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KMID : 0615720100270020097
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Jouranl of Korean Acupuncture and Moxibustion society
2010 Volume.27 No. 2 p.97 ~ p.104
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Clinical Study on Cervical Pain with Focus on Sagittal Spinal Balance and Spinal Curvature
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Lee Won-Il
Lee Jung-Woo
Song Ji-Yeon
Baek Yong-Hyeon
Park Dong-Suk
Nam Sang-Su
Seo Byung-Kwan
Woo Hyun-Su
Goh Pil-Sung
Cho Byung-Jin
Kwon Sin-Ae
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Abstract
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Objectives : The authors aimed to determine the presence of relationships between cervical pain and cervical curvature, lumbar curvature, sacral slope and sagittal spinal balance.
Methods : Medical records of outpatients who made their first visits to the Department of Acupuncture and Moxibustion in the Spine center at Kyung Hee East-West Neo Medical Center between September 1, 2008 and October 31, 2009 were evaluated. A total of 50 patients visiting within the time period had visited with a chief complaint of cervical pain, and had lateral entire spine X-rays taken. After excluding patients with previous spine operations, 46 patients were selected for the final analysis. The cervical lordotic angle(CLA), lumbar lordotic angle(LLA), Ferguson’s angle(FA), and sagittal vertical axis(SVA) were measured on the lateral entire spine X-ray cuts, and the relationships between these values and patient gender, age, chief complaint, and duration of symptoms were assessed.
Results : No significant difference was found in relationships between gender and measured values. SVA showed statistically significant correlation between age, but CLA, LLA, and FA was not. There was a significant difference in SVA between patients with only cervical pain and those with both cervical pain and low back pain. Patients with a duration of symptoms longer than 6 months showed a statistically significant difference in SVA with those who had shorter symptoms. Correlation analysis between measured values was statistically significant only between LLA and FA.
Conclusions : Evaluation and treatment of sagittal imbalance should be considered in patients presenting with cervical pain if symptoms have persisted for over 6 months or have accompanying low back pain.
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KEYWORD
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Cervical pain, Sagittal spinal balance, Spinal curvature
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