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Comparison of Disc Degeneration between the Cervical and Lumbar Spine

Other Titles
 추간판 퇴행성 변화의 경추와 요추간 비교 
Authors
 Moon Soo Park  ;  Seong-Hwan Moon  ;  Hyung Joon Kim  ;  Jeong Hwan Lee  ;  Tae-Hwan Kim  ;  Jae Keun Oh  ;  K. Daniel Riew 
Citation
 Journal of Korean Society of Spine Surgery, Vol.27(2) : 62-70, 2020-06 
Journal Title
 Journal of Korean Society of Spine Surgery 
ISSN
 2093-4378 
Issue Date
2020-06
Keywords
Cervical vertebrae ; Lumbar vertebrae ; Intervertebral disc ; Degeneration
Abstract
Study Design: A retrospective radiologic study. Objectives: To compare disc degeneration between the cervical and lumbar spine and to elucidate the patterns of degeneration according to the corresponding disc levels in the cervical and lumbar spine. Summary of Literature Review: Disc degeneration results from the aging process in the spine. However, the incidence of disc degeneration in the cervical and lumbar spine might differ due to anatomical differences Materials and Methods: We randomly selected 280 patients by age and sex among 6,168 patients who underwent cervical or lumbar spine magnetic resonance imaging combined with whole-spine T2 sagittal images from June 2006 to March 2012. We classified disc degeneration by the modified Matsumoto grading system and the Pfirrmann classification at 11 intervertebral disc levels from C2 to T1 and from L1 to S1. Results: There was no significant difference in disc degeneration between the cervical and lumbar spine in either grading system. No significant difference was found in the degree of disc degeneration between the lower two disc levels of the cervical spine and the lower two disc levels of the lumbar spine in either system (C5-C6, C6-C7, L4-L5, L5-S1). However, both grading systems showed more severe degeneration in upper two disc levels of the cervical spine than in the upper two disc levels of the lumbar spine (C2-C3, C3-C4, L1-L2, L2-L3). Conclusions: There was a significant difference in disc degeneration between the upper two disc levels of the cervical and lumbar spine. Adjacent segmental degeneration after fusion surgery might reflect the natural history of the condition, not adjacent segmental problems.
Files in This Item:
T202005301.pdf Download
DOI
10.4184/jkss.2020.27.2.62
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Moon, Seong Hwan(문성환)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/180783
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