What question did this study set out to answer?

This study aims to investigate the connection between spondylosis and subclinical atherosclerosis.

April 8, 2026Al-Azhar Assiut Medical JournalOpen Access

Assessment of subclinical atherosclerosis using carotid artery doppler ultrasonography in patients with spondylosis

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Key result

Subclinical atherosclerosis was found in 14% of spondylosis patients, and carotid intima-media thickness significantly correlated with lumbar (r=0.41) and cervical (r=0.32) spondylosis severity.

Why the study?

Is spondylosis severity associated with subclinical atherosclerosis measured by carotid intima-media thickness?

Population

100 patients with lumbar and/or cervical spondylosis presenting with low back and/or cervical pain

Design

Cross-sectional

Authors

SHSara M. Hasan AMAbdelhfeez Moshrif MSMohamed Z. ShoaeirAl-Azhar University

Discussion

Member takes

Implication

Severe lumbar and cervical spondylosis is associated with a higher prevalence of subclinical atherosclerosis as measured by carotid intima-media thickness.

Key Points

This study aims to investigate the connection between spondylosis and subclinical atherosclerosis.
Conducted a cross-sectional study with 100 patients having lumbar and/or cervical spondylosis.
Used radiographic evaluation based on the Lane and Kellgren indices.
Measured carotid intima-media thickness to assess subclinical atherosclerosis.
Applied correlation and regression analyses to explore associations.
Subclinical atherosclerosis found in 14% of participants.
CIMT significantly correlated with age, cervical pain severity, and Lane index (r = 0.72, 0.34, 0.41; P < 0.001).
Additional correlations identified between CIMT and triglyceride levels, Roland-Morris score, and Kellgren index (r = 0.25, 0.23, 0.32; P = 0.014).

Structured PICO

Is spondylosis severity associated with subclinical atherosclerosis measured by carotid intima-media thickness?

Population

100 patients with lumbar and/or cervical spondylosis presenting with low back and/or cervical pain

Outcome

Subclinical atherosclerosis evaluated through the measurement of carotid intima-media thickness (CIMT) using Doppler ultrasonographysurrogate

Severe lumbar and cervical spondylosis is associated with a higher prevalence of subclinical atherosclerosis as measured by carotid intima-media thickness.

Limitations

small sample size
single-center

Cite This Study

Hasan et al. (2026) studied this question. Subclinical atherosclerosis was found in 14% of spondylosis patients, and carotid intima-media thickness significantly correlated with lumbar (r=0.41) and cervical (r=0.32) spondylosis severity.

synapsesocial.com/papers/69d5f07d74eaea4b11a79f6e https://doi.org/10.4103/azmj.azmj_99_25

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Implication

Severe lumbar and cervical spondylosis is associated with a higher prevalence of subclinical atherosclerosis as measured by carotid intima-media thickness.