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Sagittal alignment of the cervical spine after neck injury.
Eur J Orthop Surg Traumatol. 2013 Jul; 23 Suppl 1:S47-51.EJ

Abstract

The normal sagittal alignment of the cervical spine is lordotic and is affected by the posture of the head and neck. The question of whether loss of cervical lordosis is the result of muscle spasm after injury or a normal variation, and the clinical significance of such changes in sagittal profile of the cervical spine has been an issue of several studies. The purpose of this paper is to study the incidence of normal cervical lordosis and its changes after neck injury compared to the healthy population. We studied the lateral radiographs of the cervical spine of 60 patients with neck injury compared to 100 patients without a neck injury. Lateral radiographs were obtained in the standing or sitting position, and the curvature of the cervical spine was measured using the angle formed between the inferior end plates of the C2 and C7 vertebrae. In the patients without neck injury, lordotic and straight cervical spine sagittal alignment was observed in 36.5% each, double curvature in 17%, and kyphotic in 10%. In the patients with neck injury, lordotic sagittal alignment was observed in 36%, straight in 34%, double curvature in 26% and kyphotic in 4%. No significant difference between the two groups regarding all types of sagittal alignment of the cervical spine was found (p > 0.100). The alterations in normal cervical lordosis in patients with neck injury must be considered coincidental. These alterations should not be associated with muscle spasm caused by neck pain.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Beltsios M
Department of Orthopaedics, Thriasio Hospital, 19600, Elefsis, Greece. mpelmi@gmail.com
Savvidou O
No affiliation info available
Mitsiokapa EA
No affiliation info available
Mavrogenis AF
No affiliation info available
Kaspiris A
No affiliation info available
Efstathopoulos N
No affiliation info available
Papagelopoulos PJ
No affiliation info available

MeSH

AdultArthrometry, ArticularCervical VertebraeFemaleGreeceHumansMaleNeck InjuriesNeck PainOutcome Assessment, Health CarePatient PositioningRadiographyRetrospective StudiesSpasmSpinal Curvatures

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23412281

Citation

Beltsios, Michail, et al. "Sagittal Alignment of the Cervical Spine After Neck Injury." European Journal of Orthopaedic Surgery & Traumatology : Orthopedie Traumatologie, vol. 23 Suppl 1, 2013, pp. S47-51.
Beltsios M, Savvidou O, Mitsiokapa EA, et al. Sagittal alignment of the cervical spine after neck injury. Eur J Orthop Surg Traumatol. 2013;23 Suppl 1:S47-51.
Beltsios, M., Savvidou, O., Mitsiokapa, E. A., Mavrogenis, A. F., Kaspiris, A., Efstathopoulos, N., & Papagelopoulos, P. J. (2013). Sagittal alignment of the cervical spine after neck injury. European Journal of Orthopaedic Surgery & Traumatology : Orthopedie Traumatologie, 23 Suppl 1, S47-51. https://doi.org/10.1007/s00590-012-0966-3
Beltsios M, et al. Sagittal Alignment of the Cervical Spine After Neck Injury. Eur J Orthop Surg Traumatol. 2013;23 Suppl 1:S47-51. PubMed PMID: 23412281.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sagittal alignment of the cervical spine after neck injury. AU - Beltsios,Michail, AU - Savvidou,Olga, AU - Mitsiokapa,Evanthia A, AU - Mavrogenis,Andreas F, AU - Kaspiris,Angelos, AU - Efstathopoulos,Nikolaos, AU - Papagelopoulos,Panayiotis J, Y1 - 2012/03/10/ PY - 2011/12/27/received PY - 2012/02/18/accepted PY - 2013/2/16/entrez PY - 2013/2/16/pubmed PY - 2014/4/8/medline SP - S47 EP - 51 JF - European journal of orthopaedic surgery & traumatology : orthopedie traumatologie JO - Eur J Orthop Surg Traumatol VL - 23 Suppl 1 N2 - The normal sagittal alignment of the cervical spine is lordotic and is affected by the posture of the head and neck. The question of whether loss of cervical lordosis is the result of muscle spasm after injury or a normal variation, and the clinical significance of such changes in sagittal profile of the cervical spine has been an issue of several studies. The purpose of this paper is to study the incidence of normal cervical lordosis and its changes after neck injury compared to the healthy population. We studied the lateral radiographs of the cervical spine of 60 patients with neck injury compared to 100 patients without a neck injury. Lateral radiographs were obtained in the standing or sitting position, and the curvature of the cervical spine was measured using the angle formed between the inferior end plates of the C2 and C7 vertebrae. In the patients without neck injury, lordotic and straight cervical spine sagittal alignment was observed in 36.5% each, double curvature in 17%, and kyphotic in 10%. In the patients with neck injury, lordotic sagittal alignment was observed in 36%, straight in 34%, double curvature in 26% and kyphotic in 4%. No significant difference between the two groups regarding all types of sagittal alignment of the cervical spine was found (p > 0.100). The alterations in normal cervical lordosis in patients with neck injury must be considered coincidental. These alterations should not be associated with muscle spasm caused by neck pain. SN - 1633-8065 UR - https://www.unboundmedicine.com/medline/citation/23412281/Sagittal_alignment_of_the_cervical_spine_after_neck_injury_ L2 - https://dx.doi.org/10.1007/s00590-012-0966-3 DB - PRIME DP - Unbound Medicine ER -