Objective To explore the characteristics of sagittal spino-pelvic parameters in patients with chronic low back pain and their relationship with chronic low back pain. Methods From Jul. 2019 to Jun. 2021, 249 patients with chronic low back pain（LBP group） and 86 physical examination adults without low back pain symptoms（control group） were selected as subjects in The First Affiliated Hospital of Naval Medical University（Second Military Medical University）. The general data of the 2 groups were collected, the thoracic kyphosis（TK）, lumbar lordosis（LL）, LL-TK, sacral inclination（SS）, pelvic inclination（PT）, pelvic incidence（PI）, SS-PT, LL-PI, sagittal verticalaxis（SVA） and other sagittal parameters were measured on the full-length anteroposterior and lateral X-ray films of the spine, and the differences between the 2 groups were observed.Results There were no significant differences in age, gender or body mass index between the 2 groups（all P＞0.05）. TK in the LBP group was higher than that in the control group, while LL-TK, SS, PI and SS-PT in the LBP group were lower than those in the control group（all P＜0.05）. There were no significant differences in LL, PT, LL-PI or SVA between the 2 groups（all P＞0.05）. The types of lordosis were mainly type 2（SS＜35°, small LL, the apex of lumbar lordosis is located in L 4 ） in the LBP group and control group, accounting for 70.7%（176/249） and 57.0%（49/86）, respectively. There was no significant difference in the composition ratio of lordosis types between the 2 groups（χ~2=6.161, P=0.104）. Conclusion The sagittal spino-pelvis parameters of patients with chronic low back pain are different from those of adults without low back pain symptoms. Large TK, small SS, and small PI are more common in the low back pain patients, suggesting that this particular pattern is related to chronic low back pain.

[目的]比较多节段经椎间孔椎体间融合(transforaminal lumbar interbody fusion,TLIF)3种引流方式临床疗效.[方法]2019年7月—2021年6月在本科行TLIF治疗的多节段腰椎退变104例患者采用随机数字表法分为三组,于TLIF术后分别给予3种引流,其中,34例行间断负压引流,37例行持续负压引流,33例行常压引流.比较三组早期及随访结果.[结果]所有患者均顺利完成手术,三组手术时间、术中出血量差异无统计学意义(P＞0.05),持续负压组第1d和术后总引流量,以及引流管留置时间显著大于其他两组(P＜0.05);常压组伤口敷料渗血次数显著多于其他两组(P＜0.05).随时间推移.三组患者腿痛VAS评分、ODI评分、JOA评分均显著改善(P＜0.05),相应时间点,三组间上述评分的差异均无统计学意义(P＞0.05).[结论]多节段TLIF术后采用间断负压引流可以明显减少引流量和伤口渗血,缩短引流时间,是一种安全有效的方式.

[目的]探讨新型植骨管植骨在腰椎体间融合术中的安全性和有效性.[方法]回顾性分析2018年9月-2019年8月经椎间孔椎体间融合术(transforaminal lumbar interbody fusion,TLIF)119例患者的临床资料.依据医患沟通结果,61例术中采用新型植骨管植骨,58例采用传统漏斗植骨.比较两组围手术期、随访和影像资料.[结果]两组患者均顺利完成手术,术中均无神经、硬膜损伤.新型组植骨时间显著少于传统组(P＜0.05).两组手术时间、术中出血量、术后引流量及下地行走时间的差异均无统计学意义(P＞0.05).两组完全负重活动时间差异无统计学意义(P＞0.05).术后随访(22.94±2.28)个月,随时间推移,两组患者腰痛VAS和ODI评分显著下降(P＜0.05),JOA评分显著增加(P＜0.05).相应时间点,两组间上述指标的差异均无统计学意义(P＞0.05).影像方面,与术前相比,术后1个月和末次随访时两组患者椎间隙高度、局部Cobb角和L2～S1前凸角均显著增加(P＜0.05),随时间推移,两组Lenke椎间融合评级均显著改善(P＜0.05);术后3个月,新型组椎间融合Lenke评级显著优于传统组(P＜0.05),但术后6个月和末次随访时,两组间Lenke椎间融合评级的差异已无统计学意义(P＞0.05).[结论]应用新型植骨管椎间植骨可以安全、高效地完成TLIF术,改善椎间融合.

Objective:To explore the effect of case-based learning (CBL) based on WeChat platform in orthopedics practice teaching.Methods:A total of 101 orthopedic interns in The First Affiliated Hospital of Navy Medical University Hongkou Campus were randomly divided into two groups, with 50 interns in experimental group and 51 interns in control group. The experimental group conducted CBL based on WeChat platform for teaching, and the control group adopted traditional teaching method for teaching. At the end of the internship, the teaching effect on the interns was assessed by the "department graduation examination" and "questionnaire survey". The examination included basic theoretical knowledge and case analysis. Questionnaire survey included active preparation before class, teaching methods, class participation and discussion, interest in class and teaching effect. SPSS 17.0 was used for statistical analysis.Results:The total scores of the examinations, theoretical test and case analysis of the interns in the experimental group [(83.58±5.68) points, (49.98±3.71) points, (33.60±2.28) points, respectively] were better than those of the interns in the control group [(80.28±6.04) points, (48.20±4.12) points, (32.08±2.06) points, respectively], with statistical significance ( P < 0.05). The results of the questionnaire survey showed that the interns in the experimental group were significantly more satisfied with the teaching than those in the control group in such aspects as active preparation before class, teaching methods, class participation and discussion, class interest, class effect and satisfaction, and the differences in active preparation, participation and interest were statistically different ( P < 0.05). Conclusion:In the process of orthopedics practice teaching, the teaching method of CBL based on WeChat platform can mobilize the enthusiasm and participation of students, and can improve the clinical teaching effect of orthopedics, which is worthy of promotion and application in practice teaching.

Objective:To analyze the effects of different courses of hyperbaric oxygen combined with sertraline on sleep disorders and serum neurologic injury factors in patients after cerebral hemorrhage.Methods:A total of 120 patients with sleep disorders after cerebral hemorrhage were divided into control group ( n=60) and observation group ( n=60) by random number table method. The control group was treated with sertraline only, while the observation group was treated with hyperbaric oxygen on the basis of the treatment in the control group. The sleep quality, clinical efficacy, the levels of serum neuron-specific enolase (NSE), intercellular adhesion molecule-1 (ICAM-1), and tumor necrosis factor-α (TNF-α) before and 10, 20, and 30 d after treatment were compared between the two groups. Results:The scores of Pittsburgh sleep quality index (PSQI) of the observation group were significantly lower than those of the control group at every time point of treatment ( P<0.05); the total sleep time, total deep sleep time, total light sleep time, and rapid eye movement (REM) sleep time of the observation group were significantly longer than those of the control group ( P<0.05); and the sleep latency of the observation group was significantly shorter than that of the control group ( P<0.05). With the prolongation of the treatment course, the PSQI scores of both groups showed decreasing trends ( P<0.05); the total sleep time, total deep sleep time, total light sleep time, and REM sleep time of both groups tended to prolong ( P<0.05); and the sleep latency tended to be shorter ( P<0.05). The total effective rate of the observation group was significantly higher than that of the control group at 10, 20, and 30 d after treatment ( P<0.05). With the prolongation of the treatment course, the total effective rates of the two groups showed increasing trends ( P<0.05); the levels of serum NSE, ICAM-1, and TNF-α in the observation group were significantly lower than those in the control group at every time point of treatment ( P<0.05); and with the prolongation of the treatment course, the above indicators of the two groups showed decreasing trends ( P<0.05). Conclusion:Hyperbaric oxygen therapy combined with sertraline can improve the sleep quality and clinical efficacy of patients after cerebral hemorrhage with sleep disorders.

目的 比较经皮椎体成形术(Percutaneous vertebro plasty,PVP)与经皮椎体后凸成形术(Percutaneous kyphoplasty,PKP)治疗骨质疏松性椎体压缩骨折的临床疗效.方法 回顾性分析自2016-01-2020-11诊治的82例骨质疏松性椎体压缩骨折,41例采用PKP治疗(PKP组),41例采用PVP治疗(PVP组),比较2组手术时间、骨水泥注入量、骨水泥渗漏情况,比较2组术后3个月疼痛VAS评分、ODI指数、伤椎前缘高度、伤椎Cobb角.结果 2组均顺利完成手术并获得至少3个月的随访.PKP组骨水泥注入量较PVP组多,骨水泥渗漏数较PVP组少,手术时间较PVP组长,差异有统计学意义(P＜0.05).术后3个月2组疼痛VAS评分、ODI指数比较差异无统计学意义(P＞0.05);PKP组伤椎前缘高度较PVP组大,伤椎Cobb角较PVP组小,差异有统计学意义(P＜0.05).结论 骨质疏松性椎体压缩骨折采用PVP与PKP治疗均能显著减轻疼痛并促进术后快速康复,PKP在恢复伤椎高度、矫正椎体后凸畸形的效果优于PVP,且能减少骨水泥渗漏率.

目的 探讨现状(situation)、背景(background)、评估(assessment)、建议(recommendation)沟通模式(简称SBAR沟通模式)在骨科床边交接班中的应用效果.方法 选择2019年1-10月海军军医大学附属长海医院虹口院区骨科按照SBAR沟通模式床边交接班的350例患者作为研究组,将2019年3-12月按照传统模式床边交接班的340例患者作为对照组.2组患者均由海军军医大学附属长海医院虹口院区骨科19名护士按排班顺序进行护理工作.比较2种不同模式的专科护理质量和医生、患者对护理工作的满意度.结果 研究组护士的专科护理质量、医生及患者对护理工作的满意度均明显高于对照组,差异具有统计学意义(P<0.01).结论 SBAR沟通模式在骨科床边交接班中的应用可明显提高护理人员的专科护理质量,提高医生及患者对护理工作的满意度,值得临床推广应用.

手术治疗是海上伤病员救治的重要手段,尤其在战时海上伤员救治中手术量大、手术要求高,而手术照明是直接影响手术质量、手术速度和手术效果的重要因素之一. 海上舰船特殊环境对舰船用手术无影灯性能提出了特殊要求;手术舱室层高较低、空间较为狭小,要求舰艇用手术无影灯的体积要小,拆装要方便[1-2]. 同时,在不同海况下展开手术,舰船持续摇晃状态要求手术无影灯固定和移动不能使用现有机械臂式的方式,而是要设计出一种针对性地固定和展开装置,确保手术无影灯不受舰船晃动的影响[3]. 因此,需要研制一款专门用于海上舰船用的无影灯来满足海上舰船手术照明的需求.

通过对多种特殊背景下实施境外大规模海上撤侨卫勤保障特点的分析总结,从预警机制、预案体系、训练演练、药材保障、联合协同、卫生防疫等方面提出了具体的卫勤保障对策,为非战争军事行动中境外大规模海上撤侨卫勤保障以及战时实施大规模海上人员输送提供借鉴和参考.

OBJECTIVESElevated expression of Siglec-1 on circulating monocytes has been reported in some inflammatory and autoimmune diseases, but its expression and role in RA has not been elucidated. The aims of this study were to determine the expression of Siglec-1 in peripheral blood and to explore its role in mononuclear cell reactivity to autoantigen in RA.METHODSSiglec-1 protein and mRNA levels in 42 RA patients, 39 OA patients, 28 SLE patients and 42 normal controls were determined by flow cytometry and quantitative RT-PCR, respectively. In addition, 10 patients with active RA received DMARDs for 12 weeks and the frequencies of Siglec-1-positive cells and the 28-joint DAS (DAS28) were assessed before and after therapy. Furthermore, TNF-α, IFN-γ and type II collagen were used to up-regulate Siglec-1. Peripheral blood mononuclear cells (PBMCs) from different groups were stimulated with mitogens or antigens and cell proliferation and cytokine production were determined.RESULTSThe protein and mRNA levels of Siglec-1 on PBMCs and monocytes in RA patients were significantly higher than those in OA patients and healthy controls. Moreover, the expression of Siglec-1 protein on PBMCs was positively correlated with DAS28, ESR, high-sensitivity CRP and IgM-RF, but not with anti-CCP antibody. Interestingly, Siglec-1 expression was decreased in parallel with the decrease in the DAS28 after 12 weeks of anti-rheumatic treatment. Furthermore, TNF-α, IFN-γ and type II collagen can up-regulate Siglec-1 in PBMCs. Elevated PBMC proliferation and proinflammatory cytokine production to collagen stimulation in RA patients decreased when Siglec-1 was inhibited by anti-Siglec-1 antibodies.CONCLUSIONElevated Siglec-1 expression in PBMCs and monocytes can potentially serve as a biomarker for monitoring disease activity in RA. Siglec-1 may also play a proinflammatory role in stimulating lymphocyte proliferation and activation in RA.

The optimal surgical approach for multilevel cervical spondylotic myelopathy (CSM) has not been defined, and the relative merits of multilevel anterior cervical discectomy and fusion (ACDF) and anterior cervical corpectomy (2-level or skip 1-level corpectomy) and fusion (ACCF) remain controversial. However, few comparative studies have been conducted on these two surgical approaches.

Objective Atherosclerosis (AS) is widely accepted as an inflammatory disease and monocytes are particularly important in inflammatory immune responses. As an important biomarker of monocytes activation, Siglec-1 is highly expressed on circulating monocytes and atherosclerotic plaques of coronary artery disease (CAD) patients, but the exact role of Siglec-1 has not been elucidated. Methods M-CSF, INF-α, IFN-γ, TNF-α and ox-LDL alone or in combination were used to stimulate Siglec-1 expression on monocytes, whereas small interfering RNA (si-RNA) or blocking antibody was used to down-regulate Siglec-1. Meanwhile, the role of Siglec-1 in chemokines secretion was determined. Then monocytes from CAD patients or healthy controls were cocultured with CD4+ or CD8+ T cells from a third healthy individual, and lymphocyte proliferation and activation were determined. Results All the stimuluses could enhance Siglec-1 expression on monocytes in a dose-dependent manner, and M-CSF could synergistically stimulate Siglec-1 expression with ox-LDL. Moreover, the secretion of MCP-1, MIP-1α and MIP-2 were enhanced when Siglec-1 was up-regulated and down to normal level when Siglec-1 was blocked. More importantly, increased Siglec-1 expression on monocytes was related to the increased T cell proliferation and pro-inflammatory cytokines secretion in CAD patients. However, down-regulation of Siglec-1 could attenuate proliferation and activation of cocultured CD4+ and CD8+ T cells. Conclusion Siglec-1 can promote chemokines and pro-inflammatory cytokines secretion and influence the inflammatory process of AS.

OBJECTIVE:The objective of this study was to compare perioperative, clinical parameters, complications, and reoperation rate of the Gallie technique and head-neck-chest plaster with the Harms technique in the treatment of odontoid fractures. DESIGN:A retrospective study. SETTING:Level I spine center. PATIENTS:Fifty-seven patients with odontoid fractures treated either with the Gallie technique and casting or the Harms technique between July 2002 and June 2008. INTERVENTION:Surgery. MAIN OUTCOME MEASUREMENTS:At a minimum of 2-year follow-up, comparison of the two groups was conducted in terms of hospital stay, blood loss, operation time, cost of the first admission, total cost, time to fusion, time to return to previous occupation, Japanese Orthopedic Association scores, visual analog scale scores of neck pain, complications (nonunion, delayed union, hardware breakage, wound infection), and reoperation rate. RESULTS:There were no significant differences in terms of hospital stay, time to fusion, Japanese Orthopedic Association scores, neck pain visual analog scale scores, complications, or reoperation rate between the two groups. Blood loss, operation time, cost of the first admission, and total cost were significantly lower in the Gallie group than that in the Harms group. However, the Gallie group took longer to return to previous occupation than the Harms group (P < 0.001). CONCLUSIONS:Management of odontoid fractures by either the Gallie technique and casting or the Harms technique was found to be similar in clinical outcomes. Although the Harms technique was associated with more blood loss, operation time, and cost, the Harms technique was found to be superior to the Gallie technique with casting in terms of time to return to previous occupation.

Objective To investigate the expression and distribution of interleukin-17(IL-17)in degenerate human cervical intervertebral discs tissues,and to explore the relationship between IL-17 and cervical intervertebral disc degeneration.Methods IL-1β,IL-17,tumor necrosis factor(TNF-α) and retinoid-related orphan receptor(RORγτ)mRNA levels were respectively measured by real-time quantitative reverse transcription-polymerase chain reaction(QT-PCR)in 30 surgical degenerate cervical intervertebral discs tissues(degeneration group)and 10 nondegenerate control tissue(control group).And the level of IL-17 protein,CD4 cell surface antigen were measured by immunohistochemistry staining.Results The mean IL-1β,IL-17,TNF-α,RORγτ mRNA levels in degeneration group were significantly higher than that in control group(P0.001),and the expression of these factors in nucleus pulposus were significantly higher than that in annulus fibrosus in degeneration group(P0.05).The expression level of IL-17 mRNA was positively correlated with RORγτ mRNA level(R=0.61,P0.001).Immunoreactivity of IL-17 and CD4 cell surface antigen were significantly greater in degenerate discs than in controls(P0.001),and the immunoreactivity in nucleus pulposus was higher than that in annulus fibrosus in degeneration group(P0.05).Conclusion The expression level of IL-17 mRNA and IL-17 protein were significantly increased in degenerate human cervical discs tissues than that in autopsy control tissues,and the expression in nucleus pulposus was greater than in annulus fibrosus.These findings suggest involvement of IL-17 in the pathome chanism of intervertebral disc degeneration.Immune inflammation mediated by Th17 lymphocytes may play an important role in the development and progression of human cervical intervertebral disc degeneration.

[Objective]To investigate the expression of interleukin-17(IL-17) in degenerate human lumbar intervertebral discs tissues,and to explore the relationship between IL-17 expression and intervertebral disc degeneration. [Methods]IL-17 and retinoid-related orphan receptor(ROR)γτ mRNA levels were respectively measured by real-time quantitative reverse transcription-polymerase chain reaction(QT-PCR) in 42 surgical degenerative intervertebral discs tissues(26 samples from patients with lumbar disc herniation and 16 samples from patients with lumbar spinal stenosis) and 8 nondegenerated control tissue(from 4 autopsy).And the level of IL-17 protein,CD4 cell surface antigen was determined by immunohistochemistry EnVision method. [Results]The mean IL-17 and RORγτ mRNA levels in degenerate discs tissues group were significantly higher than that in autopsy controls(P<0.05),but no significant differences were found between patients with LDH and spinal stenosis(t=0.669,P=0.507,t=421,P=0.380).The expression level of IL-17 mRNA was positively correlated with RORγτ(r=0.381,P<0.001).Immunoreactivity of IL-17 and CD4 cell surface antigen were significantly greater in degenerate discs than in autopsy controls(P<0.001),but no significant differences were found between patients with LDH and spinal stenosis(t=1.130,P=0.265,t=1.459,P=0.152). [Conclusion]The expression levels of IL-17 mRNA and IL-17 protein were significantly increased in degenerate human lumbar discs tissues than that in autopsy control tissues.These findings suggest involvement of IL-17 in the pathomechanism of intervertebral disc degeneration.Immune inflammation mediated by Th17 lymphocytes may play an important role in the development and progression of human lumbar intervertebral disc degeneration.

Objective:To investigate the efficacy of multilevel anterior cervical discectomy and fusion for aged patients with cervical spondylotic myelopathy.Method:Twenty seven patients(15 males and 12 females) with the mean age of 66.5±5.1 years(range,61-75 years) treated surgically between March 2004 and March 2009 were reviewed retrospectively.Multilevel(including C3-C6 in 11 case,C4-C7 in 9,C3-C7 in 7) anterior cervical discectomy and fusion with cage and dynamic titanium plate were performed.Japanese Orthopedic Association(JOA) scores and neck dysfunction index(NDI),as well as radiologic parameters such as cervical lordosis of fusion segement before and after operation were noted and compared.Improving rate of JOA and bony fusion were also evaluated.Clinical results were graded from excellent to poor using the Odom's criteria.The sagittal alignment of fusion segements were measured using Cobb method.Result:The average operation time was 112.9±28.2min(range,75-180min),and mean blood loss was 78.9±52.8ml(range,50-300ml).One patient was complicated with cerebrospinal fluid leakage which healed after conventional drain for 24h without surgical intervention.Another two cases had swallowing foreign body sensation,which disappeared after two months.All patients were followed up for 6-60 months,with an average of 23.8±7.5 months.The JOA score at final follow up(13.6±1.2) was significantly higher than preoperative(9.5±1.8)(P<0.001).NDI at final follow up(7.8% ±2.2%) was significant lower than preoperative(19.0%±3.4%)(P<0.001).Radiograph analysis indicated that the average angle of lordosis was corrected from 8.8°±1.2° preoperatively to 18.0°±2.5° at final follow up(P<0.001).The final follow up score according to Odom's criteria was excellent in eight patients,good in fifteen and fair in remaining four,with excellent and good rate of 85.2%.At final follow up,no cage subsidence and displacement was noted and bony fusion rate was 100%.Conclusion:Multilevel anterior discectomy and fusion for aged patients with cervical spondylotic myelopathy is reliable and effective.

目的 总结颈前路手术术后急性皮下血肿的临床诊治经验,探讨诊疗策略.方法 回顾性分析2004年12月至2008年12月1 522例颈前路手术患者中25例术后发生急性皮下血肿患者的临床资料,男17例,女8例,年龄41～76岁,平均(57.7±8.6)岁.所有患者均先采取保守治疗,保守治疗无效时行二次手术探查,对患者神经功能进行JOA评分.结果 25例患者术后3～18.4 h[平均(7.7±3.2)h]发生急性皮下血肿,发生率1.64%;6例患者经保守治疗有效,症状无恶化,术前JOA评分为(11.5±1.9),术后为(12.5±1.8),术后2个月为(14.2±1.0);19例行二次手术探查患者,除1例死亡外,其余18例术后血肿症状及神经功能明显改善(P＜0.05),入院时JOA评分为(10.1±2.9),出院时(11.3士2.4),术后2个月为(13.2±2.6).结论 急性皮下血肿发生迅速,但不会导致患者神经功能恶化,保守处理对部分患者有效,紧急开放切口、二次手术是皮下血肿主要治疗方法,对神经功能没有负面影响.

Study Design. Case report. Objective. To report a case of a 19-year-old boy with intervertebral disc calcification (IDC) at C7-T1, who presented with paresis and aconuresis. Surgical outcome was assessed. Summary of Background Data. IDC, commonly seen in the cervical spine region in children, is well-known as a self-limiting disorder with no or little symptoms. Surgical intervention is usually not required. Methods. A 19-year-old boy presented with acute back pain, progressive numbness, and weakness of both lower extremities and aconuresis for 1 week. There was no traumatic history or signs of infection. Radiograph, computed tomography with reconstruction, and magnetic resonance imaging revealed C7-T1 IDC with severe spinal cord compression. Decompression with anterior cervical corpectomy and fusion was performed. Results. Follow-up showed complete resolution of the back pain and complete recovery of motor power and sensory function in both lower extremities and return of normal micturition function. The patient had full recovery with no complications. Conclusion. Serious neurologic deficit, especially a bladder dysfunction, caused by calcified intervertebral disc is rare. However, favorable outcome can be achieved in those cases where rapid diagnosis is made and followed by spinal cord decompression.

Objective To evaluate the stability of 3D cervical range of motion(CROM) inclinometer.Methods Thirty healthy subjects underwent the active cervical ROM testing in the 3 planes using the 3D CROM inclinometer.Observer A and B evaluated the cervical ROM of each subject twice respectively,and determined the mean cervical ROM in flexion-extension,lateral flexion and rotation in these subjects,and examined the intra-observer and inter-observer reliability of measurements obtained.Results In these subjects,the mean cervical ROM was 123.0°± 8.3° in flexion-extension,86.3°± 8.9° in lateral flexion and 135.1°± 8.3° in rotation.Good intra-observer reliability was found for flexion-extension(ICC=0.87),high intra-observer reliability was found for lateral flexion(ICC=0.92)and rotation(ICC=0.94).Good inter-observer reliability was found for flexion-extension(ICC=0.87),high intra-observer reliability was found for lateral flexion(ICC=0.90)and rotation(ICC=0.91).Conclusion The 3D CROM inclinometer is a reliable instrument for determining active cervical ROM with good intra-observer and inter-observer reliability.It is a practical and valid instrument appropriate for clinical evaluation and research.

Objective To investigate the incidence of Modic changes in endplates of cervical vertebral body,and to approach its clinical significance.Methods T1 weighted and T2 weighted sagittal MRI scans of 136 patients suffered from cervical spondylotic myelopathy and underwent anterior operation were reviewed retrospectively.Data of incidence rate,precise vertebral levels and specific type of Modic changes in cervical spine were recorded.Results Modic changes were observed in 23 patients(16.9%),17(17.7%)in male and 6(15%)in female.The most common cervical spinal level that Modic changes occurred was C5,6.The incidence rate of typeⅠModic change was 4.4%,typeⅡwas 7.4% and type Ⅲ was 5.1%.Conclusion Modic changes are observed in endplates of cervical vertebral body in the cervical syndrome patients,and the C5,6 level is the most commonly involved.The most common Modic changes were type II.