Format

Send to

Choose Destination
See comment in PubMed Commons below
Spine (Phila Pa 1976). 2008 Jan 15;33(2):187-93. doi: 10.1097/BRS.0b013e3181604501.

Kinematic analysis of the relationship between the grade of disc degeneration and motion unit of the cervical spine.

Author information

  • 1Department of Orthopaedic Surgery, University of California at Los Angeles, Los Angeles, CA, USA.

Erratum in

  • Spine. 2008 Apr 1;33(7):830.

Abstract

STUDY DESIGN:

Kinetic MRIs of cervical spines were obtained and analyzed according to the amount of motion and the degenerative grade of the intervertebral disc.

OBJECTIVE:

To define the relationship between the grade of disc degeneration and the motion unit of the cervical spine and elucidate changes in the role of each cervical spine unit during flexion-extension motion caused by degeneration.

SUMMARY OF BACKGROUND DATA:

Degenerative changes in the cervical disc occur with age. The correlation between the degree of cervical disc degeneration and extent of cervical spine mobility has not yet been determined. The effect of degeneration on the overall motion of the functional spinal unit also remains undefined.

METHODS:

We studied 164 patients with symptomatic neck pain. The cervical intervertebral discs were graded by spine surgeons according to the degenerative grading system (Grades I to V). All radiologic data from kinetic MRIs were recorded on a computer for subsequent measurements. All measurements and calculations for translational motion and angular variation of each segment were automatically performed by a computer analyzer.

RESULTS:

The translational motion in discs with Grade II degeneration (mild degeneration) increased to Grade III degeneration (higher degeneration). However, the translational motion and angular variation significantly decreased for the Grade V (severe degeneration). For patients with relatively low grades of degeneration, Grades I and II discs, the C4-C5 and C5-C6 segmental units contributed the majority of total angular mobility of the spine. However, for the severely degenerated segments, Grade V discs, the contributions of the C4-C5 and C5-C6 U significantly decreased.

CONCLUSION:

The changes that occur with disc degeneration progress from the normal state to an unstable phase with higher mobility and subsequently to an ankylosed stage. This study evaluated the contribution of different levels to the changes in overall motion that occur with degeneration.

PMID:
18197105
DOI:
10.1097/BRS.0b013e3181604501
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Lippincott Williams & Wilkins
    Loading ...
    Support Center