CERVICAL DISC DEGENERATION, SEVERITY OF PAIN AND VITAMIN D LEVELS IN PATIENTS WITH CHRONIC NECK PAIN: IS THERE ANY RELATIONSHIP?

Hilal ALTAŞ; Ali YILMAZ

doi:https://doi.org/10.18229/kocatepetip.634480

Article Details

CERVICAL DISC DEGENERATION, SEVERITY OF PAIN AND VITAMIN D LEVELS IN PATIENTS WITH CHRONIC NECK PAIN: IS THERE ANY RELATIONSHIP?

Authors:

Hilal ALTAŞ | Ali YILMAZ

Publisher:

Afyonkarahisar Sağlık Bilimleri Üniversitesi

Main Topics:

Diseases

Journal:

Kocatepe Medical Journal 2020 Vol.21 Issue 2, pp.195-200

Document Type:

Article

Publication Date:

5/2020

Document Language:

English

Document ID (Org No.):

2000532241

Frequency:

Monthly

eISSN:

2149-7869

DOI:

https://doi.org/10.18229/kocatepetip.634480

Abstract:

 


OBJECTIVE: Effects of vitamin D on bone metabolism has been long known. We aimed to detect the relationship between vitamin D levels and intervertebral disc degeneration, disc height and severity of pain in patients with chronic neck pain.MATERIAL AND METHODS: The data of patients who were admitted to neurosurgery polyclinic with chronic neck pain complaints were analyzed retrospectively, whom their vitamin D levels measured, pain severity (VAS) scores ware noted at the time of admission and were radiologically examined with cervical MRI.RESULTS: Overall, 123 patients were included in the study. There was a significant relationship in terms of VAS scores between the groups divided on the basis of vitamin D levels (p=0.003). There was no statistically significant relationship in terms of age (p=0.180), gender (p=0. 244/p=0.146), and cervical C5-6 disk height (p= 0.299) in the comparison performed within the groups divided on the basis of vitamin D levels.CONCLUSIONS: In the present study, it was shown that there is a significant relationship between low vitamin D levels and VAS in patients who had cervical disk degeneration and loss of cervical lordosis. We believe that vitamin D deficiency at a metabolic level should be considered in patients who are admitted with chronic neck pain, who do not exhibit neurologic deficits in the examination, and who do not have disc hernia.

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AMAÇ: Kemik metabolizması üzerinde D vitaminin etkileri uzun zamandır bilinmektedir. Çalışmamızda serum vitamin D seviyeleri ile intervertebral disk dejenerasyonu, disk yüksekliği ve ağrı şiddeti arasındaki ilişkiyi saptamayı hedefledik.GEREÇ VE YÖNTEM: Beyin cerrahisi polikliniğine kronik boyun ağrısı şikayeti ile başvuran hastaların serum D vitamini seviyeleri, başvuru sırasındaki ağrı şiddeti (VAS) değerleri ve servikal MRG incelemeleri retrospektif olarak değerlendirildi.BULGULAR: Çalışmaya 123 hasta dahil edildi. Vitamin D düzeylerine göre ayrılan gruplar arasında, VAS skorlarına göre anlamlı fark saptanmıştır (p=0.003). Vitamin D düzeylerine göre ayrılan gruplar arasında yapılan karşılaştırmalarda yaş (p=0.180), cinsiyet (p=0. 244/p=0.146) ve servikal C5-6 disk yüksekliği açısından (p= 0.299) istatistiksel olarak anlamlı bir ilişki bulunamamıştır.SONUÇ: Çalışmamızda, servikal disk dejenerasyonu ve servikal lordoz kaybı olan hastalarda düşük serum vitamin D seviyeleri ile VAS arasında anlamlı fark saptanmıştır. Metabolik düzeyde D vitamini eksikliğinin, kronik boyun ağrısı ile başvuran, muayenede nörolojik bozukluğu ve disk hernisi olmayan hastalarda göz önünde bulundurulması gerektiğine inanıyoruz.


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Article Details

CERVICAL DISC DEGENERATION, SEVERITY OF PAIN AND VITAMIN D LEVELS IN PATIENTS WITH CHRONIC NECK PAIN: IS THERE ANY RELATIONSHIP?

Authors: Hilal ALTAŞ | Ali YILMAZ

Publisher: Afyonkarahisar Sağlık Bilimleri Üniversitesi

Main Topics: Diseases

Journal: Kocatepe Medical Journal 2020 Vol.21 Issue 2, pp.195-200

Document Type: Article

Publication Date: 5/2020

Document Language: English

Document ID (Org No.): 2000532241

Frequency: Monthly

eISSN: 2149-7869

DOI: https://doi.org/10.18229/kocatepetip.634480

Issues

Authors:

Hilal ALTAŞ | Ali YILMAZ

Publisher:

Afyonkarahisar Sağlık Bilimleri Üniversitesi

Main Topics:

Diseases

Journal:

Kocatepe Medical Journal 2020 Vol.21 Issue 2, pp.195-200

Document Type:

Article

Publication Date:

5/2020

Document Language:

English

Document ID (Org No.):

2000532241

Frequency:

Monthly

eISSN:

2149-7869

DOI:

https://doi.org/10.18229/kocatepetip.634480