伴有上交叉综合征的青年颈型颈椎病患者的颈椎X线检查的初步分析

Preliminary analysis on X-ray in youth neck type of cervical spondylosis with upper crossed syndrome

目的:分析伴有上交叉综合征(upper crossed syndrome,UCS)的青年颈型颈椎病患者的X线特点。方法 :选取2017年1月至10月期间伴有和不伴有UCS的青年颈型颈椎病患者各20例,以及正常志愿者10例,予以颈椎侧位、前屈后伸位X线检查,观察颈椎夹角、角位移、相邻椎体滑移。结果:UCS组颈椎夹角为(-0.40±9.64)°,明显小于正常组的(14.35±9.01)°(P<0.05)和非UCS组的(9.55±14.69)°(P<0.05)。UCS组上颈椎前屈后伸位角位移变化为(8.18±4.81)°,明显小于正常组的(12.14±3.48)°(P<0.05)和非UCS组的(12.34±5.65)°(P<0.05)。UCS组前屈位下颈椎椎体后缘滑移为15.41±2.21,明显大于正常组的13.26±2.42(P<0.05),同非UCS组的15.64±2.07,差异无统计学意义(P>0.05)。结论:伴有UCS青年颈型颈椎病患者的颈椎生理曲度更倾向于变直或者反张,上颈椎屈伸活动受限,而下颈椎处于屈曲状态。

Objective:To analyze the X-ray characteristics in youth neck type of cervical spondylosis with upper crossed syndrome(UCS). Methods:The patients who had a neck type of cervical spondylosis with or without UCS were selected from January to October 2017,20 cases in each group,and 10 normal volunteers were chosen in the study. X-ray examination of lateral and hyperextension-hyperflexion of cervical spine were performed to observe cervical spine angle,angular displacement and adjacent vertebral body slip. Results:The cervical spine angle was(-0.40±9.64)° in the UCS group,significantly less than(14.35±9.01)° in the normal group and(12.34±5.65)° in the non-UCS group(P<0.05). The change of angular displacement of the upper cervical vertebra in anterior flexion and posterior extension was(8.18±4.81)° in UCS group,which was also significantly less than(12.14±3.48)° in the normal group and(12.34±5.65)° in the non-UCS group(P<0.05). The slippage of the vertebral posterior margin of the lower cervical spine in the anterior flexion was 15.41±2.21 in the UCS group,which was significantly greater than 13.26±2.42 in normal group(P<0.05),and was not obviously different from 15.64±2.07 in non-UCS group(P>0.05). Conclusion:In young patients who has a neck type of cervical spondylosis with UCS,the cervical curvature prone to straighten or reverse,the upper cervical flexion and extension are limited,while the lower cervical is in a flexion.