Thoracic-lumbar-sacral spine sagittal alignment and cranio-mandibular morphology in adolescents
| Autor: | Fabio Borello, Ingrid Tonni, Umberto Garagiola, Paola Dalmasso, Andrea Deregibus, Pasquale Cinnella, Vito Crincoli, Maria Grazia Piancino, Corrado De Biase, Giada Matacena |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
musculoskeletal diseases Adolescent Rotation Cephalometry Radiography Craniofacial structure Occlusion Spinal mouse Spine posture Female Humans Lumbosacral Region Mandible Thoracic Vertebrae Posture Biophysics Neuroscience (miscellaneous) 03 medical and health sciences 0302 clinical medicine Lumbar Medicine Craniofacial Orthodontics business.industry 030229 sport sciences Craniometry Sagittal plane Skull medicine.anatomical_structure Maxilla Thoracic vertebrae Neurology (clinical) business 030217 neurology & neurosurgery |
| Popis: | The relationship between thoracic-lumbar-sacral spine sagittal alignment and craniofacial morphology is still controversial. Evidence-based results are difficult to obtain and scientific studies are inhomogeneous. The aim of this study was to investigate the difference of thoracic-lumbar-sacral spine posture and cephalometric values comparing two groups of subjects with different cranial structure in the sagittal plane.Eighty-one subjects were consecutively selected and divided into two groups, according to the orientation of the condyle-orbital plane (CoOr) with respect to the superior maxilla (SpP): Group1: 49 subjects 11.6 (2.1) years showing posterior-rotation of CoOr: SpP^CoOr ≤ -2°, -4.1°(2.1°); Group2: 32 subjects 12.9 (2.3)years showing anterior-rotation of CoOr: SpP^CoOr ≥ 2°, 3.7°(1.9°). Each patient underwent in blinding, Spinal Mouse recording and cephalometry of the skull.Group1 showed a significant forward tilting of the spine 4.4°(1.8°) with respect to Group2 2.4°(1.3°) (p 0.0001) and higher values related to the vertical dimension of the skull: higher maxillary divergency (p 0.0001), steep occlusal plane (p 0.0007), higher gonial angle (p 0.001).The results of this study showed a difference in the thoracic-lumbar-sacral spine inclination between groups with different craniofacial morphology. The achievement of this outcome is important to improve our multidisciplinary evaluation and treatment planning. |
| Databáze: | OpenAIRE |
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