{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:04:27Z","timestamp":1777658667485,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["grant number 81873774"],"award-info":[{"award-number":["grant number 81873774"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Shanghai Excellent Young Medical Talents Training Program","award":["grant number 2018YQ22"],"award-info":[{"award-number":["grant number 2018YQ22"]}]},{"name":"Shanghai Municipal Outstanding Young Talent Support Program","award":["grant number SKW1811"],"award-info":[{"award-number":["grant number SKW1811"]}]},{"name":"Shanghai Innovative Medical Device Application Demonstration Project","award":["grant number 23SHS03800"],"award-info":[{"award-number":["grant number 23SHS03800"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A cross-sectional retrospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aims to analyze the correlation between cervical disc degeneration grade and cervical imaging parameters and improve grade assessment objectivity and accuracy under the Miyazaki disc degeneration grading system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cervical disc degeneration was graded using the Miyazaki disc degeneration grading system. Cervical imaging parameters included the disc height index (DHI) and segmental range of motion (sROM) in the lateral X-ray view. Correlation, subgroup analysis, and linear regression analysis were conducted to analyze the relationships between cervical disc degeneration grades, DHI, and sROM, respectively. The kappa value for the Miyazaki disc degeneration grading system was analyzed before and after considering imaging parameters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 98 patients (47 males and 51 females, age from 29 to 85 years ) with 490 discs were included in the analysis. Correlation analysis revealed that cervical disc degeneration grade related to DHI (\u03c1 = \u22120.543,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and sROM (\u03c1 = \u22120.309,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) across different cervical segments, age, sex, and body mass index groups (majority of\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). Linear regression analysis illustrated a negative impact of the cervical disc degeneration grade on DHI (B = \u22120.058,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and sROM (B = \u22120.903,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Regarding the regression coefficients, the kappa value for the Miyazaki disc degeneration grading system increased from 0.626 to 0.812.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Cervical disc degeneration grade was associated with DHI and sROM in adult patients, and reference to cervical imaging parameters could improve the objectivity and accuracy of the Miyazaki disc degeneration grading system.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682251376337","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T15:39:12Z","timestamp":1756741152000},"page":"1203-1211","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Improvement of Objectivity and Accuracy in Cervical Disc Degeneration Grade Assessment Using Imaging Parameters: A Cross-Sectional Retrospective Study"],"prefix":"10.1177","volume":"16","author":[{"given":"Xuqiang","family":"Zhan","sequence":"first","affiliation":[{"name":"Tongji University"},{"name":"Tongji University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhanwei","family":"Wang","sequence":"additional","affiliation":[{"name":"Tongji University"},{"name":"Tongji University"},{"name":"Tongji University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7103-6161","authenticated-orcid":false,"given":"Kaiwei","family":"Wang","sequence":"additional","affiliation":[{"name":"Tongji University"},{"name":"Tongji University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abudureyimu","family":"Abudukeremu","sequence":"additional","affiliation":[{"name":"Tongji Hospital Affiliated to Tongji University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ning","family":"Xie","sequence":"additional","affiliation":[{"name":"Tongji University"},{"name":"Tongji University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Dai","sequence":"additional","affiliation":[{"name":"Tongji University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian","family":"Fan","sequence":"additional","affiliation":[{"name":"Tongji Hospital Affiliated to Tongji University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1120-7552","authenticated-orcid":false,"given":"Yan","family":"Yu","sequence":"additional","affiliation":[{"name":"Tongji University"},{"name":"Tongji University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,1]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000913"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.21037\/qims-22-1387"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1115\/1.3005164"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181604501"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2016.10.1.70"},{"issue":"1","key":"e_1_3_6_7_2","first-page":"70","article-title":"A review on the development of magnetic resonance imaging grading system for degeneration of cervical disc","volume":"23","author":"Liu XW","year":"2013","unstructured":"Liu XW, Chen Y, Chen DY. A review on the development of magnetic resonance imaging grading system for degeneration of cervical disc. Chin J Spine Spinal Cord. 2013;23(1):70-73.","journal-title":"Chin J Spine Spinal Cord"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000036939"},{"issue":"10","key":"e_1_3_6_9_2","first-page":"886","article-title":"Matching relationship between cervical spinal cord and spinal canal and dynamic change analysis onspinal cord compression factors of patients with cervical spondylotic myelopathy","volume":"31","author":"Zhang Y","year":"2021","unstructured":"Zhang Y, Huang K, Shen YX, Pu MY, Yu JH. Matching relationship between cervical spinal cord and spinal canal and dynamic change analysis onspinal cord compression factors of patients with cervical spondylotic myelopathy. Chin J Spine Spinal Cord. 2021;31(10):886-894.","journal-title":"Chin J Spine Spinal Cord"},{"issue":"18","key":"e_1_3_6_10_2","first-page":"1245","article-title":"The value of the Pfirrmann grading standard for disc degeneration in the quantification of heterotopic ossification after artificial cervical disc replacement","volume":"40","author":"Zhao Y","year":"2020","unstructured":"Zhao Y, Zhou SY, Sun YQ, Yuan B, Chen XS. The value of the Pfirrmann grading standard for disc degeneration in the quantification of heterotopic ossification after artificial cervical disc replacement. Chinese Journal of Orthopaedics. 2020;40(18):1245-1254.","journal-title":"Chinese Journal of Orthopaedics"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181604501"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2003558"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0b013e31813c0e59"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-023-08003-w"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-015-0479-4"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1307253"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/os.13237"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-022-01579-8"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200112150-00012"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.21037\/qims-21-337"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000442"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000953"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.7150\/ijms.72233"}],"container-title":["Global Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21925682251376337","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21925682251376337","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21925682251376337","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:16:38Z","timestamp":1777446998000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21925682251376337"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,1]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/21925682251376337"],"URL":"https:\/\/doi.org\/10.1177\/21925682251376337","relation":{},"ISSN":["2192-5682","2192-5690"],"issn-type":[{"value":"2192-5682","type":"print"},{"value":"2192-5690","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,1]]}}}