宫和宫胸脊脊椎病如何影响大西洋轴关节
Peter Richter1, Tobias Pitzen2, Christian Liebsch3
1Center for Spine Surgery, Orthopedics, and Traumatology, SRH Klinikum Karlsbad-Langensteinbach, Guttmannstrasse 1, 76307 Karlsbad, Germany. peterflorian.richter@srh.de.
概括
患有宫脊椎病的儿童通常会出现大西洋轴突 (CAAD) 脱位,这与主曲线和头部倾斜有关. 这种补偿机制可能需要对潜在的联合破坏进行监测.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 儿科脊柱手术 儿科脊柱手术
背景情况:
- 宫和宫胸部先天性脊椎形症由于移动细分较少而限制了脊柱补偿.
- 在这些患者中,经常观察到冠状腺亚轴突变 (CAAD).
- CAAD可以作为头部定位与脊髓变形相关的补偿机制.
研究的目的:
- 为了调查冠状大西洋轴突 (CAAD) 和儿童脊柱病参数之间的相关性.
- 为了确定CAAD是否受到宫和宫胸脊脊椎病变的程度的影响.
主要方法:
- 从17名患有宫/宫胸脊结石症 (顶点C4-T6) 的患者 (平均年龄7.25岁) 的CT扫描和X射线的回顾性分析.
- 测量包括科布角 (主要和次要曲线),T1,C2和上端脊椎 (UEV) 倾斜.
- 使用CT重建测量CAAD;计算皮尔森相关系数.
主要成果:
- 在CAAD和主曲线科布角 (r=0.784,p<0.001) 之间发现了强烈的正相关性.
- 在CAAD和C2倾斜 (r=0.745,p<0.001) 和UEV倾斜 (r=0.519,p=0.033) 之间也观察到显著的相关性.
- 在CAAD和二次曲线Cobb的角度或T1倾斜之间没有发现显著的相关性.
结论:
- 患有宫/宫胸脊脊椎病的儿童表现出CAAD,通常朝着曲线的凸度.
- CAAD与主要曲线的严重程度,C2倾斜和UEV倾斜相关,这表明头部对齐有补偿作用.
- 建议对渐进的CAAD进行密切监测,因为潜在的atlantoaxial关节破坏,可能需要早期手术干预.
相关概念视频
Articulations of the Vertebral Column
1.8K
In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...
1.8K
Vertebral Column: Regions and Curvature
3.5K
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...
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...
3.5K
Structural Joints: Cartilaginous Joints
2.2K
As the name indicates, at a cartilaginous joint, the adjacent bones are united by cartilage, a tough but flexible type of connective tissue. Unlike synovial joints, these types of joints lack a joint cavity and involve bones joined together by either hyaline cartilage or fibrocartilage.
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
2.2K
Overview of the Axial Skeleton
5.2K
The skeleton is subdivided into two major divisions—the axial skeleton and the appendicular skeleton. The axial skeleton forms the vertical, central axis of the body. It includes all of the bones of the head, neck, chest, and back. It protects the brain, spinal cord, heart, and lungs. It also serves as the attachment site for muscles that move the head, neck, and back and for muscles that act across the shoulder and hip joints to move their corresponding limbs.
The axial skeleton of the...
The axial skeleton of the...
5.2K
Muscles that Move the Head
1.6K
The muscles that move the head are a dynamic and complex group of structures that work together to facilitate a wide range of head movements, including rotation, flexion, extension, and lateral bending.
The bilateral sternocleidomastoid, or SCM, and the suprahyoid and infrahyoid muscles are significant head flexors. The SCM muscles originate at the sternum and clavicle and attach to the mastoid process of the temporal bone. The SCM contracts bilaterally to bend the head forward, whereas...
The bilateral sternocleidomastoid, or SCM, and the suprahyoid and infrahyoid muscles are significant head flexors. The SCM muscles originate at the sternum and clavicle and attach to the mastoid process of the temporal bone. The SCM contracts bilaterally to bend the head forward, whereas...
1.6K
Introduction to Joints
2.9K
The adult human body usually has 206 bones, and except for the hyoid bone in the neck, each bone is connected to at least one other bone. Joints are the location where bones come together. Many joints allow for movement between the bones. At these joints, the articulating surfaces of the adjacent bones can move smoothly against each other. However, the bones of other joints may be joined by connective tissue or cartilage. These joints are designed for stability and provide little or no...
2.9K

