C1 (图谱) 和C2 (轴) 脊椎儿童的骨化模式
Mehmet Cingoz1, Mostafa Shehata2, Burak Kandemirli3
1Basaksehir Cam and Sakura City Hospital, Radiology Department, Istanbul, Turkey.
Clinical imaging
|December 28, 2024
概括
儿科C1和C2脊椎骨化和同合症的融合随着年龄的增长而进展. 这项研究详细介绍了正常时间表,以帮助区分幼儿的受伤与发育变异.
科学领域:
- 儿科放射学 儿科放射学
- 儿科整形外科 儿科整形外科
- 人体解剖学 解剖学 解剖学
背景情况:
- 准确评估儿科椎损伤需要了解正常的脊椎发育.
- 骨化模式和C1 (亚特拉斯) 和C2 (轴) 脊椎的同质合并时间表在幼儿时代显著不同.
- 区分正常发育变异与创伤伤害对于适当的临床管理至关重要.
研究的目的:
- 追溯评估0-72个月龄儿童的C1和C2脊椎的骨化模式和同突融合时间表.
- 为评估儿科患者不完全融合的同症提供参考指南.
- 帮助区分创伤损伤与儿童椎脊柱正常发育变异.
主要方法:
- 分析了0-72个月龄段儿童的432次CT检查.
- 基于年龄的地图 (C1) 和轴 (C2) 的骨化中心和同质体的评估.
- 评估特定解剖学标志的可见性和融合状态.
主要成果:
- 随着年龄的增长,阿特拉斯的完整前门骨化增加,从11.1% (0-12个月) 增加到97.3% (61-72个月).
- 阿特拉斯腹侧同症的患病率从100% (0-12个月) 降至大约30% (61-72个月).
- 轴的牙下和神经中心同步症显示,随着年龄的增长,通透率下降,而牙同步症仍然高度通透.
结论:
- 结果确定了幼儿C1和C2脊椎的正常骨化模式和融合时间表.
- 这些数据提高了区分正常发育变异与潜在创伤损伤的能力.
- 这项研究是放射科医生和临床医生评估儿科宫脊椎成像的宝贵资源.
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