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KMID : 0895820100200040139
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Journal of Oriental Rehabilitation Medicine
2010 Volume.20 No. 4 p.139 ~ p.146
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Correlation Analysis between Radiological Result and Radiating Pain in Neck Pain
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Han Kyung-Wan
Kim Eun-Seok
Woo Jae-Hyuk
Kim Ho-Jun
Lee Myeong-Jong
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Abstract
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Objectives :To compare the differences between the symptoms and the findings of MRI(magnetic resonance imaging) and x-ray, we studied the patients with neck pain or radiating pain, which has been diagnosed as cervical herniated disc recently.
Methods :We randomly selected among the 143 patients with x-ray and cervical spine(C-spine) MRI films who have visited Ja-seng hospital with neck pain and neck and radiating pain from April 1 of 2010 to May 1. We used SPSS 13.0 for windows in analyzing statistical data of study results and the level of significance was below 0.05.
Results :1. There were no significant differences between the presence of radiating pain and the amount of cervical herniation(p>0.05). 2. If the finding of a x-ray showed narrowing, based on MRI findings, the amount of herniation was more severe(p<0.05). 3. There were no significant differences between the presence of radiating pain and the findings of x-ray(p>0.05). 4. Among the 143 cases, which showed findings beside HIVD(herniation of intervertebral disc) were 13 cases. 88 cases of straightening(61.5%), 78 cases of uncovertebral joint arthrosis(54.5%), 25 cases of stenosis(17.5%), 13 cases of retrolisthesis(9.1%), 8 cases of osteophyte(5.6%), 4 cases of spondylolisthesis(2.8%), 2 cases of hemangioma(1.4%), 3 cases of OPLL(ossification of posterior longitudinal ligament)(2.1%), 2 cases of block vertebrae(1.4%), 2 cases of spondylitis(1.4%), 1 case of kyphosis(0.1%) and 1 case of ligamentum flavum hypertrophy(0.1%).
Conclusions :The findings from this study suggest that there was no relation between radiating pain and radiological result. On the other hand, diagnosis of x-ray and MRI showed significant relevance. The narrower disc space there were, the severer the state of herniation there existed.
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KEYWORD
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Radiating pain, MRI, X-ray, Neck pain, Cervical herniated disc
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