Prevalence of Ponticulus Posticus on Lateral Cephalometric Radiographs, its Association with Cervicogenic Headache and a Review of Literature
| Autor: | Shahnaz S. Tambawala, Digvijay Motghare, Freny R Karjodkar, Amaresh Chandra Dora, Kaustubh Sansare, Isha Mishra, Shuddhodhan Gaikwad |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Radiography Population India Young Adult 03 medical and health sciences 0302 clinical medicine Vertebral region Cervicogenic headache Prevalence Humans Medicine Cervical Atlas Sex Distribution Child education Retrospective Studies Orthodontics 030222 orthopedics education.field_of_study Neck pain business.industry Lateral cephalograms medicine.disease Cervical spine Musculoskeletal Abnormalities Atlantoaxial instability Physical therapy Post-Traumatic Headache Female Surgery Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | World Neurosurgery. 103:566-575 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2017.04.030 |
| Popis: | Objectives The aim of this study was to calculate the prevalence of ponticulus posticus (a small bony bridge on the dorsal aspect of the atlas on lateral digital cephalometric radiographs) and classify it into a complete ring or an incomplete ring. The study also investigated its association with the presence or absence of cervicogenic headache in the examined population; a literature review of ponticulus posticus is also presented. Methods The presence and types of ponticuli posticus were investigated on 500 digital lateral cephalograms and the same patients were questioned for a history of cervicogenic headache. Results In 500 patients, 79 ponticulus posticus (34 complete and 45 incomplete) were identified on the lateral cephalograms; therefore, the prevalence was 15.8%. The distribution of the type of ponticulus posticus was 13.1% in males and 17.9% in females in the studied sample. The overall prevalence of cervicogenic headache was 6% in the studied sample with a significant association between cervicogenic headache and type of ponticulus posticus. Conclusions The study shows that ponticulus posticus is not a rare finding and its association with unexplainable headache, neck pain, and other symptoms as well as its importance and implications during management of cervical spine surgical procedures, especially those requiring lateral mass screw placements in the atlas, imply that radiologists and dentists in general should closely inspect the vertebral region on a lateral cephalogram. |
| Databáze: | OpenAIRE |
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