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Related Concept Videos

Vertebral Column: Regions and Curvature01:16

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The vertebral column or spine is a flexible column that supports the head, neck, and body and  allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
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Precision Measurements and Parametric Models of Vertebral Endplates
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[Computerized method for calculating cervical vertebral maturation].

Philippe Decocq1, Gaspard Toutain1, Jacques Honore2

  • 1Centre Abel Caumartin, Faculté de Chirurgie Dentaire, sous-section ODF, Université de Lille, place de Verdun, 59000 Lille, France.

L' Orthodontie Francaise
|December 17, 2020
PubMed
Summary
This summary is machine-generated.

Determining skeletal maturity is crucial for orthodontic treatment timing. A new computerized method analyzing vertebral maturation offers a reliable alternative to traditional hand-wrist X-rays, improving diagnostic accuracy and patient care.

Keywords:
Age determination by skeletonComputer-Assisted Radiographic Image InterpretationDecision Support Techniques

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Area of Science:

  • Orthodontics
  • Radiology
  • Skeletal Biology

Background:

  • Orthodontic treatment success and stability depend on precise timing, often dictated by facial growth patterns.
  • Traditional methods for assessing skeletal maturity, like hand-wrist radiographs, are being re-evaluated due to radiation exposure concerns and the ALARA principle.
  • Vertebral maturation stages are recognized as reliable indicators of skeletal age, but their interpretation can be challenging.

Purpose of the Study:

  • To introduce and evaluate a novel computerized method for determining vertebral maturation stages.
  • To assess the reliability and reproducibility of this computerized method in orthodontic practice.
  • To explore an alternative to hand-wrist radiography for skeletal age assessment.

Main Methods:

  • A cohort of 30 patients (15 boys, 15 girls, average age 12.2 years) underwent both hand-wrist and profile radiography.
  • A computerized method was employed to analyze vertebral maturation stages from the radiographs.
  • Patients lacking hand-wrist X-rays were excluded from the analysis.

Main Results:

  • The computerized method demonstrated reliability and reproducibility in determining vertebral maturation stages.
  • The study established a baseline for using this method in orthodontic contexts.
  • Profile radiography, combined with vertebral analysis, provides sufficient data for growth curve positioning.

Conclusions:

  • The computerized vertebral maturation method presents a reliable and reproducible approach for orthodontic practices.
  • This method offers a viable alternative to traditional hand-wrist X-rays, aligning with radiation safety principles.
  • Further research is recommended to validate this method across diverse age groups and genders.