Cargando…

The Prevalence of Cervical Foraminal Stenosis on Computed Tomography of a Selected Community-Based Korean Population

BACKGROUND: Cervical foraminal stenosis (CFS) is one of the degenerative changes of the cervical spine; however, correlations between the severity of stenosis and that of symptoms are not consistent in the literature. Studies to date on the prevalence of stenosis are based on images obtained from th...

Descripción completa

Detalles Bibliográficos
Autores principales: Ko, Sangbong, Choi, Wonkee, Lee, Jaejun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Orthopaedic Association 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250963/
https://www.ncbi.nlm.nih.gov/pubmed/30505411
http://dx.doi.org/10.4055/cios.2018.10.4.433
_version_ 1783373018647494656
author Ko, Sangbong
Choi, Wonkee
Lee, Jaejun
author_facet Ko, Sangbong
Choi, Wonkee
Lee, Jaejun
author_sort Ko, Sangbong
collection PubMed
description BACKGROUND: Cervical foraminal stenosis (CFS) is one of the degenerative changes of the cervical spine; however, correlations between the severity of stenosis and that of symptoms are not consistent in the literature. Studies to date on the prevalence of stenosis are based on images obtained from the departments treating cervical lesions, and thus patient selection bias may have occurred. The purpose of this study was to investigate the prevalence of CFS according to the site, extent, and morphology of stenosis using cervical computed tomography (CT) images obtained from patients who were visiting not because of symptoms related to the cervical spine, cervical pain, or upper limb pain. METHODS: Among patients who underwent CT from January 2016 to March 2016 for reasons other than cervical spine symptoms, a total of 438 subjects were enrolled, and 2,628 cervical disc images (C4–5, C5–6, and C6–7; left and right sides) were examined. Three orthopedic surgeons performed two measurements each at 4-week intervals. Values were used for analysis if matched by more than two surgeons; if no match was found, the median values were used for analysis. The left and right sides on the same axial image were independently classified. RESULTS: Left C5–6 stenosis was most common (24.66%) among patients. At the left C6–7, there were 20 focal types and 33 diffuse types. At bilateral C4–5 and right C6–7, the focal type was more common, whereas at bilateral C5–6 and left C6–7, the diffuse type was more common. Age and the severity of stenosis showed statistically significant correlation at all cervical levels. CONCLUSIONS: The prevalence of CFS was highest at the C5–6 level (19.06%). Compared to other levels, focal stenosis was more frequent at C4–5 and diffuse stenosis was more common at C5–6. At C6–7, the incidence of focal stenosis was higher on the right side and that of diffuse stenosis was higher on the left side.
format Online
Article
Text
id pubmed-6250963
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher The Korean Orthopaedic Association
record_format MEDLINE/PubMed
spelling pubmed-62509632018-12-01 The Prevalence of Cervical Foraminal Stenosis on Computed Tomography of a Selected Community-Based Korean Population Ko, Sangbong Choi, Wonkee Lee, Jaejun Clin Orthop Surg Original Article BACKGROUND: Cervical foraminal stenosis (CFS) is one of the degenerative changes of the cervical spine; however, correlations between the severity of stenosis and that of symptoms are not consistent in the literature. Studies to date on the prevalence of stenosis are based on images obtained from the departments treating cervical lesions, and thus patient selection bias may have occurred. The purpose of this study was to investigate the prevalence of CFS according to the site, extent, and morphology of stenosis using cervical computed tomography (CT) images obtained from patients who were visiting not because of symptoms related to the cervical spine, cervical pain, or upper limb pain. METHODS: Among patients who underwent CT from January 2016 to March 2016 for reasons other than cervical spine symptoms, a total of 438 subjects were enrolled, and 2,628 cervical disc images (C4–5, C5–6, and C6–7; left and right sides) were examined. Three orthopedic surgeons performed two measurements each at 4-week intervals. Values were used for analysis if matched by more than two surgeons; if no match was found, the median values were used for analysis. The left and right sides on the same axial image were independently classified. RESULTS: Left C5–6 stenosis was most common (24.66%) among patients. At the left C6–7, there were 20 focal types and 33 diffuse types. At bilateral C4–5 and right C6–7, the focal type was more common, whereas at bilateral C5–6 and left C6–7, the diffuse type was more common. Age and the severity of stenosis showed statistically significant correlation at all cervical levels. CONCLUSIONS: The prevalence of CFS was highest at the C5–6 level (19.06%). Compared to other levels, focal stenosis was more frequent at C4–5 and diffuse stenosis was more common at C5–6. At C6–7, the incidence of focal stenosis was higher on the right side and that of diffuse stenosis was higher on the left side. The Korean Orthopaedic Association 2018-12 2018-11-21 /pmc/articles/PMC6250963/ /pubmed/30505411 http://dx.doi.org/10.4055/cios.2018.10.4.433 Text en Copyright © 2018 by The Korean Orthopaedic Association http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Ko, Sangbong
Choi, Wonkee
Lee, Jaejun
The Prevalence of Cervical Foraminal Stenosis on Computed Tomography of a Selected Community-Based Korean Population
title The Prevalence of Cervical Foraminal Stenosis on Computed Tomography of a Selected Community-Based Korean Population
title_full The Prevalence of Cervical Foraminal Stenosis on Computed Tomography of a Selected Community-Based Korean Population
title_fullStr The Prevalence of Cervical Foraminal Stenosis on Computed Tomography of a Selected Community-Based Korean Population
title_full_unstemmed The Prevalence of Cervical Foraminal Stenosis on Computed Tomography of a Selected Community-Based Korean Population
title_short The Prevalence of Cervical Foraminal Stenosis on Computed Tomography of a Selected Community-Based Korean Population
title_sort prevalence of cervical foraminal stenosis on computed tomography of a selected community-based korean population
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250963/
https://www.ncbi.nlm.nih.gov/pubmed/30505411
http://dx.doi.org/10.4055/cios.2018.10.4.433
work_keys_str_mv AT kosangbong theprevalenceofcervicalforaminalstenosisoncomputedtomographyofaselectedcommunitybasedkoreanpopulation
AT choiwonkee theprevalenceofcervicalforaminalstenosisoncomputedtomographyofaselectedcommunitybasedkoreanpopulation
AT leejaejun theprevalenceofcervicalforaminalstenosisoncomputedtomographyofaselectedcommunitybasedkoreanpopulation
AT kosangbong prevalenceofcervicalforaminalstenosisoncomputedtomographyofaselectedcommunitybasedkoreanpopulation
AT choiwonkee prevalenceofcervicalforaminalstenosisoncomputedtomographyofaselectedcommunitybasedkoreanpopulation
AT leejaejun prevalenceofcervicalforaminalstenosisoncomputedtomographyofaselectedcommunitybasedkoreanpopulation