青少年颈痛患者颈椎椎间隙高度改变及其成因探讨

Height change of cervical intervertebral space on X-ray in adolescent neck pain and discussion on the cause

目的观察青少年颈痛患者颈椎椎间隙高度变化特点,并探讨其成因。方法选取59例青少年颈痛患者为颈痛组,招募健康青少年17例为对照组。2组均采用颈椎侧位X线摄片。分别比较2组颈椎X线侧位片C2-C3、C3-C4、C4-C5、C5-C6、C6-C7椎间隙高度测量值。结果颈痛组C2-C3、C3-C4、C4-C5椎间隙高度测量值较对照组减小(P<0.05),颈痛组C5-C6、C6-C7椎间隙高度测量值与对照组比较差异无统计学意义(P>0.05)。结论青少年颈痛患者C2-C3、C3-C4、C4-C5椎间隙高度较健康青少年减小,其成因可能与颈椎周边肌力下降导致椎间盘负荷异常增加和颈椎曲度变直有关。

Objective To observe the characteristics of the height change of cervical intervertebral space in adolescents with Adolescent Neck Pain(ANP), and to explore its causes.Methods 59 adolescent patients with ANP were selected as the Neck Pain Group, and 17 healthy adolescents were recruited as the control group. Both groups had taken lateral X-ray films. Intervertebral space height in cervical spines C2-C3, C3-C4, C4-C5, C5-C6 and C6-C7 between the two groups were compared respectively. Results The measurement values of intervertebral space height in C2-C3, C3-C4 and C4-C5 in the Neck Pain Group was lower than those in the control group(P<0.05), and the measurement values of intervertebral space height in C5-C6 and C6-C7 had no statistically significant differences between the two groups(P>0.05). Conclusion The intervertebral space heights in C2-C3, C3-C4 and C4-C5 of patients with ANP were lower than those in healthy adolescents. The reasons could be the abnormally increasing disc load due to weakened muscles around cervical spine, and straightened cervical spine.