{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:01:01Z","timestamp":1787169661855,"version":"build-2736575974"},"reference-count":36,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The morphological features of the cervical spine are an essential issue. This retrospective study aimed to investigate the structural and radiological changes in the cervical spine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A total of 250 patients with neck pain but no apparent cervical pathology were selected from a database of 5672 consecutive patients undergoing magnetic resonance imaging (MRI). MRIs were directly examined for cervical disc degeneration. These include Pfirrmann grade (Pg\/C), cervical lordosis angle (A\/CL), Atlantodental distance (ADD), the thickness of transverse ligament (T\/TL), and position of cerebellar tonsils (P\/CT). The measurements were taken at the positions of T1- and T2-weighted sagittal and axial MRIs. To evaluate the results, patients were divided into seven age groups (10\u201319, 20\u201329, 30\u201339, 40\u201349, 50\u201359, 60\u201369, 70, and over).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In terms of ADD (mm), T\/TL (mm), and P\/CT (mm), there was no significant difference among age groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05). However, in terms of A\/CL (degree) values, a statistically significant difference was observed among age groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Intervertebral disc degeneration was more severe in males than in females as age increased. For both genders, cervical lordosis, decreased significantly as age increased. T\/TL, ADD, and P\/CT did not significantly differ with age. The present study indicates that structural and radiological changes are possible reasons for cervical pain at advanced ages.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcvjs.jcvjs_9_23","type":"journal-article","created":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T02:36:05Z","timestamp":1678674965000},"page":"84-92","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Age- and gender-related radiological changes of the cervical spine"],"prefix":"10.4103","volume":"14","author":[{"given":"Ali Riza","family":"Guvercin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erhan","family":"Arslan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cigdem","family":"Hacifazlioglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayhan","family":"Kanat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elif Acar","family":"Arslan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ugur","family":"Yazar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-14-20240904","doi-asserted-by":"crossref","first-page":"70","DOI":"10.4103\/0974-8237.199867","article-title":"First report of perforation of ligamentum flavum by sequestrated lumbar intervertebral disc","volume":"8","author":"Ozdemir","year":"2017","journal-title":"J Craniovertebr Junction Spine"},{"key":"R2-14-20240904","doi-asserted-by":"crossref","first-page":"271","DOI":"10.4103\/jcvjs.jcvjs_66_21","article-title":"Cervical deformity patients with baseline hyperlordosis or hyperkyphosis differ in surgical treatment and radiographic outcomes","volume":"13","author":"Passias","year":"2022","journal-title":"J Craniovertebr Junction Spine"},{"key":"R3-14-20240904","doi-asserted-by":"crossref","first-page":"279","DOI":"10.4103\/jcvjs.jcvjs_29_21","article-title":"Cervical deformity patients with baseline hyperlordosis or hyperkyphosis differ in surgical treatment and radiographic outcomes","volume":"12","author":"Alas","year":"2021","journal-title":"J Craniovertebr Junction Spine"},{"key":"R4-14-20240904","doi-asserted-by":"crossref","first-page":"339","DOI":"10.4103\/jcvjs.jcvjs_73_22","article-title":"Correlation between the cervical sagittal alignment and spine \u2013 Pelvic sagittal alignment in asymptomatic adults","volume":"13","author":"Mu\u00f1oz Montoya","year":"2022","journal-title":"J Craniovertebr Junction Spine"},{"key":"R5-14-20240904","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1055\/s-0040-1721017","article-title":"The influence of music on neurosurgical cases: A neglected knowledge","volume":"82","author":"Gasenzer","year":"2021","journal-title":"J Neurol Surg A Cent Eur Neurosurg"},{"key":"R6-14-20240904","doi-asserted-by":"crossref","first-page":"157","DOI":"10.4103\/jcvjs.jcvjs_22_21","article-title":"Redefining cervical spine deformity classification through novel cutoffs: An assessment of the relationship between radiographic parameters and functional neurological outcomes","volume":"12","author":"Passias","year":"2021","journal-title":"J Craniovertebr Junction Spine"},{"key":"R7-14-20240904","doi-asserted-by":"crossref","first-page":"217","DOI":"10.4103\/jcvjs.JCVJS_78_20","article-title":"Biomechanics of the upper cervical spine ligaments in axial rotation and flexion-extension: Considerations into the clinical framework","volume":"11","author":"Beyer","year":"2020","journal-title":"J Craniovertebr Junction Spine"},{"key":"R8-14-20240904","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.jocn.2021.11.013","article-title":"Introducing a new possible predisposing risk factor for odontoid type 2 fractures after cervical trauma; 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