Effect of Cervical Index Changes on Cervical Pain

Armin Jahangiri Babadi; Ramin Nejadie Kouti; Masoud Zeinali; Mohammad  Ardeshiri Lordejani; Hossein Jafari Marandi; Elham Farhadi

doi:10.18502/jimc.v7i3.15731

Armin Jahangiri Babadi Department of Neurosurgery, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Ramin Nejadie Kouti Department of Neurosurgery, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Masoud Zeinali Department of Neurosurgery, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Mohammad Ardeshiri Lordejani Department of Neurosurgery, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Hossein Jafari Marandi Department of Neurosurgery, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Elham Farhadi Clinical Research Development Unit, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

DOI: https://doi.org/10.18502/jimc.v7i3.15731

Keywords: Humans, Lordosis, Male, Neck pain

Abstract

Background: The study of the angles between the vertebrae and the curvatures of the spine plays an important role in the pathogenesis of spinal disorders. The nature of the cervical region makes it susceptible to various cervical disorders, many of which can be caused by imbalanced alignment.

Methods: In the present study, patients with chronic neck pain were compared with the normal population for cervical indexes.

Results: One hundred subjects were selected, including 57 males (57%) and 43 females (43%). Neck tilting was significantly lower in the case group than control (41.5 vs. 45.8) (p=0.01). The mean of C0-C2 angle did not differ between groups (p=0.503), however, a significant increase was found for C2-C7 and C0-C7 angles (p=0.012) and (p=0.05), respectively. Further analysis revealed that cranial offset (21.9 vs. 8.6) and cranial tilting (21.3 vs. 10.1) significantly increased in patients with chronic neck pain (p<0.001) and (p=0.004), respectively. Also, cervical Sagittal Vertical Axis (SVA) has shown a significant increase in patients than control (24.8 vs. 9.7) (p<0.001).

Conclusion: The data have indicated that cervical indexes. Thus, spine surgeons should obtain standing cervical radiographs and evaluate the relationship between T1 slope, Spino Cranial Angle (SCA), and cSVA in all cases affected by cervical pathogenesis, even without obvious deformity.