Kinematic Analysis of the Relationship Between the Grade of Disc Degeneration and Motion Unit of the Cervical Spine
Kinetic MRIs of cervical spines were obtained and analyzed according to the amount of motion and the degenerative grade of the intervertebral disc. To define the relationship between the grade of disc degeneration and the motion unit of the cervical spine and elucidate changes in the role of each ce...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2008-01, Vol.33 (2), p.187-193 |
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| container_title | Spine (Philadelphia, Pa. 1976) |
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| creator | MIYAZAKI, Masashi SOON WOO HONG SEUNG HWAN YOON JUN ZOU TOW, Benjamin ALANAY, Ahmet ABITBOL, Jean-Jacques WANG, Jeffrey C |
| description | Kinetic MRIs of cervical spines were obtained and analyzed according to the amount of motion and the degenerative grade of the intervertebral disc.
To define the relationship between the grade of disc degeneration and the motion unit of the cervical spine and elucidate changes in the role of each cervical spine unit during flexion-extension motion caused by degeneration.
Degenerative changes in the cervical disc occur with age. The correlation between the degree of cervical disc degeneration and extent of cervical spine mobility has not yet been determined. The effect of degeneration on the overall motion of the functional spinal unit also remains undefined.
We studied 164 patients with symptomatic neck pain. The cervical intervertebral discs were graded by spine surgeons according to the degenerative grading system (Grades I to V). All radiologic data from kinetic MRIs were recorded on a computer for subsequent measurements. All measurements and calculations for translational motion and angular variation of each segment were automatically performed by a computer analyzer.
The translational motion in discs with Grade II degeneration (mild degeneration) increased to Grade III degeneration (higher degeneration). However, the translational motion and angular variation significantly decreased for the Grade V (severe degeneration). For patients with relatively low grades of degeneration, Grades I and II discs, the C4-C5 and C5-C6 segmental units contributed the majority of total angular mobility of the spine. However, for the severely degenerated segments, Grade V discs, the contributions of the C4-C5 and C5-C6 U significantly decreased.
The changes that occur with disc degeneration progress from the normal state to an unstable phase with higher mobility and subsequently to an ankylosed stage. This study evaluated the contribution of different levels to the changes in overall motion that occur with degeneration. |
| doi_str_mv | 10.1097/BRS.0b013e3181604501 |
| format | Article |
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To define the relationship between the grade of disc degeneration and the motion unit of the cervical spine and elucidate changes in the role of each cervical spine unit during flexion-extension motion caused by degeneration.
Degenerative changes in the cervical disc occur with age. The correlation between the degree of cervical disc degeneration and extent of cervical spine mobility has not yet been determined. The effect of degeneration on the overall motion of the functional spinal unit also remains undefined.
We studied 164 patients with symptomatic neck pain. The cervical intervertebral discs were graded by spine surgeons according to the degenerative grading system (Grades I to V). All radiologic data from kinetic MRIs were recorded on a computer for subsequent measurements. All measurements and calculations for translational motion and angular variation of each segment were automatically performed by a computer analyzer.
The translational motion in discs with Grade II degeneration (mild degeneration) increased to Grade III degeneration (higher degeneration). However, the translational motion and angular variation significantly decreased for the Grade V (severe degeneration). For patients with relatively low grades of degeneration, Grades I and II discs, the C4-C5 and C5-C6 segmental units contributed the majority of total angular mobility of the spine. However, for the severely degenerated segments, Grade V discs, the contributions of the C4-C5 and C5-C6 U significantly decreased.
The changes that occur with disc degeneration progress from the normal state to an unstable phase with higher mobility and subsequently to an ankylosed stage. This study evaluated the contribution of different levels to the changes in overall motion that occur with degeneration.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/BRS.0b013e3181604501</identifier><identifier>PMID: 18197105</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott</publisher><subject>Biological and medical sciences ; Biomechanical Phenomena - methods ; Cerebrospinal fluid. Meninges. Spinal cord ; Cervical Vertebrae - pathology ; Cervical Vertebrae - physiopathology ; Humans ; Image Processing, Computer-Assisted ; Intervertebral Disc Displacement - classification ; Intervertebral Disc Displacement - diagnosis ; Intervertebral Disc Displacement - physiopathology ; Joint Instability - pathology ; Joint Instability - physiopathology ; Magnetic Resonance Imaging ; Medical sciences ; Movement ; Neck Pain - diagnosis ; Neck Pain - physiopathology ; Nervous system (semeiology, syndromes) ; Neurology ; Observer Variation ; Orthopedic surgery ; Pliability ; Range of Motion, Articular ; Reproducibility of Results ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2008-01, Vol.33 (2), p.187-193</ispartof><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c335t-f9e32d6bd54da2291457550fd382f491d3eb95e1a17520252ed13c37a0965a053</citedby><cites>FETCH-LOGICAL-c335t-f9e32d6bd54da2291457550fd382f491d3eb95e1a17520252ed13c37a0965a053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20010643$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18197105$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MIYAZAKI, Masashi</creatorcontrib><creatorcontrib>SOON WOO HONG</creatorcontrib><creatorcontrib>SEUNG HWAN YOON</creatorcontrib><creatorcontrib>JUN ZOU</creatorcontrib><creatorcontrib>TOW, Benjamin</creatorcontrib><creatorcontrib>ALANAY, Ahmet</creatorcontrib><creatorcontrib>ABITBOL, Jean-Jacques</creatorcontrib><creatorcontrib>WANG, Jeffrey C</creatorcontrib><title>Kinematic Analysis of the Relationship Between the Grade of Disc Degeneration and Motion Unit of the Cervical Spine</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>Kinetic MRIs of cervical spines were obtained and analyzed according to the amount of motion and the degenerative grade of the intervertebral disc.
To define the relationship between the grade of disc degeneration and the motion unit of the cervical spine and elucidate changes in the role of each cervical spine unit during flexion-extension motion caused by degeneration.
Degenerative changes in the cervical disc occur with age. The correlation between the degree of cervical disc degeneration and extent of cervical spine mobility has not yet been determined. The effect of degeneration on the overall motion of the functional spinal unit also remains undefined.
We studied 164 patients with symptomatic neck pain. The cervical intervertebral discs were graded by spine surgeons according to the degenerative grading system (Grades I to V). All radiologic data from kinetic MRIs were recorded on a computer for subsequent measurements. All measurements and calculations for translational motion and angular variation of each segment were automatically performed by a computer analyzer.
The translational motion in discs with Grade II degeneration (mild degeneration) increased to Grade III degeneration (higher degeneration). However, the translational motion and angular variation significantly decreased for the Grade V (severe degeneration). For patients with relatively low grades of degeneration, Grades I and II discs, the C4-C5 and C5-C6 segmental units contributed the majority of total angular mobility of the spine. However, for the severely degenerated segments, Grade V discs, the contributions of the C4-C5 and C5-C6 U significantly decreased.
The changes that occur with disc degeneration progress from the normal state to an unstable phase with higher mobility and subsequently to an ankylosed stage. This study evaluated the contribution of different levels to the changes in overall motion that occur with degeneration.</description><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena - methods</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Cervical Vertebrae - pathology</subject><subject>Cervical Vertebrae - physiopathology</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Intervertebral Disc Displacement - classification</subject><subject>Intervertebral Disc Displacement - diagnosis</subject><subject>Intervertebral Disc Displacement - physiopathology</subject><subject>Joint Instability - pathology</subject><subject>Joint Instability - physiopathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Movement</subject><subject>Neck Pain - diagnosis</subject><subject>Neck Pain - physiopathology</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Observer Variation</subject><subject>Orthopedic surgery</subject><subject>Pliability</subject><subject>Range of Motion, Articular</subject><subject>Reproducibility of Results</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkMtOxCAUhonR6Hh5A2PY6K56DpR2WOqMt6gx8bJumHKqmA4doaPx7cVx1MQVBL7_P_AxtotwiKDLo5O7-0OYAEqSOMQCcgW4wgaoxDBDVHqVDUAWIhO5LDbYZowvAFBI1OtsIwV0iaAGLF45T1PTu5ofe9N-RBd51_D-mfgdtem88_HZzfgJ9e9EfnFxHoylL2rsYs3H9ESewgLlxlt-0y22j971P1UjCm-uNi2_n6Vx22ytMW2kneW6xR7PTh9GF9n17fnl6Pg6q6VUfdZoksIWE6tya4TQmKtSKWisHIom12glTbQiNFgqAUIJsihrWRrQhTKg5BY7-O6dhe51TrGvpunB1LbGUzePVQkCdNKWwPwbrEMXY6CmmgU3NeGjQqi-ZFdJdvVfdortLfvnkynZv9DSbgL2l4CJ6fdNML528ZcTAAhFLuUnheKHHw</recordid><startdate>20080115</startdate><enddate>20080115</enddate><creator>MIYAZAKI, Masashi</creator><creator>SOON WOO HONG</creator><creator>SEUNG HWAN YOON</creator><creator>JUN ZOU</creator><creator>TOW, Benjamin</creator><creator>ALANAY, Ahmet</creator><creator>ABITBOL, Jean-Jacques</creator><creator>WANG, Jeffrey C</creator><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080115</creationdate><title>Kinematic Analysis of the Relationship Between the Grade of Disc Degeneration and Motion Unit of the Cervical Spine</title><author>MIYAZAKI, Masashi ; SOON WOO HONG ; SEUNG HWAN YOON ; JUN ZOU ; TOW, Benjamin ; ALANAY, Ahmet ; ABITBOL, Jean-Jacques ; WANG, Jeffrey C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c335t-f9e32d6bd54da2291457550fd382f491d3eb95e1a17520252ed13c37a0965a053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Biological and medical sciences</topic><topic>Biomechanical Phenomena - methods</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Cervical Vertebrae - pathology</topic><topic>Cervical Vertebrae - physiopathology</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted</topic><topic>Intervertebral Disc Displacement - classification</topic><topic>Intervertebral Disc Displacement - diagnosis</topic><topic>Intervertebral Disc Displacement - physiopathology</topic><topic>Joint Instability - pathology</topic><topic>Joint Instability - physiopathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Movement</topic><topic>Neck Pain - diagnosis</topic><topic>Neck Pain - physiopathology</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Observer Variation</topic><topic>Orthopedic surgery</topic><topic>Pliability</topic><topic>Range of Motion, Articular</topic><topic>Reproducibility of Results</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MIYAZAKI, Masashi</creatorcontrib><creatorcontrib>SOON WOO HONG</creatorcontrib><creatorcontrib>SEUNG HWAN YOON</creatorcontrib><creatorcontrib>JUN ZOU</creatorcontrib><creatorcontrib>TOW, Benjamin</creatorcontrib><creatorcontrib>ALANAY, Ahmet</creatorcontrib><creatorcontrib>ABITBOL, Jean-Jacques</creatorcontrib><creatorcontrib>WANG, Jeffrey C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MIYAZAKI, Masashi</au><au>SOON WOO HONG</au><au>SEUNG HWAN YOON</au><au>JUN ZOU</au><au>TOW, Benjamin</au><au>ALANAY, Ahmet</au><au>ABITBOL, Jean-Jacques</au><au>WANG, Jeffrey C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Kinematic Analysis of the Relationship Between the Grade of Disc Degeneration and Motion Unit of the Cervical Spine</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2008-01-15</date><risdate>2008</risdate><volume>33</volume><issue>2</issue><spage>187</spage><epage>193</epage><pages>187-193</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>Kinetic MRIs of cervical spines were obtained and analyzed according to the amount of motion and the degenerative grade of the intervertebral disc.
To define the relationship between the grade of disc degeneration and the motion unit of the cervical spine and elucidate changes in the role of each cervical spine unit during flexion-extension motion caused by degeneration.
Degenerative changes in the cervical disc occur with age. The correlation between the degree of cervical disc degeneration and extent of cervical spine mobility has not yet been determined. The effect of degeneration on the overall motion of the functional spinal unit also remains undefined.
We studied 164 patients with symptomatic neck pain. The cervical intervertebral discs were graded by spine surgeons according to the degenerative grading system (Grades I to V). All radiologic data from kinetic MRIs were recorded on a computer for subsequent measurements. All measurements and calculations for translational motion and angular variation of each segment were automatically performed by a computer analyzer.
The translational motion in discs with Grade II degeneration (mild degeneration) increased to Grade III degeneration (higher degeneration). However, the translational motion and angular variation significantly decreased for the Grade V (severe degeneration). For patients with relatively low grades of degeneration, Grades I and II discs, the C4-C5 and C5-C6 segmental units contributed the majority of total angular mobility of the spine. However, for the severely degenerated segments, Grade V discs, the contributions of the C4-C5 and C5-C6 U significantly decreased.
The changes that occur with disc degeneration progress from the normal state to an unstable phase with higher mobility and subsequently to an ankylosed stage. This study evaluated the contribution of different levels to the changes in overall motion that occur with degeneration.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>18197105</pmid><doi>10.1097/BRS.0b013e3181604501</doi><tpages>7</tpages></addata></record> |
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| ispartof | Spine (Philadelphia, Pa. 1976), 2008-01, Vol.33 (2), p.187-193 |
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| subjects | Biological and medical sciences Biomechanical Phenomena - methods Cerebrospinal fluid. Meninges. Spinal cord Cervical Vertebrae - pathology Cervical Vertebrae - physiopathology Humans Image Processing, Computer-Assisted Intervertebral Disc Displacement - classification Intervertebral Disc Displacement - diagnosis Intervertebral Disc Displacement - physiopathology Joint Instability - pathology Joint Instability - physiopathology Magnetic Resonance Imaging Medical sciences Movement Neck Pain - diagnosis Neck Pain - physiopathology Nervous system (semeiology, syndromes) Neurology Observer Variation Orthopedic surgery Pliability Range of Motion, Articular Reproducibility of Results Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | Kinematic Analysis of the Relationship Between the Grade of Disc Degeneration and Motion Unit of the Cervical Spine |
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