (20.7% vs. 10.7%, P = 0.034). The mean CL was smaller in the CLBP group than in the control group (16.1 degrees vs. 21.4 degrees, P = 0.002). The mean C2-7 SVA was 17.6 mm vs. 18.7 mm in the CLBP group and in the control group, respectively (P = 0.817). The mean T1S-CL was larger in the CLBP group than in the control group (9.1 degrees vs. 3.5 degrees, P < 0.001). Multivariate analysis showed that people with CLBP were more likely to have cervical deformities than people without CLBP (odds ratio 2.16, 95% confidence interval 1.006 to 4.637). Conclusions: This study results suggest that people with CLBP present with worse cervical sagittal alignment and higher prevalence of cervical spine deformities than age and gender matched volunteers with no CLBP. This means CLBP impacts cervical spine lesions negatively. Level of evidence: IV (c) 2020 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.

引用

页码：577 / 583

页数：7