Investigation of Gender-Related Changes of Craniocervical Region Variables on MRI in Adults with Reduced Cervical Lordosis Angle

Yıl 2025, , 64 - 67, 15.01.2025

Gamze Taşkın Şenol , İbrahim Kürtül , Gülçin Ray , Abdullah Ray , Tacettin Ayanoğlu

https://doi.org/10.37990/medr.1561148

Öz

Aim: In the present study, the aim has been to evaluate the variables related to the craniocervical region on magnetic resonance imaging (MRI) of individuals with reduced cervical lordosis angle and to reveal the differences between genders.
Material and Method: Totally, 9 variables have been measured on the cervical vertebrae images of 120 individuals. The variables measured are as follows: Dens height (DH), dens anteroposterior distance (APDD), dens apical ligament length (LALD), foramen magnum sagittal diameter (SDFM), spinal canal anteroposterior diameter (APCSD), retropharyngeal space length (LRS), dens anteroposterior distance (ASDD), total cervical vertebrae length (TCVL) and dens angle (DA). Statistical analyses of the variables were performed with Minitab® 21.2 (64-bit) and R program.
Results: The study's results were as follows, men and women, respectively: DH: 31.5±2.8, 30.1±2.6, ASDD: 36.1, 34.2, TCVL: 116.2±7.2, 107.7±6.1. According to the analysis, the differences in DH, ASDD and TCVL variables between men and women were found to be statistically significant.
Conclusion: The study, which used MRI of the cervical region, found that gender was effective in the variables on the craniocervical region in individuals with reduced cervical lordosis angle and morphometric data related to the population were obtained.

Anahtar Kelimeler

Gender, cervical vertebrae, lordosis, morphology, magnetic resonance imaging

Kaynakça

• Offiah CE. Craniocervical junction and cervical spine anatomy. Neuroimaging Clin N Am. 2022;32:875-88.
• Izzo R, Popolizio T, Balzano RF, et al. Imaging of cranio-cervical junction traumas. Eur J Radiol. 2020;127:108960.
• Demirel A, Adak B. Cervical vertebral axis flattening: demographics and causes. Abant Med J. 2022;11:250-6.
• Ünal M. Upper cervical spine: anatomy, pathophysiology and clinic picture. İKÇÜSBFD. 2021;6:117-20.
• Kim GU, Chang MC, Kim TU, et al. Diagnostic modality in spine disease: a review. Asian Spine J. 2020;14:910-20.
• Ezra D, Kalichman L, Simonovich A, et al. The association between cervical lordosis and age, sex, history of cervical trauma and sedentarity: a CT study. Arch Anat Physiol. 2020;5:9-15.
• Been E, Shefi S, Soudack M. Cervical lordosis: the effect of age and gender. Spine J. 2017;17:880-8.
• Sarğın G, Baydar CY, Azizoğlu H. Cervical lordosis in asymptomatic ındividuals; systematic review and meta-analysis. Osmangazi Journal of Medicine. 2022;44:822-8.
• Abelin-Genevois K, Idjerouidene A, Roussouly P, et al. Cervical spine alignment in the pediatric population: a radiographic normative study of 150 asymptomatic patients. Euro Spine J. 2014;23:1442-8.
• Zhang J, Buser Z, Abedi A, et al. Can C2-6 cobb angle replace C2-7 cobb angle?: An analysis of cervical kinetic magnetic resonance ımages and x-rays. Spine (Phila Pa 1976). 2019;44:240-5.
• Tao Y, Galbusera F, Niemeyer F, et al. Radiographic cervical spine degenerative findings: a study on a large population from age 18 to 97 years. Eur Spine J. 2021;30:431-3.
• Lee SE, Jahng TA, Kim HJ. Correlation between cervical lordosis and adjacent segment pathology after anterior cervical spinal surgery. Eur Spine J. 2015;24:2899-909.
• Tao Y, Niemeyer F, Galbusera F, et al. Sagittal wedging of intervertebral discs and vertebral bodies in the cervical spine and their associations with age, sex and cervical lordosis: a large-scale morphological study. Clin Anat. 2021;34:1111-20.
• Guo Q, Ni B, Yang J, et al. Relation between alignments of upper and subaxial cervical spine: a radiological study. Arch Orthop Trauma Surg. 2011;131:857-62.
• Inoue T, Ito K, Ando K, et al. Age-related changes in upper and lower cervical alignment and range of motion: normative data of 600 asymptomatic individuals. Eur Spine J. 2020;29:2378-83.
• Virk S, Lafage R, Elysee J, et al. The 3 sagittal morphotypes that define the normal cervical spine a systematic review of the literature and an analysis of asymptomatic volunteers. J Bone Jt Surg. 2020;102:e109.
• Zhou S, Xu F, Wang W, et al. Age-based normal sagittal alignment in Chinese asymptomatic adults: establishment of the relationships between pelvic incidence and other parameters. Eur Spine J. 2020;29:396-404.
• Liguoro D, Vandermeersch B, Gudrin J. Dimensions of cervical vertebral bodies according to age and sex. Surg Radiol Anat. 1994;16:149-55.
• Yukawa Y, Kato F, Suda K, et al. Age-related changes in osseous anatomy, alignment, and range of motion of the cervical spine. Part I: Radiographic data from over 1,200 asymptomatic subjects. Eur Spine J. 2012;21:1492-8.
• McAviney J, Schulz D, Bock R, et al. Determining the relationship between cervical lordosis and neck complaints. J Manipulative Physiol Ther. 2005;28:187-93.
• Harrison DD, Harrison DE, Janik TJ, 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. 2004;29:2485-92.
• Grob D, Frauenfelder H, Mannion AF. The association between cervical spine curvature and neck pain. Eur Spine J. 2007;16:669-78.
• Aşkin A, Bayram KB, Demirdal ÜS, et al. The evaluation of cervical spinal angle in patients with acute and chronic neck pain. Turk J Med Sci. 2017;47:806-11.
• Helliwell PS, Evans PF, Wright V. The straight cervical spine: Does it indicate muscle spasm?. J Bone Joint Surg Br. 1994;76:103-6.