Age- and gender-related radiological changes of the cervical spine: A study with largest magnetic resonance imaging database of 5672 consecutive patients

Background: The morphological features of the cervical spine are an essential issue. This retrospective study aimed to investigate the structural and radiological changes in the cervical spine. Materials and Methods: A total of 250 patients with neck pain but no apparent cervical pathology were sele...

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Main Authors: Ali Riza Guvercin, Erhan Arslan, Cigdem Hacifazlioglu, Ayhan Kanat, Elif Acar Arslan, Ugur Yazar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Craniovertebral Junction and Spine
Subjects:
Online Access:http://www.jcvjs.com/article.asp?issn=0974-8237;year=2023;volume=14;issue=1;spage=84;epage=92;aulast=Guvercin
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author Ali Riza Guvercin
Erhan Arslan
Cigdem Hacifazlioglu
Ayhan Kanat
Elif Acar Arslan
Ugur Yazar
author_facet Ali Riza Guvercin
Erhan Arslan
Cigdem Hacifazlioglu
Ayhan Kanat
Elif Acar Arslan
Ugur Yazar
author_sort Ali Riza Guvercin
collection DOAJ
description Background: The morphological features of the cervical spine are an essential issue. This retrospective study aimed to investigate the structural and radiological changes in the cervical spine. Materials and Methods: A total of 250 patients with neck pain but no apparent cervical pathology were selected from a database of 5672 consecutive patients undergoing magnetic resonance imaging (MRI). MRIs were directly examined for cervical disc degeneration. These include Pfirrmann grade (Pg/C), cervical lordosis angle (A/CL), Atlantodental distance (ADD), the thickness of transverse ligament (T/TL), and position of cerebellar tonsils (P/CT). The measurements were taken at the positions of T1- and T2-weighted sagittal and axial MRIs. To evaluate the results, patients were divided into seven age groups (10–19, 20–29, 30–39, 40–49, 50–59, 60–69, 70, and over). Results: In terms of ADD (mm), T/TL (mm), and P/CT (mm), there was no significant difference among age groups (P > 0.05). However, in terms of A/CL (degree) values, a statistically significant difference was observed among age groups (P < 0.05). Conclusions: Intervertebral disc degeneration was more severe in males than in females as age increased. For both genders, cervical lordosis, decreased significantly as age increased. T/TL, ADD, and P/CT did not significantly differ with age. The present study indicates that structural and radiological changes are possible reasons for cervical pain at advanced ages.
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spelling doaj.art-7c0d5f5ac7bd4a3fb06d91c1e4891c9f2023-03-21T11:12:17ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372023-01-01141849210.4103/jcvjs.jcvjs_9_23Age- and gender-related radiological changes of the cervical spine: A study with largest magnetic resonance imaging database of 5672 consecutive patientsAli Riza GuvercinErhan ArslanCigdem HacifazliogluAyhan KanatElif Acar ArslanUgur YazarBackground: The morphological features of the cervical spine are an essential issue. This retrospective study aimed to investigate the structural and radiological changes in the cervical spine. Materials and Methods: A total of 250 patients with neck pain but no apparent cervical pathology were selected from a database of 5672 consecutive patients undergoing magnetic resonance imaging (MRI). MRIs were directly examined for cervical disc degeneration. These include Pfirrmann grade (Pg/C), cervical lordosis angle (A/CL), Atlantodental distance (ADD), the thickness of transverse ligament (T/TL), and position of cerebellar tonsils (P/CT). The measurements were taken at the positions of T1- and T2-weighted sagittal and axial MRIs. To evaluate the results, patients were divided into seven age groups (10–19, 20–29, 30–39, 40–49, 50–59, 60–69, 70, and over). Results: In terms of ADD (mm), T/TL (mm), and P/CT (mm), there was no significant difference among age groups (P > 0.05). However, in terms of A/CL (degree) values, a statistically significant difference was observed among age groups (P < 0.05). Conclusions: Intervertebral disc degeneration was more severe in males than in females as age increased. For both genders, cervical lordosis, decreased significantly as age increased. T/TL, ADD, and P/CT did not significantly differ with age. The present study indicates that structural and radiological changes are possible reasons for cervical pain at advanced ages.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2023;volume=14;issue=1;spage=84;epage=92;aulast=Guvercinagecervical spinegenderradiology
spellingShingle Ali Riza Guvercin
Erhan Arslan
Cigdem Hacifazlioglu
Ayhan Kanat
Elif Acar Arslan
Ugur Yazar
Age- and gender-related radiological changes of the cervical spine: A study with largest magnetic resonance imaging database of 5672 consecutive patients
Journal of Craniovertebral Junction and Spine
age
cervical spine
gender
radiology
title Age- and gender-related radiological changes of the cervical spine: A study with largest magnetic resonance imaging database of 5672 consecutive patients
title_full Age- and gender-related radiological changes of the cervical spine: A study with largest magnetic resonance imaging database of 5672 consecutive patients
title_fullStr Age- and gender-related radiological changes of the cervical spine: A study with largest magnetic resonance imaging database of 5672 consecutive patients
title_full_unstemmed Age- and gender-related radiological changes of the cervical spine: A study with largest magnetic resonance imaging database of 5672 consecutive patients
title_short Age- and gender-related radiological changes of the cervical spine: A study with largest magnetic resonance imaging database of 5672 consecutive patients
title_sort age and gender related radiological changes of the cervical spine a study with largest magnetic resonance imaging database of 5672 consecutive patients
topic age
cervical spine
gender
radiology
url http://www.jcvjs.com/article.asp?issn=0974-8237;year=2023;volume=14;issue=1;spage=84;epage=92;aulast=Guvercin
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