Cervical Lordosis in Asymptomatic Individuals; Systematic Review and Meta-Analysis

Öz

The cervical spine has the greatest sagittal movement of the spine and the cervical spine alignment is very important in terms of function and posture by affecting the thoracic sagittal alignment. Cervical lordosis has important clinical and surgical implications. The aim of this study is to evaluate the relationship of cervical lordosis with age and gender in individuals without signs of cervical spinal disease and to examine the presence and extent of cervical lordosis. Our search algorithm included studies published between 2017 and 2021. Eligible studies were searched using Pubmed, OVID, Clinical Key and Google Scholar databases between April 1, 2021 and May 25, 2021. Only English and Turkish studies were included. After scanning, a total of 10,138 titles and abstracts were found. Of these, 51 full-text articles were analyzed. A total of 5 articles were included in our analysis with our inclusion-exclusion criteria. It was determined that two of the studies were prospective, two were retrospective and one was observational cross-sectional. As a result of the meta-analysis, it was determined that there was a 1% difference between total slope lordosis pains according to gender. The slope between the cervical lordosis angles in women showed a 2% difference. Likewise, it was analyzed that there was a 2% difference in the slope between the cervical lordosis angles in men. Gender and age-related lordosis gradients should be considered in surgical interventions involving cervical stabilization or restoration.

Anahtar Kelimeler

• Servical lordozis or C2- C7 lordozis
• age
• gender
• asymptomatic individuals

Asemptomatik Bireylerde Cervical Lordozis ; Sistematik Derleme ve Meta-analiz

Öz

Servical omurga omurganın en büyük sagittal hareketine sahiptir ve servical omurga dizilimi torasik sagittal dizilimi etkileyerek fonksiyon ve duruş bakımından oldukça önemlidir. Servical lordozun önemli klinik ve cerrahi etkileri vardır. Servical spinal hastalık bulgusu olmayan bireylerde cervical lordozisin yaş ve cinsiyet ile ilişkisini değerlendirip, cervical lordozisin varlığını ve kapsamını incelemektir. Arama algoritmamızda, 2017 ile 2021 tarihleri arasında yayınlanan araştırmalar dahil edildi. Uygun araştırmalar CINAHL Complete, MEDLİNE, OVİD, Clinical Key ve Google Scholar veritabanları kullanılarak 1 Nisan 2021-25 Mayıs 2021 tarihleri arasında tarama yapıldı. Sadece İngilizce ve Türkçe çalışmalar dahil edildi. Tarama sonrası toplam10.138 başlık ve özet bulundu. Bunların içinden 51 tam metin makale analiz edildi. Analizimize dahil etme- hariç tutma kriterlerimizle toplamda 5 makale dahil edildi. Çalışmaların iki tanesi prospective, iki tanesi retrospective ve bir tanesi de observetional kesitsel türde olduğu belirlendi. Yapılan metaanaliz sonucu cinsiyete göre total eğim lordoz acıları arasında %1’lik bir farklılık olduğu belirlendi. Kadınlarda servikal lordoz açıları arasındaki eğim %2’lik farklılık gösterdi. Aynı şekilde erkeklerde de servikal lordoz açıları arasındaki eğim %2’lik bir farklılık gösterdiği analiz edildi. Servical lordoz stabilizasyonu veya restorasyonu içeren cerrahi müdahalelerde cinsiyet ve yaşa bağlı değişen lordoz eğimleri göz önünde bulundurulmalıdır.

Anahtar Kelimeler

• Servical lordozis or C2- C7 lordozis
• yaş
• cinsiyet
• asemptomatik bireyler

Kaynakça

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