Evidence map›Paper›PMID 40604084›Full record

ArticleScientific reports2025

Intervertebral disc degeneration, age, and sex affect the range of motion of the cervical spine.

Christian Liebsch, Ann-Kathrin Greiner-Perth, Morten Vogt, Verena Vieres, René Jonas, Annette Kienle, Hans-Joachim Wilke

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Can cervical disc herniations be provokedFrontiers in bioengineering and biotechnology · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Christian LiebschInstitute of Orthopaedic Research and Biomechanics, Trauma Research Centre Ulm, Ulm University Medical Centre, Helmholtzstraße 14, 89081, Ulm, Germany. christian.liebsch@uni-ulm.de.
Ann-Kathrin Greiner-PerthInstitute of Orthopaedic Research and Biomechanics, Trauma Research Centre Ulm, Ulm University Medical Centre, Helmholtzstraße 14, 89081, Ulm, Germany.
Morten VogtInstitute of Orthopaedic Research and Biomechanics, Trauma Research Centre Ulm, Ulm University Medical Centre, Helmholtzstraße 14, 89081, Ulm, Germany.
Verena VieresInstitute of Orthopaedic Research and Biomechanics, Trauma Research Centre Ulm, Ulm University Medical Centre, Helmholtzstraße 14, 89081, Ulm, Germany.
René JonasInstitute of Orthopaedic Research and Biomechanics, Trauma Research Centre Ulm, Ulm University Medical Centre, Helmholtzstraße 14, 89081, Ulm, Germany.
Annette KienleSpineServ GmbH & Co. KG, Ulm, Germany.
Hans-Joachim WilkeInstitute of Orthopaedic Research and Biomechanics, Trauma Research Centre Ulm, Ulm University Medical Centre, Helmholtzstraße 14, 89081, Ulm, Germany. hans-joachim.wilke@uni-ulm.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Influences of intervertebral disc degeneration, age, sex, and segmental level on the range of motion (ROM) of the cervical spine are widely unknown. This in vitro study aimed to evaluate these effects using large sample sizes. 19 fresh frozen human cervical spines (occiput-T1) were loaded with pure moments of 2.5 Nm. Segmental ROMs were measured by optical motion tracking from C2-C3 to C6-C7. Disc degeneration of these levels was assessed using a validated classification system for the cervical spine. ROMs gradually and significantly decreased with increasing disc degeneration (p < 0.05) and showed high negative correlation with age in flexion/extension (rho =  - 0.637) and axial rotation (rho =  - 0.628). In flexion/extension, ROMs were significantly higher in specimens from female donors compared to male (p < 0.05). The level did overall not significantly affect ROMs (p > 0.05), except for C2-C3, which showed significantly lower ROMs compared to C3-C4 (p < 0.05). Increasing disc degeneration and age as well as male sex reduce the ROM of the cervical spine. The relatively continuous decrease of ROM with increasing disc degeneration in all motion directions largely differs from previous findings of our group on the lumbar spine (gradual ROM increase in axial rotation) and the thoracic spine (strong ROM decrease already for mild disc degeneration).

Indexed as

Cervical VertebraeIntervertebral Disc DegenerationRange of Motion, ArticularAdultAgedAge FactorsBiomechanical PhenomenaFemaleHumansMaleMiddle AgedSex FactorsAgeCervical spineIntervertebral disc degenerationIn vitro studyRange of motionSex

Identifiers

PMID40604084
PMCPMC12222891

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.