ORIGINAL ARTICLE

Correlation between Loss of Cervical Lordosis and Degenerative Diseases of the Sub-axial Cervical Spine Columns

Elysanti Dwi Martadiani , Made Widhi Asih, Nyoman Srie Laksminigsih, Anastasia Tjan, Nyoman Widyasari

Elysanti Dwi Martadiani
Radiology Department, Faculty of Medicine, Universitas Udayana - Sanglah Hospital Denpasar. Email: elysantidm@gmail.com

Made Widhi Asih
Radiology Department, Faculty of Medicine, Universitas Udayana - Sanglah Hospital Denpasar

Nyoman Srie Laksminigsih
Radiology Department, Faculty of Medicine, Universitas Udayana - Sanglah Hospital Denpasar

Anastasia Tjan
Radiology Department, Faculty of Medicine, Universitas Udayana - Sanglah Hospital Denpasar

Nyoman Widyasari
Radiology Department, Faculty of Medicine, Universitas Udayana - Sanglah Hospital Denpasar
Online First: December 01, 2019 | Cite this Article
Martadiani, E., Asih, M., Laksminigsih, N., Tjan, A., Widyasari, N. 2019. Correlation between Loss of Cervical Lordosis and Degenerative Diseases of the Sub-axial Cervical Spine Columns. Bali Medical Journal 8(3): 878-885. DOI:10.15562/bmj.v8i3.1560


Background: Subaxial cervical spine is the cervical segment which commonly undergo degenerative changes. There are numerous cervical lordosis angle measurement, however posterior tangential method is considered more accurate to detect any degenerative related changes.

Aim: This study aimed to find the profile of cervical lordotic curve among patients with cervical degenerative disease, and to determine the correlation between degenerative process of subaxial cervical spine columns and cervical curve malalignment.

Method: A cross sectional study was conducted by adopting the posterior tangent measurement. Cervical alignment was measured from cervical MRI mid sagittal section to identify loss of cervical lordotic and the presence of kyphosis. Degenerative disease of each vertebral column of subaxial cervical spine, anterior and posterior were evaluated. Spearman correlation test was done to identify the relationship between degenerative process of each column of subaxial cervical spine with loss of cervical lordosis and the presence of kyphosis. Multivariate analysis was done to adjust the effect of confounding variable.

Result: Total of 90 subjects with male predominance (62%), mean age 54± 1.3 years. Neck pain contributes the most presenting complain (92%). As many as 51 subjects have hypo-lordosis, while 32 subjects have kyphotic changes. There was no significant correlation between degenerative process of each column of subaxial cervical spine and loss of cervical lordotic, but significant correlation was found between posterior listhesis and cervical kyphosis defomity. (p < 0.05).

Conclusion: There was significant correlation between cervical kyphotic malalignment with posterior listheis  in all three vertebra columns instead of hypo-lordosis.

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