<div>大骨节病对下颈椎椎间隙高度及形态的影响</div>

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Abstract Objective To measure the height of cervical intervertebral space and observe the imaging morphology in elderly patients with Kashin-Beck disease(KBD)to clarify the influence of KBD on the lower cervical vertebrae.Methods From Aug 2019 to Dec 2019，a total of 92 patients with KBD (38 men and 54 women)with an average age of (58.89±7.67)years (range：47~70 years)and 98 healthy subjects (42 men and 56 women)with an average age of (58.35±7.38)years (range：49~69 years)were enrolled and examed at the Second People's Hospital of Ning Xian.The KBD patients (KBD group)and the healthy subjects (control group)were taken with lateral cervical radiographs to observe the imaging manifestations of the lower cervical intervertebral space.The anterior，middle and posterior heights of the intervertebral space from C_2～7in neutral position were measured and statistical analysis was performed.Results The results of this study showed that the middle heights of C_4～7in male and female in KBD group were lower than that of C_2～4，with significant statistical difference (P＜0.05).The middle heights of C_2～4 in both male and female in KBD group were lower than those in the control group，but with no statistical significance (P＞0.05).The middle heights of C_4～7 in both male and female in KBD group were lower than those of control group (P＜0.05).There were statistically significant differences in the middle height of C_2～4 between male and female patients in KBD group (P＜0.05)，and there was no significant difference in the middle heights of C_4～7 between the two genders (P＞0.05).The X-ray examination showed that imaging morphologies of lower cervical intervertebral space were divided into normal intervertebral height in 27 cases (29.35%)，widened height in 11 cases (11.96%)，narrow height in 42 cases (45.65%) and elliptical space in 12 cases (13.04%) based on the height and shape of the intervertebral space.The characteristic changes of endplate were depression，uneven or sclerosis.Conclusion The KBD does not affect the development of cervical intervertebral disc，while，the patients with KBD are prone to the occurrence of cervical disc degeneration and height loss.This study primarily confirmed that KBD and cervical disc degeneration may have a certain correlation.

Key words： Kashin-Beck disease intervertebral heights endplate lower cervical vertebrae radiographic morphology

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	Articles by authors
	Wu Xueyuan
	Yi Zhi
	Ma Hongwei
	Ling Ming
	Jin Zhankui
	Sun Zhengming

Cite this article:

Wu Xueyuan,Yi Zhi,Ma Hongwei, et al. Effect of Kashin-Beck Disease on the Height and Morphology of Lower Cervical Intervertebral Space[J]. sygkzz, 2022, 28(8): 673-678.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2022/V28/I8/673

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