Cervical Vertebral Axis Flattening: Demographics and Causes

Year 2022, , 250 - 256, 31.08.2022

Adnan Demirel , Burhan Adak

https://doi.org/10.47493/abantmedj.1133849

Cited By: 1

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. The aim of this study is to investigate the coexisting diseases that may be associated with flattening cervical lordosis.

Materials and Methods: 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: We think that in cases with flattening cervical lordosis, it would be more appropriate to evaluate whether the current situation is a cause or a result and to determine the treatment according to the underlying disease.

Keywords

Cervical Spine, Lordosis, Radiography

Servikal Vertebral Aks Düzleşmesi: Demografi ve Nedenler

Abstract

Amaç: Boyun baş ve gövdede yer alan hayati yapıları birleştiren önemli bir bölgedir. Servikal bölge ağrılarının önemli bir kısmını vertebral aks kaynaklı ağrılar oluşturur ve bel ağrılarından sonra en sık karşılaşılan kas-iskelet sorunudur. Servikal lordozdaki azalma ve kifoz gelişimi gibi sapmalar ağrı ve disabilite ile ilişkilidir. Servikal aks düzleşmesi çok sık rastlanılan bir durum olmakla birlikte nedenleri ile ilgili yeterli veri bulunmamaktadır. Bu çalışmanın amacı servikal lordoz düzleşmesi ile birlikte görülen ve ilişkili olabilecek hastalıkları araştırmaktır.

Gereç ve Yöntemler: Katılımcıların servikal radyografileri nötral pozisyonda alındı. Servikal aks açısı Cobb metodu ile C2-C7 arasından ölçüldü, buna ek olarak servikal manyetik rezonans görüntüleri değerlendirildi. Katılımcıların lokomotor sistem için bölgesel ayrıntılı fizik muayeneleri yapılarak, Beck Depresyon ve Beck Anksiyete Ölçekleri dolduruldu. Katılımcılara 3 ay sonra tekrar bölgesel ayrıntılı fizik muayene ve X-ray incelemesi yapıldı. Son servikal radyografilerde lordotik düzleşmenin devam ettiği olgular kronik süreçli olarak kabul edildi. Olgular akut ve kronik süreçli olmak üzere iki gruba ayrıldı.

Bulgular: Akut olguların %25’i fibromiyalji sendromu (FMS), %45’i gerilim tipi baş ağrısı (GTBA), %45’i servikal spondiloz (SS), %30’u servikal disk hernisi (SDH), %15’i miyofasiyal ağrı sendromu (MAS), %10’u anksiyete, %10’u depresyon tanısı aldı. Kronik süreçli olgularda ise %60’ı FMS, %45’i GTBA, %22,5’i SS, %55’i SDH, %17,5’i MAS, %30’u anksiyete, %7,5’u depresyon ve %20 migren tanısı aldı.

Sonuç: Servikal lordoz düzleşmeli olgularda mevcut durumun sebep mi yoksa sonuç mu olduğudunun değerlendirilmesi ve tedavinin atta yatan hastalığa göre belirlenmesinin daha uygun olacağını düşünmekteyiz.

Keywords

Servikal Omurga, Lordoz, Radyografi

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