青少年颈痛患者颈椎失稳特点与生活习惯的相关性分析

目的:探讨青少年颈痛患者的颈椎失稳与生活习惯之间的关系。方法:收集青少年颈痛患者59例(颈痛组)及健康青少年17例(对照组)的基本信息和生活习惯,拍摄颈椎侧位及动力位X线片,分析颈椎失稳特点及颈椎失稳与生活习惯的相关性。结果:两组患者的年龄、身高、体重、体重指数基线资料比较差异均无统计学意义。生活习惯比较,颈痛组平均每天使用手机时间多于对照组,而对照组每天运动时间多于颈痛组。颈椎失稳测量结果,颈痛组失稳发生率大于对照组;在过屈位时,颈痛组在C_3-C_4,C_4-C_5,C_5-C_6之间的椎体角位移大于对照组;颈痛组自身C_4-C_5段过屈位角位移大于过伸位,C_6-C_7段过伸位角位移大于过屈位。颈痛组生活习惯与颈椎失稳的相关分析,C_4-C_5角位移值在过伸位与使用手机时间呈正相关(r=0.275,P=0.035),过屈位与使用手机时间呈显著正相关(r=0.577,P0.001),与每天运动时间呈负相关(r=-0.279,P=0.032)。C_5-C_6角位移在过屈位与每天运动时间呈负相关(r=-0.292,P=0.025),在过伸位角位移与每天使用电脑时间呈负相关(r=-0.262,P=0.045)。结论:青少年颈痛患者每天使用手机时间多于正常青少年,而运动时间少于正常青少年,且颈椎失稳出现率较高,以C_3-C_4,C_4-C_5,C_5-C_6节段为主。每天运动时间越长,C_4-C_5,C_5-C_6角位移测量值就越小;每天使用手机时间越长,C_4-C_5角位移测量值就越大。

Analysis of the relationship between living habit and cervical instability in adolescent patients with neck pain

Objective:To investigate the relationship between living habit and cervical instability in adolescent patients with neck pain.Methods:Fifty-nine adolescent patients with neck pain(neck pain group) and seventeen healthy teenagers (control group) were recruited and divided into two groups,and clinical information,living habit were collected. In addition,all people were taken lateral,hyperextension and hyperflexion radiography to analyze relationship between living habit and cervical instability.Results:There was no obvious difference in age,height,weight and body mass index between two groups. The neck pain group using cellphone time per day is longer than control group,while control group had more exercise time than neck pain group(P<0.01). The incidence of instability in neck pain group was significantly higher than that in control group(P<0.01). In hyperflexion,angular displacement(AD) of neck pain group in vertebral body between C₃-C₄,C₄-C₅ and C₅-C₆ was significantly higher than that of control group. In neck pain group,AD of hyperflexion was higher than that of hyperextension on C₄-C₅(P<0.01),and AD of hyperextension is higher than that of hyperflexion on C₆-C₇(P<0.05). In neck pain group,AD of hyperextension on C₄-C₅ was positively correlated with time of using cellphone every day(r=0.275,P=0.035). And AD of hyperflexion was significantly positive correlated with time of using cellphone(r=0.577,P<0.001),but was negatively correlated with exercise time(r=-0.279,P=0.032). The AD of hyperflexion on C₅-C₆ was negatively correlated with exercise time every day(r=-0.292,P=0.025),AD of hyperextension was negatively correlated with time of using computer every day(r=-0.262,P=0.045).Conclusion:Adolescent neck pain patients had more time to use cellphone than normal teens every day,and exercise time is less than healthy teenagers,and occurrence rate of cervical instability is higher on C₃-C₄,C₄-C₅,C₅-C₆ segment. The longer daily exercise time,the smaller C₄-C₅ and C₅-C₆ AD values; the longer cellphone usage every day,the greater C₄-C₅ AD values.