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자료유형
학술저널
저자정보
강경탁 (양산부산대학교병원) 손동욱 (부산대학교) 권오익 (부산대학교) 이수헌 (양산부산대학교병원) 황종욱 (양산부산대학교병원) 김동하 (부산대학교) 이준석 (양산부산대학교병원) 송근성 (부산대학교)
저널정보
대한척추신경외과학회 Neurospine 대한척추신경외과학회지 제14권 제2호
발행연도
2017.1
수록면
41 - 43 (3page)

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Objective: Modic changes are signal intensity changes in adjacent vertebral bone marrow on magnetic resonance imaging. Few studies have investigated these changes with regard to the cervical spine. In this study, we investigated the associations between cervical degenerative disease and Modic changes. Methods: We conducted a retrospective collection of radiological data in patients with neck pain at Pusan National University Yangsan Hospital from January 2010 to December 2014. A total of 169 patients were included in this study. Disc herniation grade, disc space height and global cervical lordosis (C2-C7 Cobb angle) were measured and analyzed. If Modic changes were present, we recorded the Modic change type based on the literature, vertebral level, age, sex, and surgical requirement. Results: Sixty-six patients exhibited Modic changes in the cervical spine. Out of these 66 patients, Modic change type II (56 patients, 84.8%) and C5-6 vertebral level (23 patients, 34.8%) were the most predominant categories. Patients with Modic change showed worse outcomes in regard to disc herniation grade, disc space height and global cervical lordosis than patients without (p<0.01). Among 169 patients, 18 patients had undergone anterior cervical discectomy with fusion (ACDF). Patients with Modic changes (10 of 66 patients, 15.1%) had a greater probability of undergoing ACDF than those without (8 of 103 patients, 7.8%; p<0.01). Conclusion: Modic changes refer cervical degenerative changes, and incidence of ACDF is higher when the Modic changes are occurred.

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