Association of Cervical Spondylosis With Peripheral Vertigo: A Case–Control Study

Abstract

Objectives/Hypothesis This study aimed to assess the association of prior cervical spondylosis (CS) with peripheral vertigo. Study Design Case–control study. Methods Data were retrieved from the Taiwan Longitudinal Health Insurance Database. A total of 2,570 patients who were newly diagnosed with peripheral vertigo were identified. We compared them with a 3:1 ratio of propensity score–matched patients, 7,710 comparison patients from the same dataset. We performed multivariate logistic regressions to estimate the odds ratio for prior CS occurrence among peripheral vertigo patients versus controls. Results Of 10,280 sample patients, 1,739 (16.92%) patients had CS prior to the index date. A significant difference in prior CS between peripheral vertigo patients and controls (19.49% vs. 16.06%, P < .001) was observed. Logistic regression analysis shows that the odds of prior CS was 1.285 for peripheral vertigo patients versus controls (95% confidence interval [CI]: 1.143‐1.446) after adjusting for age, sex, urbanization level, monthly income, geographic region, hyperlipidemia, diabetes, coronary heart disease, hypertension, and asthma. Prior CS with myelopathy was not associated with peripheral vertigo. Stratified analysis by age showed that the odds of CS were highest among patients with peripheral vertigo in the 45‐ to 64‐year‐old age group (1.442, 95% CI: 1.215‐1.712). Conclusions CS is associated with subsequent peripheral vertigo in the Taiwan population, with higher risk among those aged 45 to 64 years. Level of Evidence 2b Laryngoscope, 131:E625–E630, 2021

Effect of Electroacupuncture Combined with Guizhi Gegen Decoction on Cervical Vertigo and Its Influence on TCD of Vertebrobasilar Artery, Blood Rheology Indexes, and Quality of Life

“…Insufficient vertebrobasilar blood supply, resulting in slow blood flow and high blood viscosity, is a key factor in the cause of vertigo [ 23 ]. The LVA, RVA, and VB can reflect the blood flow in the vertebrobasilar artery, while high cut whole blood viscosity, low cut whole blood viscosity, and plasma viscosity are commonly used indexes to reflect blood fluidity and viscosity [ 24 ]. The results of this study showed that, after treatment, LVA, RVA, and VB were higher in the study group than in the control group, and whole blood viscosity high cut, whole blood viscosity low cut, and plasma viscosity were lower than in the control group ( P < 0.05).…”

Association of cervical spondylosis and peripheral vertigo: A prospective study

“…The co-occurrence of CS and vertigo was not observed in the elderly population aged over 64 years. The probable cause could be the difference in their lifestyle with lesser work load, physical and emotional stress when compared to the patients of the middle age (45-64 years) [1] . In our study, we found similar results.…”

“…Cervical spondylosis (CS) is an age-related degenerative condition of the cervical spine with a prevalence rate of more than 50% among the population aged over 40 years. [1] Clinical manifestations may be absent or present with tingling, numbness, weakness, pain in the neck and/or arms, neck stiffness, headaches, vertigo, dizziness, and loss of balance [1] Radiologically, the findings can range from evidence of osteophytes in the vertebral bodies to the changes in the facet joints, disc narrowing, radiculopathy, and myelopathy. Vertigo is one of the most common complaints encountered in ENT OPD.…”

“…It is perceived as swaying or rotational movement either of one's own body or of the environment, or both. [1,2] Vertigo may be central or peripheral due to neurological disruptions or acoustic apparatus pathology, and with the potential involvement of a wide range of pathophysiologic mechanisms including neuro-auditory-vestibular impacts of systemic conditions like diabetes,hypertension, dyslipidemia etc [2] . Peripheral vertigo is often observed to co-occur with CS.…”

High-Intensity Post-Stroke Rehabilitation Is Associated with Lower Risk of Pressure Ulcer Development in Patients with Stroke: Real-World Evidence from a Nationwide, Population-Based Cohort Study

“…The urbanization level was divided by where they lived based on NHIRD information into four levels, in which level 1 was the most urbanized and level 4 was the least urbanized. The classification criteria included population density (persons per km 2 ), percentage of people with college-level education or higher, percentage of the elderly (older than 65 years), and the number of physicians per 100,000 population [ 24 , 25 ]. Multivariate Cox proportional hazard regression models adjusted for age, sex, stroke type, CCI, NIHSS score, hospital level, residential area, and comorbidities were developed to assess the risk of PUs in the rehabilitation group compared with that in the non-rehabilitation group.…”