Open Access Research Article Article ID: AAP-5-114

    The association between cervical lordosis and age, sex, history of cervical trauma and sedentarity: A CT study

    David Ezra, Leonid Kalichman, Azaria Simonovich, Jonathan Droujin, Ella Been And Deborah Alperovitch-Najenson*

    Purpose: We evaluated the association between cervical lordosis and age, sex, sedentarity, and history of cervical trauma. 

    Methods: CT scans of 206 individuals, 111 with and 95 without a history of cervical trauma were divided into three age groups (18-39, 40-59 and 60+ years). The cervical lordosis measurements [C0-C7 (total), C0-C3 (upper), C2-C7 (mid-lower), and C3-C7 (lower)] were obtained from CT scans using the Cobb method. 

    Results: A history of cervical trauma was associated with total and mid-lower cervical lordosis, indicating a reduction of the lordosis compared to the group with no history of cervical trauma. Significant sex differences in the non-trauma group were found only in the young (20-39) and intermediate (40-59) age groups with males exhibiting greater lordosis angles than females. Older females, without a history of cervical trauma, had greater mid-lower and lower cervical lordosis than younger females. Sedentary work predicted the magnitude of the upper cervical lordosis. Subjects working in a sedentary position develop forward head posture, which may eventually advance to head and neck pain. 

    Conclusion: A history of cervical trauma leads to a reduction of the lordosis. The relationship between history of cervical trauma and cervical lordosis needs to be further investigated vis-à-vis the clinical causes and outcomes. Moreover, prevention strategies should be available to sedentary workers in order to maintain proper lower cervical lordosis and prevention of upper cervical lordosis exaggeration.


    Published on: Apr 28, 2020 Pages: 9-15

    Full Text PDF Full Text HTML DOI: 10.17352/aap.000014
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