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Cervical lordosis in asymptomatic individuals: a meta-analysis
Guang-Ming Guo1, Jun Li1, Qing-Xun Diao2
1Department of Orthopaedics, Henan Zhoukou Union Orthopaedic Hospital, East Section, Taihao Road, Zhoukou, 466000, Henan, China.
Most asymptomatic individuals have cervical lordosis, a spinal curve. This lordotic curvature is more common in males than females and is not linked to age or symptoms.
Area of Science:
- Orthopedics
- Radiology
- Anatomy
Background:
- Cervical lordosis, a critical spinal curvature, exhibits significant variability in reported studies.
- Understanding normal cervical spine curvature is vital for clinical and surgical contexts.
Purpose of the Study:
- To determine the prevalence and degree of cervical lordosis in asymptomatic individuals.
- To investigate the association between cervical lordosis and factors such as age and gender.
Main Methods:
- A systematic literature search and meta-analysis of 21 studies involving 15,364 asymptomatic individuals.
- Random effects meta-analysis and metaregression were employed to assess prevalence, curvature extent, and influencing factors.
Main Results:
- Approximately 64% of asymptomatic individuals exhibited lordotic cervical curvature.
- Lordotic curvature was significantly more prevalent in males than females.
- Age and symptom status did not show a significant association with lordotic cervical curvature.
Conclusions:
- The majority of asymptomatic individuals possess lordotic cervical curvature.
- Cervical lordosis is more pronounced in males compared to females.
- Cervical lordosis is independent of age and the presence of symptoms.
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