Subscribe to RSS
Prevalence of Cervical Spondylosis among Cases with Vertigo in a Tertiary Care Center
Introduction Etiology of vertigo is wide and each etiological factor should be treated accordingly. This study was conducted to assess the prevalence of cervical spondylosis among the cases with vertigo and to assess the clinical factors associated with it.
Materials and Methods A hospital-based cross-sectional study was conducted among cases with vertigo attending the outpatient department of otorhinolaryngology at Chettinad Hospital and Research Institute, Chennai, Tamil Nadu, India, during the months of November 2020 to March 2021. A total of 180 cases with vertigo and 180 controls without vertigo were included in the study. Primary outcome assessed was the prevalence of cervical spondylosis among cases with vertigo and the secondary outcome was to assess the clinical characteristics of the study participants and factors associated with the presence of cervical spondylosis. Analysis was done using SPSS version 20.
Results Majority of participants belong to 51 to 55 years of age with slight female predominance. Impacted cerumen auris, otitis media, and perforated tympanic membrane were noted in 19.4, 10, and 10.6% of cases, respectively. Prevalence of cervical spondylosis was reported as 17.2%, and 12.2% of cases had abnormal pure-tone audiometry findings with significant association between the presences of cervical spondylosis.
Conclusion Assessment of hearing using pure-tone audiometry can be done as a routine practice for all the cases with vertigo which occurs due to cervical spondylosis.
Article published online:
05 July 2022
© 2022. Medical and Surgical Update Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
- 1 Patten JP. Clinical neuroanatomy. In: Gleeson M, Browning GG, Burton MJ. , et al, eds. Scott–Brown's Otorhinolaryngology, Head and Neck Surgery. 7th ed. Vol. 3. London, United Kingdom: Hodder Arnold; 2008: 3911-3941
- 2 Bromstein AM. Evaluation of balance. In: Gleeson M, Browning GG, Burton MJ. , et al, eds. Scott-Brown's Otorhinolaryngology, Head and Neck surgery. 7th ed. Vol. 3. London, United Kingdom: Hodder Arnold; 2008: 3704-3747
- 3 Reid SA, Rivett DA, Katekar MG, Callister R. Efficacy of manual therapy treatments for people with cervicogenic dizziness and pain: protocol of a randomised controlled trial. BMC Musculoskelet Disord 2012; 13: 201
- 4 Brown JJ. Cervical contributions to balance: cervical vertigo. In: Berthoz A, Vidal PP, Graf W. eds. The Head Neck Sensory Motor System. New York, NY: Oxford University Press; 1992: 644-647
- 5 Nwaorgu OG, Onakaoya PA, Usman MA. . Cervical vertigo and cervical spondylosis–a need for adequate evaluation. Niger J Med 2003; 12 (03) 140-144
- 6 Sorensen BF. Bow hunter's stroke. Neurosurgery 1978; 2 (03) 259-261
- 7 Sullivan HG, Harbison JW, Vines FS, Becker D. Embolic posterior cerebral artery occlusion secondary to spondylitic vertebral artery compression. Case report. J Neurosurg 1975; 43 (05) 618-622
- 8 Nagashima C. Surgical treatment of vertebral artery insufficiency caused by cervical spondylosis. J Neurosurg 1970; 32 (05) 512-521
- 9 Sheehan S, Bauer RB, Meyer JS. Vertebral artery compression in cervical spondylosis: arteriographic demonstration during life of vertebral artery insufficiency due to rotation and extension of the neck. Neurology 1960; 10 (11) 968-986
- 10 Karlberg M, Persson L, Magnusson M. Impaired postural control in patients with cervico-brachial pain. Acta Otolaryngol Suppl 1995; 520 pt. 2: 440-442
- 11 Colledge NR, Barr-Hamilton RM, Lewis SJ, Sellar RJ, Wilson JA. Evaluation of investigations to diagnose the cause of dizziness in elderly people: a community based controlled study. BMJ 1996; 313 (7060): 788-792
- 12 Hong L, Kawaguchi Y. Anterior cervical discectomy and fusion to treat cervical spondylosis with sympathetic symptoms. J Spinal Disord Tech 2011; 24 (01) 11-14
- 13 Prasad BK, Kumar M. Vertigo: a spectrum of cases. J Surg Forecast 2018; 1 (01) 1013
- 14 Bayrak IK, Durmus D, Bayrak AO, Diren B, Canturk F. Effect of cervical spondylosis on vertebral arterial flow and its association with vertigo. Clin Rheumatol 2009; 28 (01) 59-64
- 15 Olszewski J, Majak J, Pietkiewicz P, Luszcz C, Repetowski M. The association between positional vertebral and basilar artery flow lesion and prevalence of vertigo in patients with cervical spondylosis. Otolaryngol Head Neck Surg 2006; 134 (01) 680-684
- 16 Yang T-H, Xirasagar S, Cheng Y-F, Kuo N-W, Lin H-C. Association of cervical spondylosis with peripheral vertigo: a case-control study. Laryngoscope 2021; 131 (02) E625-E630
- 17 Kadaňka Z, Jura R, Bednarik J. Cervical vertigo in severe cervical spondylosis: frequent or over-diagnosed? . Research Square 2019; 1-16 DOI: 10.21203/rs.2.10498/v1.
- 18 Konopka W, Mielczarek M, Michalski M, Olszewski J, Pietkiewicz P. Hearing evaluation in patients with vertigo [in Polish]. Otolaryngol Pol 2006; 60 (02) 239-241