Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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The Relationship between Neck Pain and Cervical Alignment in Young Female Nursing Staff

  • Kim, Jang-Hun (Department of Neurosurgery, Guro Hospital, Korea University College of Medicine) ;
  • Kim, Joo Han (Department of Neurosurgery, Guro Hospital, Korea University College of Medicine) ;
  • Kim, Jong-Hyun (Department of Neurosurgery, Guro Hospital, Korea University College of Medicine) ;
  • Kwon, Taek-Hyun (Department of Neurosurgery, Guro Hospital, Korea University College of Medicine) ;
  • Park, Yoon-Kwan (Department of Neurosurgery, Guro Hospital, Korea University College of Medicine) ;
  • Moon, Hong Joo (Department of Neurosurgery, Guro Hospital, Korea University College of Medicine)
  • Received : 2015.04.20
  • Accepted : 2015.07.13
  • Published : 2015.10.28
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Abstract

Objective : Degenerative changes in the cervical spine are commonly accompanied by cervical kyphosis which can cause neck pain. This study examined the relationship between neck pain and cervical alignment. Methods : A total of 323 female nursing staff from our hospital were enrolled. Sagittal radiographs of the cervical spine, Body Mass Index (BMI), Visual Analogue Scale (VAS) measures of neck and arm pain, Neck Disability Index (NDI) and the Short Form (36) Health Survey (SF-36 scores) were obtained and reviewed retrospectively. Global lordosis (GL) of the cervical spine was measured on radiograph images. Correlations between GL and questionnaire scores were investigated using the following three methods : 1) correlation between GL and questionnaire scores among the entire sample; 2) subgroup analysis of patients with "kyphosis (KYP) : GL scores<0" vs. those with "lordosis (LOR) : GL scores>0" on questionnaire measures; and 3) subgroup analysis of patients with pain vs. those without pain, on GL and questionnaire measures. Results : There was no significant correlation between GL and any questionnaire measure. There was a significant difference between the mean GLs of the KYP and LOR groups, but there were no group differences in BMI, age or any questionnaire measures. There was no difference between the pain (n=92) and pain-free (n=231) groups in age, BMI or GL, but there were differences in neck, and arm pain, and physical function and NDI scores. Conclusions : Our data suggest that kyphotic deformity was not associated with neck pain.

Keywords

References

  1. Andersson H, Ejlertsson G, Leden I : Widespread musculoskeletal chronic pain associated with smoking. An epidemiological study in a general rural population. Scand J Rehabil Med 30 : 185-191, 1998 https://doi.org/10.1080/003655098444129
  2. Bovim G, Schrader H, Sand T : Neck pain in the general population. Spine (Phila Pa 1976) 19 : 1307-1309, 1994 https://doi.org/10.1097/00007632-199406000-00001
  3. Brattberg G, Thorslund M, Wikman A : The prevalence of pain in a general population. The results of a postal survey in a county of Sweden. Pain 37 : 215-222, 1989 https://doi.org/10.1016/0304-3959(89)90133-4
  4. Bruehl S, Chung OY, Jirjis JN, Biridepalli S : Prevalence of clinical hypertension in patients with chronic pain compared to nonpain general medical patients. Clin J Pain 21 : 147-153, 2005 https://doi.org/10.1097/00002508-200503000-00006
  5. Gore DR : Roentgenographic findings in the cervical spine in asymptomatic persons : a ten-year follow-up. Spine (Phila Pa 1976) 26 : 2463-2466, 2001 https://doi.org/10.1097/00007632-200111150-00013
  6. Gore DR, Sepic SB, Gardner GM : Roentgenographic findings of the cervical spine in asymptomatic people. Spine (Phila Pa 1976) 11 : 521-524, 1986 https://doi.org/10.1097/00007632-198607000-00003
  7. Grob D, Frauenfelder H, Mannion AF : The association between cervical spine curvature and neck pain. Eur Spine J 16 : 669-678, 2007 https://doi.org/10.1007/s00586-006-0254-1
  8. Harrison DD, Harrison DE, Janik TJ, Cailliet R, Ferrantelli JR, Haas JW, et al. : Modeling of the sagittal cervical spine as a method to discriminate hypolordosis : results of elliptical and circular modeling in 72 asymptomatic subjects, 52 acute neck pain subjects, and 70 chronic neck pain subjects. Spine (Phila Pa 1976) 29 : 2485-2492, 2004 https://doi.org/10.1097/01.brs.0000144449.90741.7c
  9. Harrison DD, Troyanovich SJ, Harrison DE, Janik TJ, Murphy DJ : A normal sagittal spinal configuration : a desirable clinical outcome. J Manipulative Physiol Ther 19 : 398-405, 1996
  10. Harrison DE, Harrison DD, Janik TJ, William Jones E, Cailliet R, Normand M : Comparison of axial and flexural stresses in lordosis and three buckled configurations of the cervical spine. Clin Biomech (Bristol, Avon) 16 : 276-284, 2001 https://doi.org/10.1016/S0268-0033(01)00006-7
  11. Iizuka Y, Shinozaki T, Kobayashi T, Tsutsumi S, Osawa T, Ara T, et al. : Characteristics of neck and shoulder pain (called katakori in Japanese) among members of the nursing staff. J Orthop Sci 17 : 46-50, 2012 https://doi.org/10.1007/s00776-011-0177-5
  12. Kawakami M, Tamaki T, Yoshida M, Hayashi N, Ando M, Yamada H : Axial symptoms and cervical alignments after cervical anterior spinal fusion for patients with cervical myelopathy. J Spinal Disord 12 : 50-56, 1999
  13. Linton SJ : A review of psychological risk factors in back and neck pain. Spine (Phila Pa 1976) 25 : 1148-1156, 2000 https://doi.org/10.1097/00007632-200005010-00017
  14. Makela M, Heliovaara M, Sievers K, Impivaara O, Knekt P, Aromaa A : Prevalence, determinants, and consequences of chronic neck pain in Finland. Am J Epidemiol 134 : 1356-1367, 1991 https://doi.org/10.1093/oxfordjournals.aje.a116038
  15. Marchiori DM, Henderson CN : A cross-sectional study correlating cervical radiographic degenerative findings to pain and disability. Spine (Phila Pa 1976) 21 : 2747-2751, 1996 https://doi.org/10.1097/00007632-199612010-00007
  16. Naderi S, Ozgen S, Pamir MN, Ozek MM, Erzen C : Cervical spondylotic myelopathy : surgical results and factors affecting prognosis. Neurosurgery 43 : 43-49; discussion 49-50, 1998 https://doi.org/10.1097/00006123-199807000-00028
  17. Sadeghian F, Raei M, Amiri M : Persistent of neck/shoulder pain among computer office workers with specific attention to pain expectation, somatization tendency, and beliefs. Int J Prev Med 5 : 1169-1177, 2014
  18. Suzuki H, Endo K, Kobayashi H, Tanaka H, Yamamoto K : Total sagittal spinal alignment in patients with lumbar canal stenosis accompanied by intermittent claudication. Spine (Phila Pa 1976) 35 : E344-E346, 2010 https://doi.org/10.1097/BRS.0b013e3181c91121
  19. Villavicencio AT, Babuska JM, Ashton A, Busch E, Roeca C, Nelson EL, et al. : Prospective, randomized, double-blind clinical study evaluating the correlation of clinical outcomes and cervical sagittal alignment. Neurosurgery 68 : 1309-1316; discussion 1316, 2011 https://doi.org/10.1227/NEU.0b013e31820b51f3
  20. Wu WJ, Jiang LS, Liang Y, Dai LY : Cage subsidence does not, but cervical lordosis improvement does affect the long-term results of anterior cervical fusion with stand-alone cage for degenerative cervical disc disease : a retrospective study. Eur Spine J 21 : 1374-1382, 2012 https://doi.org/10.1007/s00586-011-2131-9

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