Skeletal Radiology

, Volume 26, Issue 8, pp 475–481

Degenerative change in the cervical spine and load-carrying on the head

  • H. J. Jäger
  • L. Gordon-Harris
  • Ulrich-Martin Mehring
  • G. Friedrich Goetz
  • Klaus D. Mathias
ARTICLE

Abstract

Objective. To evaluate the relationship between load-carrying on the head and the development of degenerative change in the cervical spine.

Design and subjects. A case-control study was performed with 35 individuals who had carried loads on their head (carriers) and 35 persons who never had carrier loads on their head (non-carriers). A scoring system was utilized for the assessment of the degenerative change in the cervical spine at the C3/C4, C4/C5, C5/C6 and C6/C7 levels on lateral cervical spine radiography. A total score was calculated by summing the scores for the single segments.

Results and conclusion. In 31 of the 35 (88.6%) carriers degenerative change was found in the cervical spine, but only in 8 of the 35 (22.9%) non-carriers (P<0.01). The total score and the scores for segments C4/5, C5/C6 anc C6/C7 were significantly higher for the carriers than the non-carriers. It is concluded that the axial strain of load-carrying on the head exacerbates degenerative change in the cervical spine.

Key words Cervical spine Cervical spondylosis Occupational disease 

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Copyright information

© International Skeletal Society 1997

Authors and Affiliations

  • H. J. Jäger
    • 1
  • L. Gordon-Harris
    • 2
  • Ulrich-Martin Mehring
    • 1
  • G. Friedrich Goetz
    • 1
  • Klaus D. Mathias
    • 1
  1. 1.Department of Diagnostic Radiology, City Hospital Dortmund, Beurhausstrasse 40, D-44137 Dortmund, GermanyDE
  2. 2.Diagnostic Clinic, Freetown, Sierra LeoneSL

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