Uncinate Process Area as a New Sensitive Morphological Parameter to Predict Cervical Neural Foraminal Stenosis
DC Field | Value | Language |
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dc.contributor.author | Mun, Jong-Uk | - |
dc.contributor.author | Cho, Hyung Rae | - |
dc.contributor.author | Kim, Seon Hwan | - |
dc.contributor.author | Yoo, Jee In | - |
dc.contributor.author | Kang, Keum Nae | - |
dc.contributor.author | Yoon, Syn-Hae | - |
dc.contributor.author | Kim, Young Uk | - |
dc.date.accessioned | 2023-08-22T03:12:04Z | - |
dc.date.available | 2023-08-22T03:12:04Z | - |
dc.date.issued | 2019-03 | - |
dc.identifier.issn | 1533-3159 | - |
dc.identifier.issn | 2150-1149 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/189500 | - |
dc.description.abstract | Background: Hypertrophy of the uncovertebral joint has been considered as a major cause of cervical neural foraminal stenosis (CNFS). The cross-sectional area of the uncinate process is a key morphologic parameter in the identification of uncovertebral joint hypertrophy. To evaluate the connection between CNFS and the uncinate process, we devised a new morphological parameter, the uncinate process area (UPA). Objective: We hypothesized that the UPA is an important morphologic parameter in the diagnosis of CNFS. Study Design: Retrospective observational study. Setting: The single center study in Incheon, Republic of Korea. Methods: UPA data were collected from 146 patients with CNFS and 197 control subjects who underwent neck computed tomography (CT) as part of a routine medical examination. Neck CT images were obtained from all subjects. The whole cross-sectional area of the bone margin of the uncinate process was measured at the C5-6 intervertebral disc level on CT scans using a picture archiving and communications system. Results: The average UPA was 15.52 mm(2) in the control group and 29.97 mm(2) in the CNFS group. The CNFS group displayed significantly greater UPA levels (P< 0.001). Regarding the validity of the UPA as a predictor of CNFS, the receiver operating characteristic curve analysis revealed an optimal cut-off point for the UPA of 21.15 mm(2), with 91.8% sensitivity, 93.4% specificity, and an area under the curve of 0.972 (95% CI,0.956-0.989) in the CNFS group. Limitations: Anatomically, the UP is located on the superior lateral surfaces of the C3-7 cervical vertebral bodies. However, we focused on the C5-6 uncovertebral joint level, because many previous studies revealed C6 UP has the greatest height among UP and C5-6 uncovertebral joint hypertrophy is a primary cause of CNFS. Conclusions: The newly devised UPA is a sensitive parameter for assessing CNFS. A hypertrophied UPA is associated with an increased risk of CNFS. We think that this result will be helpful for diagnostic radiology in evaluating patients with CNFS. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | AM SOC INTERVENTIONAL PAIN PHYSICIANS | - |
dc.title | Uncinate Process Area as a New Sensitive Morphological Parameter to Predict Cervical Neural Foraminal Stenosis | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.scopusid | 2-s2.0-85064115392 | - |
dc.identifier.wosid | 000470805600006 | - |
dc.identifier.bibliographicCitation | PAIN PHYSICIAN, v.22, no.2, pp E105 - E110 | - |
dc.citation.title | PAIN PHYSICIAN | - |
dc.citation.volume | 22 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | E105 | - |
dc.citation.endPage | E110 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Anesthesiology | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalWebOfScienceCategory | Anesthesiology | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.subject.keywordPlus | CLINICAL-SIGNIFICANCE | - |
dc.subject.keywordPlus | UNCOVERTEBRAL JOINT | - |
dc.subject.keywordPlus | VERTEBRAL ARTERY | - |
dc.subject.keywordPlus | FACET JOINT | - |
dc.subject.keywordPlus | SPINE | - |
dc.subject.keywordPlus | PAIN | - |
dc.subject.keywordPlus | OSSIFICATION | - |
dc.subject.keywordPlus | DISC | - |
dc.subject.keywordPlus | RADICULOPATHY | - |
dc.subject.keywordPlus | ANATOMY | - |
dc.subject.keywordAuthor | Uncinate process area | - |
dc.subject.keywordAuthor | cervical neural foraminal stenosis | - |
dc.subject.keywordAuthor | Uncovertebral joint hypertrophy | - |
dc.subject.keywordAuthor | optimal cut-off point | - |
dc.subject.keywordAuthor | cross- sectional area | - |
dc.identifier.url | https://www.painphysicianjournal.com/current/pdf?article=NjIxMw%3D%3D&journal=119 | - |
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