Pattern of cervical disc changes in patients with non-traumatic neck pain: a review of cervical MRI scan findings

Authors

  • Anthony E. Gabkwet Department of Radiology, Jos University Teaching Hospital, Nigeria
  • Emmanuel O. Igoh Department of Radiology, Jos University Teaching Hospital, Nigeria
  • Pam M. Gwom Department of Radiology, Jos University Teaching Hospital, Nigeria
  • Folake Y. Taiwo Department of Radiology, Jos University Teaching Hospital, Nigeria
  • Abdul J. Salaam Department of Radiology, Jos University Teaching Hospital, Nigeria
  • Samuel M. Danjem Department of Radiology, Jos University Teaching Hospital, Nigeria
  • Stephen D. Pam Department of Radiology, Jos University Teaching Hospital, Nigeria

DOI:

https://doi.org/10.18203/2349-3933.ijam20214125

Keywords:

Neck pain, Cervical disc, Degeneration

Abstract

Background: Neck pain is a common global health problem causing significant individual disability and socioeconomic burden on health care facilities. Many factors have been associated with neck pain but the most implicated is the cervical intervertebral disc disease. Magnetic resonance imaging (MRI) scan is considered globally as the most sensitive test for detecting degenerative disc abnormalities associated with neck pain. The objective of this study was to evaluate cervical disc changes on MRI in non-traumatic symptomatic subjects and to accumulate baseline data on the pattern of changes.

Methods: A four-years retrospective review of 115 patients (age range 13 to 81 years) who had a cervical MRI scan due to non-traumatic neck and radiating shoulder pain from September 2017 to February 2021 at the Radiology Department of Jos University Teaching Hospital North Central Nigeria. All the patients were scanned using a Single Siemens (Magnetom Concerto) MRI scanner with 0.2T magnetic field strength. Sagittal T1-weighted and T2-weighted fast spin-echo images were acquired, and axial images and contrast-enhanced studies were done only when required.

Results: The study included 74 (64.3%) males and 41 (35.7%) females with a mean age of 50.7±13.2 and a modal age group of 41-60 years. The normal intervertebral disc was commonest at C2/C3 followed by C6/C7 level while degenerative disc changes were most commonly seen at C4/C5 followed by C5/C6 level. The majority (93%) of patients had multilevel intervertebral disc changes and the most frequent and severe occurrences of intervertebral disc dehydration, bulge, herniation, and disc space narrowing were noted at C4/C5 (79.1%), C4/C5 (12.2%), C5/C6 (59.1%) and C4/C5 (10.4%) respectively.

Conclusions: This study found all patients examined had at least one level of intervertebral disc changes with the majority having multilevel involvement (93%). The most commonly and severely affected level was C4/C5 followed by C5/C6 level. The most frequent and severe occurrences of disc desiccation, bulge, herniation (protrusion/extrusion/sequestration) and disc height reduction were noted at C4/C5 (79.1%), C4/C5 (12.2%), C5/C6 (59.1%) and C4/C5 (10.4%) respectively.

Author Biography

Anthony E. Gabkwet, Department of Radiology, Jos University Teaching Hospital, Nigeria

University of Jos

Lecturer 1

References

McDonald MA, Kirsch CFE, Amin BY, Aulino JM. Cervical Neck Pain or Cervical Radiculopathy. ACR Appropriateness Criteria® Cervical Neck Pain or Cervical Radiculopathy. J Am Coll Radiol. 2018;1-28.

Mustapha Z, Okedayo M, Ibrahim K, Abba AA, Ahmadu MS, Abubakar A, et al. Cervical Spine MRI Findings in Patients Presenting With Neck Pain and Radiculopathy. Int Res J Basic Clin Stud. 2014;2(2):20-6.

Hashemi H, Firouznia K, Soroush H, Amir OJ, Foghani A, Pakravan M. MRI Findings of Cervical Spine Lesions among Symptomatic Patients and Their Risk Factors. Iran J Radiol. 2003;1:133-6.

Frost BA, Espinosa S, Foster EJ. Materials for the Spine: Anatomy, Problems, and Solutions. Materials. 2019;12(2):253.

Williams OR, Matt A. Degenerative disc desease. Radiopedia org. 2021;19-23.

Peng B, Palma MJ. Cervical disc degeneration and neck pain. J Pain Res. 2018;11:2853-7.

Mika H, Koji K, Shinyo H. Factors associated with lumbar intervertebral disc degeneration in the elderly. Spine Journal. 2008;8(5):732-40.

Nadja AF, Mazda F, Anna W, Gustav A. MR imaging of degenerative disc disease. European Journal of Radiology. 2015;84(9):1768-76.

Matsumoto M, Fujimura Y, Suzuki N, Nishi Y, Nakamura M, Yabe Y, et al. MRI of cervical intervertebral discs in asymptomatic subjects. J Bone Joint Surg Br. 1998;80(1):19-24.

Gore DR, Sepic SB, Gardner GM. Roentgenographic findings of the cervical spine in asymptomatic people. Spine. 1986;11(6):521-4.

Oguntona SA. Cervical spondylosis in South West Nigerian farmers and female traders. Ann Afr Med. 2014;13(2):61-4.

Olarinoye SA, Ibrahim MZ, Kajogbola G. Cervical Spine MRI Findings in the Evaluation of Persistent Neck Pain in a Nigerian Tertiary Hospital. Nigerian J Basic Clinic Sci. 2021;102.

Mäkelä M, Heliövaara M, Sievers K, Impivaara O, Knekt P, Aromaa A. Prevalence, determinants, and consequences of chronic neck pain in Finland. Am J Epidemiol. 1991;134(11):1356-67.

Wang XR, Kwok TCY, Griffith JF, Man YBW, Leung JCS, Wang YXJ. Prevalence of cervical spine degenerative changes in elderly population and its weak association with aging, neck pain, and osteoporosis. Ann Transl Med. 2019;7(18):486.

Suzuki A, Daubs MD, Hayashi T, Ruangchainikom M, Xiong C, Phan K, et al. Patterns of Cervical Disc Degeneration: Analysis of Magnetic Resonance Imaging of Over 1000 Symptomatic Subjects. Global Spine J. 2018;8(3):254-9.

Tao Y, Galbusera F, Niemeyer F, Samartzis D, Vogele D, Wilke HJ. Radiographic cervical spine degenerative findings: a study on a large population from age 18 to 97 years. Eur Spine J. 2021;30(2):431-3.

Kushchayev SV, Glushko T, Jarraya M, Schuleri KH, Preul MC, Brooks ML, et al. ABCs of the degenerative spine. Insights Imaging. 2018;9(2):253-74.

Mohammed S, Zahra S, Sadegh SF, Mohammed S. Cervical MRI findings in patients with Neck Pain. A Cross-Sectional Study in Southeast of Iran. Int J Med Invest. 2018;7(3)25-31.

Çevik H, Yilmazi B, Uyanik SA, Gumus B. Comparison of Cervical Sagittal Parameters In Patients with Cervical Degenerative Disease and Normal Healthy Individuals. J Turkish Spinal Surg. 2017;1:11-4.

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Published

2021-10-26

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Original Research Articles