Chronic neck pain in young adults: Perspectives on anatomic differences

Research output: Contribution to journalArticle

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Abstract

BACKGROUND CONTEXT: Neck pain (NP) is a common musculoskeletal disorder, but little is known about the associated risk factors.

PURPOSE: We compared anatomic differences in the neck and trunk area of young adult patients with chronic NP and control subjects without NP to identify risk factors and predictors.

STUDY DESIGN: This is an age-, sex-, and body mass index-matched retrospective case-control study of a consecutive sample.

PATIENT SAMPLE: Patients with axial NP for longer than 6 months (23 males and 25 females) and pain-free volunteers (23 males and 25 females) were included.

OUTCOME MEASURES: Outcome measures were linear and angular dimensions of the cervicothoracic junction.

METHODS: Midsagittal magnetic resonance imaging scans of the cervicothoracic spine were obtained. Four linear and four angular parameters were identified and measured. These parameters included depth of the T1-manubrium arch (T1AD), depth of the thoracic cage (TXD), tangential height of T1 (T1H1), relative height of T1 (T1H2), T1 slope (T1S), thoracic inlet inclination (TiI), T1-manubrium arch inclination (T1AI), and the angular difference between TiI and T1AI (TiI-T1AI). The measurements were taken by two neurosurgeons.

RESULTS: Depth of the T1-manubrium arch and TiI were identified as predictors for NP in the binary logistic regression analysis. Each millimeter increase in T1AD lessened the probability of NP with an adjusted odds ratio (OR) of 0.823 (95% confidence interval [CI], 0.701-0.966) in females and 0.809 (95% CI, 0.681-0.959) in males. Each degree increase in TiI was associated with the probability of NP with an adjusted OR of 1.247 (95% CI, 1.060-1.466) in males.

CONCLUSIONS: Measurement of cervicothoracic junctional structures is a reliable and feasible method of estimating potential predictor of chronic NP in young adults. Forward inclination of the thoracic inlet in males and a shallow thoracic cage in females were identified as important predictors.

Original languageEnglish
Pages (from-to)2628-2638
Number of pages11
JournalSpine Journal
Volume14
Issue number11
DOIs
Publication statusPublished - 2014 Jan 1

Fingerprint

Neck Pain
Chronic Pain
Young Adult
Manubrium
Thorax
Confidence Intervals
Odds Ratio
Case-Control Studies
Volunteers
Spine
Body Mass Index
Neck
Logistic Models
Regression Analysis
Magnetic Resonance Imaging
Outcome Assessment (Health Care)

Keywords

  • Gender differences
  • Neck pain
  • Radiologic study
  • Thoracic cage dimension
  • Thoracic inlet inclination
  • Young adult

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Medicine(all)

Cite this

Chronic neck pain in young adults : Perspectives on anatomic differences. / Lee, Ji Hye; Park, Youn-Kwan; Kim, Joo-Han.

In: Spine Journal, Vol. 14, No. 11, 01.01.2014, p. 2628-2638.

Research output: Contribution to journalArticle

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abstract = "BACKGROUND CONTEXT: Neck pain (NP) is a common musculoskeletal disorder, but little is known about the associated risk factors.PURPOSE: We compared anatomic differences in the neck and trunk area of young adult patients with chronic NP and control subjects without NP to identify risk factors and predictors.STUDY DESIGN: This is an age-, sex-, and body mass index-matched retrospective case-control study of a consecutive sample.PATIENT SAMPLE: Patients with axial NP for longer than 6 months (23 males and 25 females) and pain-free volunteers (23 males and 25 females) were included.OUTCOME MEASURES: Outcome measures were linear and angular dimensions of the cervicothoracic junction.METHODS: Midsagittal magnetic resonance imaging scans of the cervicothoracic spine were obtained. Four linear and four angular parameters were identified and measured. These parameters included depth of the T1-manubrium arch (T1AD), depth of the thoracic cage (TXD), tangential height of T1 (T1H1), relative height of T1 (T1H2), T1 slope (T1S), thoracic inlet inclination (TiI), T1-manubrium arch inclination (T1AI), and the angular difference between TiI and T1AI (TiI-T1AI). The measurements were taken by two neurosurgeons.RESULTS: Depth of the T1-manubrium arch and TiI were identified as predictors for NP in the binary logistic regression analysis. Each millimeter increase in T1AD lessened the probability of NP with an adjusted odds ratio (OR) of 0.823 (95{\%} confidence interval [CI], 0.701-0.966) in females and 0.809 (95{\%} CI, 0.681-0.959) in males. Each degree increase in TiI was associated with the probability of NP with an adjusted OR of 1.247 (95{\%} CI, 1.060-1.466) in males.CONCLUSIONS: Measurement of cervicothoracic junctional structures is a reliable and feasible method of estimating potential predictor of chronic NP in young adults. Forward inclination of the thoracic inlet in males and a shallow thoracic cage in females were identified as important predictors.",
keywords = "Gender differences, Neck pain, Radiologic study, Thoracic cage dimension, Thoracic inlet inclination, Young adult",
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AU - Kim, Joo-Han

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N2 - BACKGROUND CONTEXT: Neck pain (NP) is a common musculoskeletal disorder, but little is known about the associated risk factors.PURPOSE: We compared anatomic differences in the neck and trunk area of young adult patients with chronic NP and control subjects without NP to identify risk factors and predictors.STUDY DESIGN: This is an age-, sex-, and body mass index-matched retrospective case-control study of a consecutive sample.PATIENT SAMPLE: Patients with axial NP for longer than 6 months (23 males and 25 females) and pain-free volunteers (23 males and 25 females) were included.OUTCOME MEASURES: Outcome measures were linear and angular dimensions of the cervicothoracic junction.METHODS: Midsagittal magnetic resonance imaging scans of the cervicothoracic spine were obtained. Four linear and four angular parameters were identified and measured. These parameters included depth of the T1-manubrium arch (T1AD), depth of the thoracic cage (TXD), tangential height of T1 (T1H1), relative height of T1 (T1H2), T1 slope (T1S), thoracic inlet inclination (TiI), T1-manubrium arch inclination (T1AI), and the angular difference between TiI and T1AI (TiI-T1AI). The measurements were taken by two neurosurgeons.RESULTS: Depth of the T1-manubrium arch and TiI were identified as predictors for NP in the binary logistic regression analysis. Each millimeter increase in T1AD lessened the probability of NP with an adjusted odds ratio (OR) of 0.823 (95% confidence interval [CI], 0.701-0.966) in females and 0.809 (95% CI, 0.681-0.959) in males. Each degree increase in TiI was associated with the probability of NP with an adjusted OR of 1.247 (95% CI, 1.060-1.466) in males.CONCLUSIONS: Measurement of cervicothoracic junctional structures is a reliable and feasible method of estimating potential predictor of chronic NP in young adults. Forward inclination of the thoracic inlet in males and a shallow thoracic cage in females were identified as important predictors.

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KW - Radiologic study

KW - Thoracic cage dimension

KW - Thoracic inlet inclination

KW - Young adult

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