Coexistence of Cervical and Lumbar Disc Disease

Jacobs, Bernard; Ghelman, Bernard; Marchisello, Peter J.

doi:10.1097/00007632-199012000-00006

Cited by 43 publications

(28 citation statements)

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“…Several reports have shown that some of the factors [5] promoting the progression of degenerative changes of the cervical spine were excessive load on the spine [6,19], a past history of lumbar vertebral diseases [17], smoking [12], and hemodialysis [20,25,27]. Jumah et al [19] investigated the factors promoting degeneration of the cervical spine in 305 Ghanans and found that 63.6% of the subjects who routinely carried baggage on their head had spondylotic changes of the cervical spine, while only 36.0% of those who did not habitually carry loads showed such changes.…”

Section: Discussionmentioning

confidence: 99%

Does the sagittal alignment of the cervical spine have an impact on disk degeneration? Minimum 10-year follow-up of asymptomatic volunteers

et al. 2009

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There have been few studies that investigated and clarified the relationships between progression of degenerative changes and sagittal alignment of the cervical spine. The objective of the study was to longitudinally evaluate the relationships among progression of degenerative changes of the cervical spine with age, the development of clinical symptoms and sagittal alignment of the cervical spine in healthy subjects. Out of 497 symptom-free volunteers who underwent MRI and plain radiography of the cervical spine between 1994 and 1996, 113 subjects (45 males and 68 females) who responded to our contacts were enrolled. All subjects underwent another MRI at an average of 11.3 years after the initial study. Their mean age at the time of the initial imaging was 36.6 ± 14.5 years (11-65 years). The items evaluated on MRI were (1) decrease in signal intensity of the intervertebral disks, (2) posterior disk protrusion, and (3) disk space narrowing. Each item was evaluated using a numerical grading system. The subjects were divided into four groups according to the age and sagittal alignment of the cervical spine, i.e., subjects under or over the age of 40 years, and subjects with the lordosis or non-lordosis type of sagittal alignment of the cervical spine. -009-1095-5 During the 10-year period, progression of decrease in signal intensity of the disk, posterior disk protrusion, and disk space narrowing were recognized in 64.6, 65.5, and 28.3% of the subjects, respectively. Progression of posterior disk protrusion was significantly more frequent in subjects over 40 years of age with non-lordosis type of sagittal alignment. Logistic regression analysis revealed that stiff shoulder was closely correlated with females (P = 0.001), and that numbness of the upper extremity was closely correlated with age (P = 0.030) and male (P = 0.038). However, no significant correlation between the sagittal alignment of the cervical spine and clinical symptoms was detected. Sagittal alignment of the cervical spine had some impact on the progression of degenerative changes of the cervical spine with aging; however, it had no correlation with the occurrence of future clinical symptoms.123 Eur Spine J (2009) 18:1644-1651 DOI 10.1007/s00586

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Section: Discussionmentioning

confidence: 99%

Does the sagittal alignment of the cervical spine have an impact on disk degeneration? Minimum 10-year follow-up of asymptomatic volunteers

et al. 2009

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“…Indeed, some degree of intervertebral disc degeneration, even if asymptomatic, is widespread with aging (Jacobs et al, 1990;Matsumoto et al, 2013), with a prevalence of 70 % of the population under 50 years old, and over 90 % of the population 50 years old and over (Teraguchi et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Non-invasive biomechanical characterization of intervertebral discs by shear wave ultrasound elastography: a feasibility study

et al. 2014

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Objectives: Although magnetic resonance is widely spread to qualitatively assess disc morphology, a simple method to reliably determine intervertebral disc status is still lacking. Shear wave elastography is a recent technique that allows quantitative evaluation of soft-tissues mechanical properties; the aim of this study was to preliminary assess the feasibility and reliability of cervical intervertebral disc mechanical characterization by elastography and to provide first reference values for asymptomatic subjects.Methods: Elastographic measurements were performed to determine shear wave speed (SWS) in C6-C7 or C7-T1 disc of forty-seven subjects; repeatability and inter-operator reproducibility were assessed.Results: Global average shear wave speed (SWS) was 3.0 ± 0.4 m/s; measurement repeatability and inter-user reproducibility were 7 and 10 %, respectively. SWS was correlated with both subject's age (p = 1.3e-5) and body mass index (p = 0.008).Conclusions: Shear wave elastography in intervertebral disc proved reliable and allowed stratification of subjects according to age and BMI. Applications could be relevant, for instance, in early detection of disc degeneration or in follow-up after trauma; these results open the way to larger cohort studies to define the place of this technique in routine intervertebral disc assessment.

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“…A retrospective analysis of 200 patients requiring cervical disc surgery was performed to determine the frequency of coexistent lumbar disc and spine abnormalities and it was observed that 30.5% of the patients had already undergone lumbar disc surgery [7]. In addition, Lee et al [8] analyzed the incidence of asymptomatic cervical cord compression in 93 LSS patients and found 23.7% of the patients to have moderate or severe cervical cord compression by whole spine MRIs.…”

Section: Introductionmentioning

confidence: 99%

Predictive factors of cervical spondylotic myelopathy in patients with lumbar spinal stenosis

Iizuka

Takahashi

Tanaka

et al. 2012

Arch Orthop Trauma Surg

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Coexistence of Cervical and Lumbar Disc Disease

Cited by 43 publications

References 0 publications

Does the sagittal alignment of the cervical spine have an impact on disk degeneration? Minimum 10-year follow-up of asymptomatic volunteers

Does the sagittal alignment of the cervical spine have an impact on disk degeneration? Minimum 10-year follow-up of asymptomatic volunteers

Non-invasive biomechanical characterization of intervertebral discs by shear wave ultrasound elastography: a feasibility study

Predictive factors of cervical spondylotic myelopathy in patients with lumbar spinal stenosis

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