Correlation of Cervical Lordosis Degree Detected on Cervical X-Ray Image With Clinical, Demographic and MRI Findings

• Conditions: Neck Pain; Cervical Lordosis; Disk, Herniated
• Interventions: Other: CHRONIC NECK PAIN

• Registration Number: NCT04886661
• Lead Sponsor: Haydarpasa Numune Training and Research Hospital

Brief Summary

In this study we are investigating whether there is a relationship between the lordosis angle measured on cervical X-RAY images on the severity and level of cervical disc herniation detected by cervical MRI, demographic characteristics and the duration and posture of the person's daily life activities.

Detailed Description

At least 125 patients between the ages of 18-65 who meet the inclusion criteria with cervical cervical X-RAY and cervical MRIs taken in the last 3 months will be included in the study.

The demographic characteristics of the patients such as age, gender, BMI, job, education level, marital status, as well as the time they spend on head flexion posture, and their screen time will be questioned. The presence of active trigger points in the cervical muscles will be determined by examination (levator scapula, trapeze, longus colli, splenius capitis).

Neck Disability Index will be filled in order to evaluate activities of daily life. Symptom duration and pain level will be evaluated by VAS.

Tangent and Cobb angles will be measured on cervical X-RAY images. Presence of effective lordosis will be recorded.

In cervical MR, disc herniation level, number, degree (bulging, protrusion, extruded disc) its level will be recorded.

Study Timeline

• Study First Submitted: 2021-05-05
• Study First Submitted QC: 2021-05-10
• Study First Posted: 2021-05-14
• Status Verified: 2021-06
• Study Start: 2021-06-05
• Last Update Submitted: 2021-06-26
• Last Update Posted: 2021-06-29
• Primary Completion: 2021-07-05
• Study Completion: 2021-07-10

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 125

Inclusion Criteria

• 18-65 years old
• Axial neck pain and / or upper extremity radicular symptoms
• Existing MR and X-Ray radiographs taken within the last 3 months for cervical disc pathologies

Exclusion Criteria

• A history of trauma,
• Patients with rheumatoid / autoimmune diseases such as rheumatoid arthritis or ankylosing spondylitis,
• A history of Cervical fracture or cervical spine surgery
• History of cancer history, neurological disease
• Muscle weakness
• Presence of Scoliosis

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
PATIENTS WITH CHRONIC NECK PAIN	CHRONIC NECK PAIN	Patients between the ages of 18-65 who are eligible for the inclusion criteria will be included in the study who have cervical X-RAY and cervical MRIs taken in the last 3 months.

Primary Outcome Measures

Name	Time	Method
C2-C7 POSTERIOR TANJANT ANGLE	1 week	MEASURING C2-C7 POSTERIOR TANJANT ANGLE ON LATERAL CERVICAL X-RAY IMAGE
CERVICAL HERNIATION LEVEL	1 week	CERVICAL HERNIATION LEVEL ON CERVICAL MRI
CERVICAL HERNIATION DEGREE	1 week	CERVICAL HERNIATION DEGREE ON CERVICAL MRI: BULGING,PROTRUSION, SECESTRATION, EXTRUDATION
C2-C7 COBB ANGLE	1 week	MEASURING C2-C7 COBB ANGLE ON LATERAL CERVICAL X-RAY IMAGE
C2-C7 CERVICAL VERTEBRAL ALIGNMENT (CVA)	1 week	C2-C7 CERVICAL VERTEBRAL ALIGNMENT ON LATERAL CERVIKAL X-RAY IMAGE

Secondary Outcome Measures

Name	Time	Method
DURATION OF THE NECK PAIN	1 week	HOW LONG DOES THE PATIENT FEELS THE NECK PAIN IN MONTHS
DEMOGRAPHIC FINDINGS	1 week	AGE
VISUAL ANALOG SCALE (VAS)	1 week	VISUAL ANALOG SCALE SCORE FOR THE NECK PAIN FROM 1-10
SCREEN TIME	1 week	AVARAGE TIME SPENT ON TV, COMPUTER AND MOBILE PHONE DURING A DAY IN HOURS
NECK DISABILITY INDEX (NDI)	1 week	NECK DISABILITY INDEX SCORE

Trial Locations

Locations (1)

Haydarpaşa Numune Education and Research Hospital; 🇹🇷 Istanbul, Turkey