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Modic changes of the cervical spine: T1 slope and its impact on axial neck pain
BACKGROUND: The purpose of the research was to evaluate cervical sagittal parameters on magnetic resonance imaging (MRI) in patients with Modic changes and its impact on axial neck pain. METHODS: This study consisted of 266 consecutive asymptomatic or symptomatic patients with Modic changes, whose a...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5584903/ https://www.ncbi.nlm.nih.gov/pubmed/28894387 http://dx.doi.org/10.2147/JPR.S144814 |
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author | Li, Jia Qin, Shuhui Li, Yongqian Shen, Yong |
author_facet | Li, Jia Qin, Shuhui Li, Yongqian Shen, Yong |
author_sort | Li, Jia |
collection | PubMed |
description | BACKGROUND: The purpose of the research was to evaluate cervical sagittal parameters on magnetic resonance imaging (MRI) in patients with Modic changes and its impact on axial neck pain. METHODS: This study consisted of 266 consecutive asymptomatic or symptomatic patients with Modic changes, whose average age was 50.9±12.6 years from January 2015 to December 2016. Cervical sagittal parameters included sagittal alignment of the cervical spine (SACS), T1 slope, thoracic inlet angle (TIA), and neck tilt (NT). The Modic changes group was compared with an asymptomatic control group of 338 age- and gender-matched adults. RESULTS: In the Modic changes group, T1 slope was significantly higher (25.8°±6.3°) compared with that in the control group (22.5°±6.8°) (P=0.000). However, there was no significant difference of the NT, TIA, and SACS between the two groups. Patients in the Modic changes group were more likely to have experienced historical axial neck pain compared with the control group (P=0.000). With regard to the disc degeneration, it indicated that the disc in the Modic changes group had more severe disc degeneration (P=0.032). CONCLUSION: T1 slope in the Modic changes group was significantly higher compared to that of the control group. The findings suggested that a higher T1 slope with broken compensation of cervical sagittal mechanism may be associated with the development of Modic changes in the cervical spine. |
format | Online Article Text |
id | pubmed-5584903 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-55849032017-09-11 Modic changes of the cervical spine: T1 slope and its impact on axial neck pain Li, Jia Qin, Shuhui Li, Yongqian Shen, Yong J Pain Res Original Research BACKGROUND: The purpose of the research was to evaluate cervical sagittal parameters on magnetic resonance imaging (MRI) in patients with Modic changes and its impact on axial neck pain. METHODS: This study consisted of 266 consecutive asymptomatic or symptomatic patients with Modic changes, whose average age was 50.9±12.6 years from January 2015 to December 2016. Cervical sagittal parameters included sagittal alignment of the cervical spine (SACS), T1 slope, thoracic inlet angle (TIA), and neck tilt (NT). The Modic changes group was compared with an asymptomatic control group of 338 age- and gender-matched adults. RESULTS: In the Modic changes group, T1 slope was significantly higher (25.8°±6.3°) compared with that in the control group (22.5°±6.8°) (P=0.000). However, there was no significant difference of the NT, TIA, and SACS between the two groups. Patients in the Modic changes group were more likely to have experienced historical axial neck pain compared with the control group (P=0.000). With regard to the disc degeneration, it indicated that the disc in the Modic changes group had more severe disc degeneration (P=0.032). CONCLUSION: T1 slope in the Modic changes group was significantly higher compared to that of the control group. The findings suggested that a higher T1 slope with broken compensation of cervical sagittal mechanism may be associated with the development of Modic changes in the cervical spine. Dove Medical Press 2017-08-24 /pmc/articles/PMC5584903/ /pubmed/28894387 http://dx.doi.org/10.2147/JPR.S144814 Text en © 2017 Li et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Li, Jia Qin, Shuhui Li, Yongqian Shen, Yong Modic changes of the cervical spine: T1 slope and its impact on axial neck pain |
title | Modic changes of the cervical spine: T1 slope and its impact on axial neck pain |
title_full | Modic changes of the cervical spine: T1 slope and its impact on axial neck pain |
title_fullStr | Modic changes of the cervical spine: T1 slope and its impact on axial neck pain |
title_full_unstemmed | Modic changes of the cervical spine: T1 slope and its impact on axial neck pain |
title_short | Modic changes of the cervical spine: T1 slope and its impact on axial neck pain |
title_sort | modic changes of the cervical spine: t1 slope and its impact on axial neck pain |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5584903/ https://www.ncbi.nlm.nih.gov/pubmed/28894387 http://dx.doi.org/10.2147/JPR.S144814 |
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