年轻颈痛患者颈椎弧度与颈椎间盘膨隆程度的相关性研究

Correlation between cervical curvature and cervical disc bulging in young patients with neck pain

目的:探讨颈椎弧度与年轻颈痛患者颈椎间盘膨隆程度的相关性。方法:回顾性分析2015年1月至2018年12月收治的539例年轻颈痛患者,其中男251例,女288例,年龄18~40(32.2±6.3)岁。通过颈椎X线和MRI检查测量患者的颈椎弧度和颈椎膨隆程度,并根据颈椎弧度将患者分为颈椎前凸组(颈椎弧度>7 mm)175例,颈椎直立组(0<颈椎弧度≤7 mm)163例和颈椎后凸组(颈椎弧度≤0 mm)201例。比较3组患者间颈椎间盘膨隆程度的差异,通过Pearson相关系数分析颈椎弧度与颈椎间盘膨隆程度的相关性。结果:颈椎前凸组、颈椎直立组、颈椎后凸组的颈椎间盘膨隆分别为(0.83±0.24)mm、(1.47±0.58)mm、(2.96±1.11)mm,颈椎前凸组的颈椎间盘膨隆程度小于颈椎直立组和颈椎后凸组(P<0.05)。Pearson相关性分析显示椎间盘膨隆程度与颈椎弧度呈显著负相关(R=-0.561,P<0.05)。结论:年轻颈痛患者的颈椎间盘膨隆程度与颈椎弧度减少密切相关。

Objective:To explore the correlation between the curvature of the cervical spine and the degree of cervical disc bulging in young patients with cervical pain.Methods:The clinical data of 539 young patients with neck pain from January 2015 to December 2018 were retrospectively analyzed.There were 251 males and 288 females,aged 18 to 40(32.2±6.3)years old.The cervical curvature and cervical disc bulging were measured by cervical X-ray and MRI.According to cervical curvature,the patients were divided into 175 cases of cervical lordosis group(cervical curvature>7 mm),163 cases of cervical erection group(0<cervical curvature≤7 mm),and 201 cases of cervical kyphosis group(cervical curvature≤0 mm).The degree of cervical intervertebral disc bulging was compared among three groups,and the correlation between cervical curvature and cervical disc bulging was analyzed by Pearson correlation coefficient.Results:The cervical disc bulging of cervical lordosis group,cervical erection group,and cervical kyphosis group were(0.83±0.24),(1.47±0.58),(2.96±1.11)mm,respectively.The degree of cervical disc bulging in cervical lordosis group was less than cervical erection group and cervical kyphosis group(P<0.05).Pearson correlation analysis showed that the degree of cervical disc bulging was significantly negatively correlated with cervical curvature(R=-0.561,P<0.05).Conclusion:The degree of cervical disc bulging in young patients with neck pain is closely related to the reduction of cervical curvature.