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Related Experiment Videos

Cervical spine changes in goitres

F Komolafe

    Clinical Radiology
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Patients with goitre showed more anterior marginal osteophytes and altered cervical lordosis compared to controls. These cervical spine changes may result from the body’s attempt to relieve tracheal pressure from an enlarged thyroid gland.

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    Area of Science:

    • Orthopedics
    • Endocrinology
    • Radiology

    Background:

    • Goitre, an enlargement of the thyroid gland, can exert pressure on adjacent structures.
    • The cervical spine's alignment may be affected by external pressures and postural adaptations.
    • Understanding the relationship between goitre and cervical spine morphology is crucial for comprehensive patient care.

    Purpose of the Study:

    • To investigate the prevalence of cervical spine abnormalities in patients with goitre.
    • To compare cervical spine changes in goitre patients with a healthy control group.
    • To explore potential biomechanical mechanisms linking goitre to cervical spine alterations.

    Main Methods:

    • Retrospective analysis of cervical spine radiographs from 160 patients diagnosed with goitre.

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  • Comparison with radiographs from 100 individuals without goitre (control group).
  • Radiographic assessment focused on anterior marginal osteophytes and cervical lordosis (including straightening and reversal).

    • Main Results:

    • Anterior marginal osteophytes were significantly more frequent in goitre patients (37.5%) than controls (17%).
    • Cervical lordosis straightening or reversal occurred in 29.4% of goitre patients versus 8% of controls.
    • None of the control subjects exhibited reversal of cervical curvature, unlike some goitre patients.

    Conclusions:

    • Goitre is associated with a higher incidence of anterior marginal osteophytes and altered cervical lordosis.
    • These findings suggest that goitre may impose biomechanical stresses on the cervical spine.
    • Forward neck bending, a reflex to reduce tracheal pressure from an enlarged thyroid, could explain the observed spinal changes.