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Does the longus colli have an effect on cervical vertigo?: A retrospective study of 116 patients.

Abstract The aim of the study was to evaluate the role of the longus colli muscles in cervical vertigo.We retrospectively analyzed 116 adult patients who underwent anterior cervical discectomy and fusion (ACDF) during 2014 in our department. Patients were assigned to the vertigo group or the nonvertigo group. Demographic data were recorded. Inner distance and cross-sectional area (CSA) of longus colli were measured using coronal magnetic resonance imaging (MRI).The vertigo group (n = 44) and the nonvertigo group (n = 72) were similar in demographic data. Mean preoperative Japanese Orthopaedic Association (JOA) score was higher in the vertigo group than in the nonvertigo group (P = 0.037), but no difference postoperatively. Mean JOA scores increased significantly postoperatively in both groups (P = 0.002 and P = 0.001). The mean vertigo score decreased significantly from pre- to postoperatively in the vertigo group (P = 0.023). The mean preoperative Cobb angle was significantly smaller in the vertigo group than in the nonvertigo group (P <0.001), but no significant difference postoperatively. After ACDF, the mean Cobb angle increased significantly in the vertigo group (P <0.001). The instability rates of C3/4 and C4/5 were significantly higher in the vertigo group (P <0.001 and P <0.001). The inner distance of longus colli was significantly shorter (P = 0.032 and P = 0.026) and CSA significantly smaller (P = 0.041 and P = 0.035), at C3/4 and C4/5 in the vertigo group than in the nonvertigo group. Mean Miyazaki scores were significantly higher in the vertigo group at C3/4 and C4/5 (P = 0.044 and P = 0.037). Moreover, a shorter inner distance and smaller CSA were related to a higher Miyazaki score.Inner distance and cross-sectional area (CSA) of longus colli are associated closely with cervical vertigo. Shorter inner distance and smaller CSA of the longus colli muscles might be risk factors for cervical vertigo. ACDF provided a good resolution of cervical vertigo.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28328822
OWN - NLM
STAT- MEDLINE
DA  - 20170322
DCOM- 20170412
LR  - 20170412
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 12
DP  - 2017 Mar
TI  - Does the longus colli have an effect on cervical vertigo?: A retrospective study 
      of 116 patients.
PG  - e6365
LID - 10.1097/MD.0000000000006365 [doi]
AB  - The aim of the study was to evaluate the role of the longus colli muscles in
      cervical vertigo.We retrospectively analyzed 116 adult patients who underwent
      anterior cervical discectomy and fusion (ACDF) during 2014 in our department.
      Patients were assigned to the vertigo group or the nonvertigo group. Demographic 
      data were recorded. Inner distance and cross-sectional area (CSA) of longus colli
      were measured using coronal magnetic resonance imaging (MRI).The vertigo group (n
      = 44) and the nonvertigo group (n = 72) were similar in demographic data. Mean
      preoperative Japanese Orthopaedic Association (JOA) score was higher in the
      vertigo group than in the nonvertigo group (P = 0.037), but no difference
      postoperatively. Mean JOA scores increased significantly postoperatively in both 
      groups (P = 0.002 and P = 0.001). The mean vertigo score decreased significantly 
      from pre- to postoperatively in the vertigo group (P = 0.023). The mean
      preoperative Cobb angle was significantly smaller in the vertigo group than in
      the nonvertigo group (P &lt;0.001), but no significant difference postoperatively.
      After ACDF, the mean Cobb angle increased significantly in the vertigo group (P
      &lt;0.001). The instability rates of C3/4 and C4/5 were significantly higher in the 
      vertigo group (P &lt;0.001 and P &lt;0.001). The inner distance of longus colli was
      significantly shorter (P = 0.032 and P = 0.026) and CSA significantly smaller (P 
      = 0.041 and P = 0.035), at C3/4 and C4/5 in the vertigo group than in the
      nonvertigo group. Mean Miyazaki scores were significantly higher in the vertigo
      group at C3/4 and C4/5 (P = 0.044 and P = 0.037). Moreover, a shorter inner
      distance and smaller CSA were related to a higher Miyazaki score.Inner distance
      and cross-sectional area (CSA) of longus colli are associated closely with
      cervical vertigo. Shorter inner distance and smaller CSA of the longus colli
      muscles might be risk factors for cervical vertigo. ACDF provided a good
      resolution of cervical vertigo.
FAU - Liu, Xiao-Ming
AU  - Liu XM
AD  - Department of Spinal Surgery, Shanghai East Hospital, Tongji University School of
      Medicine, Shanghai, China.
FAU - Pan, Fu-Min
AU  - Pan FM
FAU - Yong, Zhi-Yao
AU  - Yong ZY
FAU - Ba, Zhao-Yu
AU  - Ba ZY
FAU - Wang, Shan-Jin
AU  - Wang SJ
FAU - Liu, Zheng
AU  - Liu Z
FAU - Zhao, Wei-Dong
AU  - Zhao WD
FAU - Wu, De-Sheng
AU  - Wu DS
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Cervical Vertebrae/diagnostic imaging/surgery
MH  - Diskectomy/methods
MH  - Female
MH  - Humans
MH  - Intervertebral Disc Degeneration/diagnostic imaging/epidemiology/surgery
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Middle Aged
MH  - Neck Muscles/*diagnostic imaging
MH  - Organ Size
MH  - Radiography
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Spinal Fusion/methods
MH  - Vertigo/*diagnostic imaging/epidemiology
PMC - PMC5371459
EDAT- 2017/03/23 06:00
MHDA- 2017/04/13 06:00
CRDT- 2017/03/23 06:00
AID - 10.1097/MD.0000000000006365 [doi]
AID - 00005792-201703240-00025 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Mar;96(12):e6365. doi: 10.1097/MD.0000000000006365.

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