Cervical spine disorders in farm workers requiring neck extension actions |
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Authors: | Yoshiaki Takamiya Kensei Nagata Katsuhiro Fukuda Akira Shibata Tatsuya Ishitake Takajiro Suenaga |
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Institution: | (1) Department of Orthopaedic Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan;(2) Department of Public Health, Kurume University School of Medicine, Kurume, Japan;(3) Department of Environmental Medicine, Kurume University School of Medicine, Kurume, Japan |
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Abstract: | Background Cervical extension is considered a risk factor for provoking radicular and spinal cord compromise. However, there have been
no reports on the relation between extension strain (ES) and cervical spine disorders: degenerative cervical spine disorders,
dynamic canal stenosis (DCS), and cervical myelopathy. We performed a cross-sectional study to investigate the relation.
Methods Orthopedic examinations were performed on 177 grape-growers (ES-exposed group) and 191 eggplant-growers (control group) between
May and August 2000; and patients with degenerative cervical spine disorders, DCS, and cervical myelopathy were identified
in the two groups. ES, degenerative cervical spine disorders, DCS, and cervical myelopathy were regarded as exposure variables;
and age, sex, and working years were regarded as confounders. In cases where the subject was exposed to each exposure variable,
multivariate-adjusted odds ratios to degenerative cervical spine disorders, DCS, and cervical myelopathy and multivariate-adjusted
odds ratios regarding cervical myelopathy as the dependent variable were calculated by unconditional logistic regression analysis.
Results Multivariate unconditional logistic regression analysis showed a significant odds ratio of ES to degenerative cervical spine
disorders 2.72, 95% confidence interval (CI) 1.62–4.56]. Multivariate unconditional logistic regression analysis showed significant
odds ratios for DCS (4.50, 95% CI 2.03–9.96) and age (1.07, 95% CI 1.01–1.14) regarding cervical myelopathy as the dependent
variable.
Conclusions These findings suggested that ES of the cervical spine is a risk factor for degenerative cervical spine disorders, and DCS
and the aging process are risk factors for cervical myelopathy. |
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