The Effect of Cervical Lordosis on Cervical Disc Degeneration in Patients with a High T1 Slope
10.4184/jkss.2018.25.2.54
- Author:
Sung Ha HONG
1
;
Seung Hwan LEE
;
Byeong Mun PARK
;
Kyung Sub SONG
;
Sung Tae LIM
Author Information
1. Department of Orthopaedic Surgery, Gwangmyeong Sungae Hospital, Gwangmyeong, Korea. java5885@gmail.com
- Publication Type:Original Article
- Keywords:
Cervical disc degeneration;
T1 slope;
Cervical lordosis
- MeSH:
Animals;
Compensation and Redress;
Humans;
Intervertebral Disc Degeneration;
Lordosis;
Magnetic Resonance Imaging;
Orthopedics;
Radiography;
Retrospective Studies;
Risk Factors;
Spine;
Spondylosis
- From:Journal of Korean Society of Spine Surgery
2018;25(2):54-59
- CountryRepublic of Korea
- Language:English
-
Abstract:
STUDY DESIGN: Retrospective evaluation. OBJECTIVES: To analyze the effect of cervical lordosis on cervical disc degeneration in patients with a high T1 slope. SUMMARY OF LITERATURE REVIEW: The T1 slope is known to be a parameter that may be very useful in evaluating sagittal balance. We previously reported that a low T1 slope was a potential risk factor for cervical spondylosis, especially in the C6–7 cervical segment. However, no study has analyzed the effect of cervical lordosis in patients with a high T1 slope (>25) on cervical disc degeneration. MATERIALS AND METHODS: Seventy-seven patients with a high T1 slope who underwent cervical spine MRI in our orthopedic clinic were enrolled. Patients were divided into 2 groups according to cervical compensation. The radiologic parameters obtained from radiography and cervical spine MRI were compared between the uncompensated group (cervical lordosis <25) and the compensated group (cervical lordosis ≥25). RESULTS: In the uncompensated group, the average degeneration grade of each segment was 2.72 (±0.70) in C2–3, 3.00 (±0.76) in C3–4, 3.02 (±0.91) in C4–5, 3.37 (±0.95) in C5–6, and 2.95 (±0.98) in C6–7. The average degeneration grade of each segment in the compensated group was 2.38 (±0.78) in C2–3, 2.38 (±0.60) in C3–4, 2.62 (±0.60) in C4–5, 2.82 (±0.72) in C5–6, and 2.41 (±0.74) in C6–7. The degeneration grade was significantly higher in the uncompensated group than in the compensated group for all cervical segments. The risk of high-grade degeneration of C3–4 was significantly higher in the uncompensated group (odds ratio = 6.268; 95% CI, 2.232–17.601; p<.001). CONCLUSIONS: Patients with a high T1 slope without compensation of cervical lordosis had a higher grade of degeneration in all cervical segments.
