Roentgenographic Evaluation of the Cervical Spine in Super-healthy Elders

  • Matsunaga Shunji
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
  • Hayashi Kyoji
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
  • Yamamoto Takuya
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
  • Nagatomo Yoshimi
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
  • Nagata Masahito
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
  • Yone Kazunori
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
  • Komiya Setsuro
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan

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Other Title
  • 超高齢健康者(super‐healthy elders)の頚椎X線所見の検討

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Abstract

Some individuals over 80 years of age have no cervical symptoms and lead healthy lives. Observing the cervical X-rays of these healthy elders provides the key to identifying the difference between physiological degeneration and degeneration that induces neurological symptoms. Two groups of subjects were selected: 50 super healthy elders over 80 years who had no past history of cervical related symptoms and who still lead independent, healthy lives without receiving any aid and a neurological symptom group of 50 elderly patients over 80 years. The two groups were compared for cervical X-ray findings. Degeneration of the cervical spine was noted in "super-healthy elders" as well as in the neurological symptom group. The average diameter of the spinal canal at level C5 was 13.2 mm for men and 12.4 mm for women in the neurological symptom group, but was significantly larger in the "super- healthy elders", with an average of 16.7 mm for men and 15.3 mm for women. Research on induction of physiological degeneration is just as important as research on suppression of cervical degeneration caused by aging.

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