Examination of inclinations of the spine at childhood and adolescence

• Autorzy: Tokpinar A. , Ulger H. , Yilmaz S. , Acer N. , Ertekin T. , Gorkem S.B. , Guler H.
• Języki publikacji: EN

Abstrakty

EN

Background: Spine is a column that consists of consecutively lined up vertebras. It includes medulla spinalis. It contributes the motions of head, neck and body. Spine is not a straight column. There is a convexity towards the front of the spine (lordosis) at cervical and lumbar areas in adults and a convexity towards the back of the spine (kyphosis) at thoracic and sacral spine areas. Materials and methods: In this study, lateral magnetic resonance images of 731 children between 1 and 16 years of age were examined and their cervical lordosis, thoracic kyphosis and lumbar lordosis angles were measured with Cobb method using ImageJ programme for every age group. Results: The mean calculated cervical lordosis angles in 1–16-year-old children were found to be 20.51º ± 6.11º (minimum 17.96º ± 6.29º, maximum 23.50º ± 4.14º). It has been observed that cervical angle values decrease with age. The mean thoracic kyphosis angle measured was 28.71º ± 6.99º (minimum 24.55º ± 5.65º, maximum 30.44º ± 4.68º). Lumbar lordosis angle was 28.08º ± 7.39º (minimum 20.36º ± 6.59º, maximum 32.68º ± 6.03º). Thoracic kyphosis and lumbar lordosis angle values increased with age. In our study, a statistical difference was found in increasing thoracic kyphosis angle between 1-year-old group and 14-year-old group. Statistical difference was also found in decreasing cervical lordosis angle value between 1-year-old group and 16-year-old group. When we compare our study results with literature values, cervical lordosis values were similar, but lumbar lordosis values were lower. Conclusions: In summary, we think that knowing sagittal plane inclinations of the spine developing in childhood and adolescence will contribute to earlier determination of pathologies. We also hope that it will contribute to clinical stages and other studies in this field. (Folia Morphol 2019; 78, 1: 47–53)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2019
• Tom: 78
• Numer: 1
• Opis fizyczny: p.47-53,fig.,ref.

Twórcy

autor

Tokpinar A.

• Department of Anatomy, Faculty of Medicine, Bozok University, Yozgat, Turkey

autor

Ulger H.

• Department of Anatomy, Faculty of Medicine, Erciyes University, Kayseri, Turkey

autor

Yilmaz S.

• Department of Anatomy, Faculty of Medicine, Bozok University, Yozgat, Turkey

autor

Acer N.

• Department of Anatomy, Faculty of Medicine, Erciyes University, Kayseri, Turkey

autor

Ertekin T.

• Department of Radiology, Faculty of Medicine, Erciyes University, Kayseri, Turkey

autor

Gorkem S.B.

• Department of Radiology, Faculty of Medicine, Erciyes University, Kayseri, Turkey

autor

Guler H.

• Department of Anatomy, Faculty of Medicine, Bozok University, Yozgat, Turkey

Bibliografia

• 1. Abelin-Genevois K, Idjerouidene A, Roussouly P, et al. Cervical spine alignment in the pediatric population: a radiographic normative study of 150 asymptomatic patients. Eur Spine J. 2014; 23(7): 1442–1448, doi: 10.1007/s00586-013-3150-5, indexed in Pubmed: 24395005.
• 2. Arıncı K, Elhan A. Anatomi, 2.cilt, 4. baskı, Güneş Kitabevi, Ankara. 2006: 58–65.
• 3. Bernhardt M, Bridwell K. Segmental analysis of the sagittal plane alignment of the normal thoracic and lumbar spines and thoracolumbar junction. Spine. 1989; 14(7): 717–721, doi: 10.1097/00007632-198907000-00012.
• 4. Boseker EH, Moe JH, Winter RB, et al. Determination of “normal” thoracic kyphosis: a roentgenographic study of 121 “normal” children. J Pediatr Orthop. 2000; 20(6): 796–798, indexed in Pubmed: 11097257.
• 5. Cil A, Yazici M, Uzumcugil A, et al. The evolution of sagittal segmental alignment of the spine during childhood. Spine. 2005; 30(1): 93–100, indexed in Pubmed: 15626988.
• 6. Dere F. Anatomi Atlası ve Ders Kitabı. 5. Baskı, Nobel yayın evi, Adana. 1999: 765–766.
• 7. Ecerkale Ö. Postür Analizinde Symmetrigraf ile Orthoröntgenogram Sonuçlarının Değerlendirilmesi, Uzmanlık tezi, Okmeydanı Eğitim ve Araştırma Hastanesi Fizik Tedavi ve Rehabilitasyon Kliniği, İstanbul. 2006: 68–80.
• 8. Gelb DE, Lenke LG, Bridwell KH, et al. An analysis of sagittal spinal alignment in 100 asymptomatic middle and older aged volunteers. Spine. 1995; 20(12): 1351–1358, indexed in Pubmed: 7676332.
• 9. Harrison DE. Pediatric Cervical Lordosis: Values, Disorders, and Interventions. American Journal of Clinical Chiropractic (AJCC). http://www.chiropractic-biophysics.com/clinical_chiropractic/2011/2/11/pediatric-cervical-lordosis-values-disorders-and-interventio.html.
• 10. Hasday CA, Passoff TL, Perry J. Gait abnormalities arising from latrogenic loss of lumbar lordosis secondary to Harrington instrumentation in lumbar fractures. Spine. 1983; 8(5): 501–511, indexed in Pubmed: 6648700.
• 11. Itoi E. Roentgenographic analysis of posture in spinal osteoporotics. Spine. 1991; 16(7): 750–756, indexed in Pubmed: 1833827.
• 12. Jackson RP, McManus AC. Radiographic analysis of sagittal plane alignment and balance in standing volunteers and patients with low back pain matched for age, sex, and size. A prospective controlled clinical study. Spine. 1994; 19(14): 1611–1618, indexed in Pubmed: 7939998.
• 13. Kasai T, Ikata T, Katoh S, et al. Growth of the cervical spine with special reference to its lordosis and mobility. Spine. 1996; 21(18): 2067–2073, indexed in Pubmed: 8893429.
• 14. Kostuik JP, Hall BB. Spinal fusions to the sacrum in adults with scoliosis. Spine. 1983; 8(5): 489–500, indexed in Pubmed: 6648699.
• 15. Köse N, Sevencan A. Konjenital skolyoz ve torasik yetmezlik sendromu, Türk Ortopedi ve Travmatoloji Birliği Derneği Dergisi. 2007; 6: 3–4.
• 16. Legaye J, Duval-Beaupère G, Hecquet J, et al. Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J. 1998; 7(2): 99–103, indexed in Pubmed: 9629932.
• 17. Mac-Thiong JM, Berthonnaud E, Dimar JR, et al. Sagittal alignment of the spine and pelvis during growth. Spine. 2004; 29(15): 1642–1647, indexed in Pubmed: 15284510.
• 18. Mac-Thiong JM, Labelle H, Roussouly P. Pediatric sagittal alignment. Eur Spine J. 2011; 20 Suppl 5: 586–590, doi: 10.1007/s00586-011-1925-0, indexed in Pubmed: 21811824.
• 19. McAviney J. Determining the relationship between cervical lordosis and neck complaints. Manipulative Physiol Ther. 2005; 28: 187–193.
• 20. Moore KL, Persaud TVN. The Developing Human: Clinically Oriented Embryology, 5th edition. Philadelphia 1998: 354–360.
• 21. Morrissy RT, Goldsmith GS, Hall EC, et al. Measurement of the Cobb angle on radiographs of patients who have scoliosis. Evaluation of intrinsic error. J Bone Joint Surg Am. 1990; 72(3): 320–327, indexed in Pubmed: 2312527.
• 22. Okçu G, Yercan H, Yorulmaz İ. Lomber Omurganın Sagittal Planda Radyolojik Analizi. 2000: 146–150.
• 23. Polly DW, Kilkelly FX, McHale KA, et al. Measurement of lumbar lordosis. Evaluation of intraobserver, interobserver, and technique variability. Spine. 1996; 21(13): 1530–1535, indexed in Pubmed: 8817780.
• 24. Stagnara P, De Mauroy JC, Dran G, et al. Reciprocal angulation of vertebral bodies in a sagittal plane: approach to references for the evaluation of kyphosis and lordosis. Spine. 1982; 7(4): 335–342, indexed in Pubmed: 7135066.
• 25. Unur E, Ülger H, Ekinci N. Anatomi, 3. Baskı, Kıvılcım Kitapevi, Kayseri. 2009: 13–17.
• 26. Voutsinas SA, MacEwen GD. Sagittal profiles of the spine. Clin Orthop Relat Res. 1986(210): 235–242, indexed in Pubmed: 3757369.
• 27. Wiltse LL, Winter RB. Terminology and measurement of spondylolisthesis. J Bone Joint Surg Am. 1983; 65(6): 768–772, indexed in Pubmed: 6863359.

Identyfikatory

DOI

10.5603/FM.a2018.0053