The impact of generalized joint laxity (GJL) on the posterior neck pain, cervical disc herniation, and cervical disc degeneration in the cervical spine

Sun Mi Lee, Su Chan Oh, Jin Sup Yeom, Ji Hoon Shin, Sam Guk Park, Duk Seop Shin, Myun Whan Ahn, Gun Woo Lee

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background Context Generalized joint laxity (GJL) can have a negative impact on lumbar spine pathology, including low back pain, disc degeneration, and disc herniation, but the relationship between GJL and cervical spine conditions remains unknown. Purpose To investigate the relationship between GJL and cervical spine conditions, including the prevalence of posterior neck pain (PNP), cervical disc herniation (CDH), and cervical disc degeneration (CDD), in a young, active population. Study Design Retrospective 1:2 matched cohort (case-control) study from prospectively collected data Patient Sample Of a total of 1853 individuals reviewed, 73 individuals with GJL (study group, gruop A) and 146 without GJL (control group, Group B) were included in the study according to a 1:2 case-control matched design for age, sex, and body mass index. Outcome Measure The primary outcome measure was the prevalence and intensity of PNP at enrollment based on a visual analogue scale score for pain. The secondary outcome measures were (1) clinical outcomes as measured with the neck disability index (NDI) and 12-item short form health survey (SF-12) at enrollment, and (2) radiological outcomes of CDH and CDD at enrollment. Methods We compared baseline data between groups. Descriptive statistical analyses were performed to compare the 2 groups in terms of the outcome measures. Results The prevalence and intensity of PNP were significantly greater in group A (patients with GJL) than in group B (patients without GJL) (prevalence: p=.02; intensity: p=.001). Clinical outcomes as measured with NDI and SF-12 did not differ significantly between groups. For radiologic outcomes, the prevalence of CDD was significantly greater in group A than in group B (p=.04), whereas the prevalence of CDH did not differ significantly between groups (p=.91). Conclusions The current study revealed that GJL was closely related to the prevalence and intensity of PNP, suggesting that GJL may be a causative factor for PNP. In addition, GJL may contribute to the occurrence of CDD, but not CDH. Spine surgeons should screen for GJL in patientswith PNP and inform patients of its potential negative impact on disc degeneration of the cervical spine.

Original languageEnglish
Pages (from-to)1453-1458
Number of pages6
JournalSpine Journal
Volume16
Issue number12
DOIs
StatePublished - 1 Dec 2016

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Joint Instability
Intervertebral Disc Degeneration
Neck Pain
Spine
Outcome Assessment (Health Care)
Neck
Pain Measurement
Low Back Pain
Health Surveys
Case-Control Studies
Body Mass Index
Retrospective Studies

Keywords

  • Cervical spine
  • Clinical outcomes
  • Disc degeneration
  • Disc herniation
  • General joint laxity
  • Posterior neck pain

Cite this

Lee, Sun Mi ; Oh, Su Chan ; Yeom, Jin Sup ; Shin, Ji Hoon ; Park, Sam Guk ; Shin, Duk Seop ; Ahn, Myun Whan ; Lee, Gun Woo. / The impact of generalized joint laxity (GJL) on the posterior neck pain, cervical disc herniation, and cervical disc degeneration in the cervical spine. In: Spine Journal. 2016 ; Vol. 16, No. 12. pp. 1453-1458.
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abstract = "Background Context Generalized joint laxity (GJL) can have a negative impact on lumbar spine pathology, including low back pain, disc degeneration, and disc herniation, but the relationship between GJL and cervical spine conditions remains unknown. Purpose To investigate the relationship between GJL and cervical spine conditions, including the prevalence of posterior neck pain (PNP), cervical disc herniation (CDH), and cervical disc degeneration (CDD), in a young, active population. Study Design Retrospective 1:2 matched cohort (case-control) study from prospectively collected data Patient Sample Of a total of 1853 individuals reviewed, 73 individuals with GJL (study group, gruop A) and 146 without GJL (control group, Group B) were included in the study according to a 1:2 case-control matched design for age, sex, and body mass index. Outcome Measure The primary outcome measure was the prevalence and intensity of PNP at enrollment based on a visual analogue scale score for pain. The secondary outcome measures were (1) clinical outcomes as measured with the neck disability index (NDI) and 12-item short form health survey (SF-12) at enrollment, and (2) radiological outcomes of CDH and CDD at enrollment. Methods We compared baseline data between groups. Descriptive statistical analyses were performed to compare the 2 groups in terms of the outcome measures. Results The prevalence and intensity of PNP were significantly greater in group A (patients with GJL) than in group B (patients without GJL) (prevalence: p=.02; intensity: p=.001). Clinical outcomes as measured with NDI and SF-12 did not differ significantly between groups. For radiologic outcomes, the prevalence of CDD was significantly greater in group A than in group B (p=.04), whereas the prevalence of CDH did not differ significantly between groups (p=.91). Conclusions The current study revealed that GJL was closely related to the prevalence and intensity of PNP, suggesting that GJL may be a causative factor for PNP. In addition, GJL may contribute to the occurrence of CDD, but not CDH. Spine surgeons should screen for GJL in patientswith PNP and inform patients of its potential negative impact on disc degeneration of the cervical spine.",
keywords = "Cervical spine, Clinical outcomes, Disc degeneration, Disc herniation, General joint laxity, Posterior neck pain",
author = "Lee, {Sun Mi} and Oh, {Su Chan} and Yeom, {Jin Sup} and Shin, {Ji Hoon} and Park, {Sam Guk} and Shin, {Duk Seop} and Ahn, {Myun Whan} and Lee, {Gun Woo}",
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The impact of generalized joint laxity (GJL) on the posterior neck pain, cervical disc herniation, and cervical disc degeneration in the cervical spine. / Lee, Sun Mi; Oh, Su Chan; Yeom, Jin Sup; Shin, Ji Hoon; Park, Sam Guk; Shin, Duk Seop; Ahn, Myun Whan; Lee, Gun Woo.

In: Spine Journal, Vol. 16, No. 12, 01.12.2016, p. 1453-1458.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The impact of generalized joint laxity (GJL) on the posterior neck pain, cervical disc herniation, and cervical disc degeneration in the cervical spine

AU - Lee, Sun Mi

AU - Oh, Su Chan

AU - Yeom, Jin Sup

AU - Shin, Ji Hoon

AU - Park, Sam Guk

AU - Shin, Duk Seop

AU - Ahn, Myun Whan

AU - Lee, Gun Woo

PY - 2016/12/1

Y1 - 2016/12/1

N2 - Background Context Generalized joint laxity (GJL) can have a negative impact on lumbar spine pathology, including low back pain, disc degeneration, and disc herniation, but the relationship between GJL and cervical spine conditions remains unknown. Purpose To investigate the relationship between GJL and cervical spine conditions, including the prevalence of posterior neck pain (PNP), cervical disc herniation (CDH), and cervical disc degeneration (CDD), in a young, active population. Study Design Retrospective 1:2 matched cohort (case-control) study from prospectively collected data Patient Sample Of a total of 1853 individuals reviewed, 73 individuals with GJL (study group, gruop A) and 146 without GJL (control group, Group B) were included in the study according to a 1:2 case-control matched design for age, sex, and body mass index. Outcome Measure The primary outcome measure was the prevalence and intensity of PNP at enrollment based on a visual analogue scale score for pain. The secondary outcome measures were (1) clinical outcomes as measured with the neck disability index (NDI) and 12-item short form health survey (SF-12) at enrollment, and (2) radiological outcomes of CDH and CDD at enrollment. Methods We compared baseline data between groups. Descriptive statistical analyses were performed to compare the 2 groups in terms of the outcome measures. Results The prevalence and intensity of PNP were significantly greater in group A (patients with GJL) than in group B (patients without GJL) (prevalence: p=.02; intensity: p=.001). Clinical outcomes as measured with NDI and SF-12 did not differ significantly between groups. For radiologic outcomes, the prevalence of CDD was significantly greater in group A than in group B (p=.04), whereas the prevalence of CDH did not differ significantly between groups (p=.91). Conclusions The current study revealed that GJL was closely related to the prevalence and intensity of PNP, suggesting that GJL may be a causative factor for PNP. In addition, GJL may contribute to the occurrence of CDD, but not CDH. Spine surgeons should screen for GJL in patientswith PNP and inform patients of its potential negative impact on disc degeneration of the cervical spine.

AB - Background Context Generalized joint laxity (GJL) can have a negative impact on lumbar spine pathology, including low back pain, disc degeneration, and disc herniation, but the relationship between GJL and cervical spine conditions remains unknown. Purpose To investigate the relationship between GJL and cervical spine conditions, including the prevalence of posterior neck pain (PNP), cervical disc herniation (CDH), and cervical disc degeneration (CDD), in a young, active population. Study Design Retrospective 1:2 matched cohort (case-control) study from prospectively collected data Patient Sample Of a total of 1853 individuals reviewed, 73 individuals with GJL (study group, gruop A) and 146 without GJL (control group, Group B) were included in the study according to a 1:2 case-control matched design for age, sex, and body mass index. Outcome Measure The primary outcome measure was the prevalence and intensity of PNP at enrollment based on a visual analogue scale score for pain. The secondary outcome measures were (1) clinical outcomes as measured with the neck disability index (NDI) and 12-item short form health survey (SF-12) at enrollment, and (2) radiological outcomes of CDH and CDD at enrollment. Methods We compared baseline data between groups. Descriptive statistical analyses were performed to compare the 2 groups in terms of the outcome measures. Results The prevalence and intensity of PNP were significantly greater in group A (patients with GJL) than in group B (patients without GJL) (prevalence: p=.02; intensity: p=.001). Clinical outcomes as measured with NDI and SF-12 did not differ significantly between groups. For radiologic outcomes, the prevalence of CDD was significantly greater in group A than in group B (p=.04), whereas the prevalence of CDH did not differ significantly between groups (p=.91). Conclusions The current study revealed that GJL was closely related to the prevalence and intensity of PNP, suggesting that GJL may be a causative factor for PNP. In addition, GJL may contribute to the occurrence of CDD, but not CDH. Spine surgeons should screen for GJL in patientswith PNP and inform patients of its potential negative impact on disc degeneration of the cervical spine.

KW - Cervical spine

KW - Clinical outcomes

KW - Disc degeneration

KW - Disc herniation

KW - General joint laxity

KW - Posterior neck pain

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JO - Spine Journal

JF - Spine Journal

SN - 1529-9430

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