K-line tilt as a novel potential risk factor for cervical Modic change: a retrospective study
Abstract Background Cervical sagittal parameters are important parameters that reflect the mechanical stress in the sagittal plane of the cervical spine and are an important basis for predicting the clinical status and prognosis of patients. Although it has been confirmed that there is a significant...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-03780-y |
| _version_ | 1797845910427795456 |
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| author | Qingsong Zhou Wei Deng Shengtao Wang Jieyong Cai Junfei Feng Qian Chen Yong Yin |
| author_facet | Qingsong Zhou Wei Deng Shengtao Wang Jieyong Cai Junfei Feng Qian Chen Yong Yin |
| author_sort | Qingsong Zhou |
| collection | DOAJ |
| description | Abstract Background Cervical sagittal parameters are important parameters that reflect the mechanical stress in the sagittal plane of the cervical spine and are an important basis for predicting the clinical status and prognosis of patients. Although it has been confirmed that there is a significant correlation between cervical Modic changes and some sagittal parameters. However, as a newly discovered sagittal parameter, there is no report on the relationship between the K-line tilt and the Modic changes of cervical spine. Methods A retrospective analysis was performed for 240 patients who underwent cervical magnetic resonance imaging scan for neck and shoulder pain. Among them, 120 patients with Modic changes, namely the MC(+) group, were evenly divided into three subgroups of 40 patients in each group according to different subtypes, namely MCI subgroup, MCII subgroup and MCIII subgroup. One hundred twenty patients without Modic changes were included in MC(−) group. We measured and compared the sagittal parameters of cervical spine among different groups, including K-line tilt, C2–C7 sagittal axial vertical distance (C2–C7 SVA), T1 slope and C2–7 lordosis. Logistic regression was used to analyse the risk factors of cervical Modic changes. Results The K-line tilt and C2–7 lordosis were significantly different between MC(+) group and MC(−) group (P < 0.05). The K-line tilt greater than 6.72° is a risk factor for Modic changes in cervical spine (P < 0.05). At the same time, the receiver operating characteristic curve showed that this change had moderate diagnostic value when the area under the curve was 0.77. Conclusion This study shows that the K-line tilt greater than 6.72° is a potential risk factor for Modic changes in cervical spine. When the K-line tilt is greater than 6.72°, we should be alert to the occurrence of Modic changes. Trial registration number: 2022ER023-1. |
| first_indexed | 2024-04-09T17:46:36Z |
| format | Article |
| id | doaj.art-e39927d5b5c3401291f57fbc52b9e9a1 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-09T17:46:36Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-e39927d5b5c3401291f57fbc52b9e9a12023-04-16T11:20:02ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-04-011811610.1186/s13018-023-03780-yK-line tilt as a novel potential risk factor for cervical Modic change: a retrospective studyQingsong Zhou0Wei Deng1Shengtao Wang2Jieyong Cai3Junfei Feng4Qian Chen5Yong Yin6Department of Orthopedics, Pidu District People’s Hospital, The Third Affiliated Hospital of Chengdu Medical CollegeDepartment of Orthopedics, Pidu District People’s Hospital, The Third Affiliated Hospital of Chengdu Medical CollegeDepartment of Orthopedics, Pidu District People’s Hospital, The Third Affiliated Hospital of Chengdu Medical CollegeDepartment of Orthopedics, Pidu District People’s Hospital, The Third Affiliated Hospital of Chengdu Medical CollegeDepartment of Orthopedics and Laboratory of Biological Tissue Engineering and Digital Medicine, Affiliated Hospital of North Sichuan Medical CollegeDepartment of Orthopedics and Laboratory of Biological Tissue Engineering and Digital Medicine, Affiliated Hospital of North Sichuan Medical CollegeDepartment of Orthopedics, Pidu District People’s Hospital, The Third Affiliated Hospital of Chengdu Medical CollegeAbstract Background Cervical sagittal parameters are important parameters that reflect the mechanical stress in the sagittal plane of the cervical spine and are an important basis for predicting the clinical status and prognosis of patients. Although it has been confirmed that there is a significant correlation between cervical Modic changes and some sagittal parameters. However, as a newly discovered sagittal parameter, there is no report on the relationship between the K-line tilt and the Modic changes of cervical spine. Methods A retrospective analysis was performed for 240 patients who underwent cervical magnetic resonance imaging scan for neck and shoulder pain. Among them, 120 patients with Modic changes, namely the MC(+) group, were evenly divided into three subgroups of 40 patients in each group according to different subtypes, namely MCI subgroup, MCII subgroup and MCIII subgroup. One hundred twenty patients without Modic changes were included in MC(−) group. We measured and compared the sagittal parameters of cervical spine among different groups, including K-line tilt, C2–C7 sagittal axial vertical distance (C2–C7 SVA), T1 slope and C2–7 lordosis. Logistic regression was used to analyse the risk factors of cervical Modic changes. Results The K-line tilt and C2–7 lordosis were significantly different between MC(+) group and MC(−) group (P < 0.05). The K-line tilt greater than 6.72° is a risk factor for Modic changes in cervical spine (P < 0.05). At the same time, the receiver operating characteristic curve showed that this change had moderate diagnostic value when the area under the curve was 0.77. Conclusion This study shows that the K-line tilt greater than 6.72° is a potential risk factor for Modic changes in cervical spine. When the K-line tilt is greater than 6.72°, we should be alert to the occurrence of Modic changes. Trial registration number: 2022ER023-1.https://doi.org/10.1186/s13018-023-03780-yModic changes of cervical spineK-line tiltSagittal parameters of cervical spine |
| spellingShingle | Qingsong Zhou Wei Deng Shengtao Wang Jieyong Cai Junfei Feng Qian Chen Yong Yin K-line tilt as a novel potential risk factor for cervical Modic change: a retrospective study Journal of Orthopaedic Surgery and Research Modic changes of cervical spine K-line tilt Sagittal parameters of cervical spine |
| title | K-line tilt as a novel potential risk factor for cervical Modic change: a retrospective study |
| title_full | K-line tilt as a novel potential risk factor for cervical Modic change: a retrospective study |
| title_fullStr | K-line tilt as a novel potential risk factor for cervical Modic change: a retrospective study |
| title_full_unstemmed | K-line tilt as a novel potential risk factor for cervical Modic change: a retrospective study |
| title_short | K-line tilt as a novel potential risk factor for cervical Modic change: a retrospective study |
| title_sort | k line tilt as a novel potential risk factor for cervical modic change a retrospective study |
| topic | Modic changes of cervical spine K-line tilt Sagittal parameters of cervical spine |
| url | https://doi.org/10.1186/s13018-023-03780-y |
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