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Relationship Between Degeneration or Sagittal Balance With Modic Changes in the Cervical Spine
Serkan Kitiş1, Serdar Çevik2,3, Atilla Kaplan4
1Neurosurgery, Bezmialem University, Istanbul, TUR.
Cureus
|February 2, 2021
Summary
Degenerative changes in the cervical spine, including Modic changes (MCs), correlate with sagittal balance parameters like Cobb angle and T1 slope, particularly at specific spinal levels.
Area of Science:
- Orthopedics
- Radiology
- Spine Surgery
Background:
- Cervical spine degeneration is common in patients with neck pain.
- Understanding the relationship between degenerative changes and sagittal balance is crucial for diagnosis and treatment.
Purpose of the Study:
- To evaluate the association between degenerative changes (Modic changes, disc degeneration, facet degeneration) and cervical sagittal balance parameters (T1 slope, Cobb angle).
Main Methods:
- Retrospective review of 275 patients with neck pain.
- Cervical MRI for Modic changes, disc degeneration, and facet degeneration.
- Cervical X-rays for T1 slope and Cobb angle measurement.
Main Results:
- No overall correlation found between general degenerative changes and sagittal balance parameters.
- Facet degeneration at C4-C5 and Modic changes at C3-C4, C4-C5, C6-C7 correlated significantly with Cobb angles.
- Modic changes at C3-C4 and disc degeneration at C2-C3 correlated significantly with T1 slope.
Conclusions:
- Modic changes increase with decreased cervical curvature and increased disc/facet degeneration.
- Specific degenerative changes at certain cervical levels are significantly associated with sagittal balance parameters.
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