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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 584 - 590 (7page)
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초록· 키워드
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Objective To evaluate changes in the severity of cervical spinal stenosis (CSS) in flexion and extension and determine whether the rate of change with motion varied with severity. Methods The study included 92 symptomatic patients with a mean age of 57.80±10.41, who underwent cervical spine dynamic magnetic resonance imaging. The severity of stenosis was evaluated using a semi-quantitative CSS score, ranging from 0 (no spinal stenosis) to 18 (severe stenosis). Radiological evaluation included flexion, neutral, and extension measurements, as determined by the C2–C7 Cobb angle. The severity of stenosis was represented by the total CSS score. The total CSS score in flexion, neutral, and extension positions was compared using repeated measures one-way analysis of variance. The change rate of stenosis per angle motion (CRSPAM) was defined as change in total CSS score divided by change in Cobb angle. The correlation of CRSPAM with severity of stenosis, represented by total CSS score in neutral position, was evaluated using Pearson correlation analysis. Results The total CSS score was significantly higher in extension (6.04±2.68) than in neutral position (5.25±2.47) (p<0.001), and significantly higher in neutral than in flexion position (4.40±2.45) (p<0.001). The CRSPAM was significantly and positively correlated with total CSS score in neutral position in the flexion-extension range (r=0.22, p=0.04) and flexion-neutral range (r=0.27, p=0.01). Conclusion In symptomatic CSS patients, the radiological severity of stenosis increases with extension and decreases with flexion. In patients with CSS, the rate of variation in spinal stenosis increases with increased severity.
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등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Baptiste DC / 2006 / Pathophysiology of cervical myelopathy / Spine J 6(6 Suppl):190S~197S
Lebl DR / 2015 / Update on the diagnosis and management of cervical spondylotic myelopathy / J Am Acad Orthop Surg 23:648~660
Toledano M / 2013 / Cervical spondylotic myelopathy / Neurol Clin 31:287~305
Muhle C / 1998 / Dynamic changes of the spinal canal in patients with cervical spondylosis at flexion and extension using magnetic resonance imaging / Invest Radiol 33:444~449
Chen CJ / 2003 / Cervical degenerative disease at flexionextension MR imaging: prediction criteria / Radiology 227:136~142
Lebl DR / 2015 / Update on the diagnosis and management of cervical spondylotic myelopathy / J Am Acad Orthop Surg 23:648~660
Toledano M / 2013 / Cervical spondylotic myelopathy / Neurol Clin 31:287~305
Muhle C / 1998 / Dynamic changes of the spinal canal in patients with cervical spondylosis at flexion and extension using magnetic resonance imaging / Invest Radiol 33:444~449
Chen CJ / 2003 / Cervical degenerative disease at flexionextension MR imaging: prediction criteria / Radiology 227:136~142
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