儿童及青少年颈椎生理弯曲相关指标测量及临床意义

doi:10.13418/j.issn.1001-165x.2023.6.08

Abstract

Abstract: Objective To analyze the clinical significance of children and adolescents cervical curvature based on the CT measurement of related basic parameters. Methods The collected CT imaging data of 364 patients were divided into 6 groups by gender and age: 1~3 years old group, 4~6 years old group, 7~9 years old group, 10~12 years old group, 13~15 years old group, 16~18 years old group. The original cervical spine tomography data were stored in DICOM format and imported into Mimics 16.0. The method based on distance [①Borden's measurement; ② cervical curvature index (CCI); ③ vertebral body cardiogram (CCL) measurement method] and Angle [①C1-C7 Cobb Angle measurement method; ②C2-C7Cobb Angle measurement; ③Harrison's measurement (CSA)]. A total of 6 measurement methods were used to measure the cervical curvature of children and adolescents, and the measurement results were statistically analyzed. Results Borden's method and CCL method showed there were statistical differences between 13-15 year old group and the first four groups (P<0.05). C1-C7 Cobb Angle measurement showed that there were statistical differences between the 16-18 year old group and the first five groups (P<0.05). Harrison's method and CCL method showed that there were statistical differences between the five groups aged 4-18 years and the group aged 1-3 years (P<0.05). There was no statistical difference between the genders. The correlation coefficient of Angle-based curvature measurement method was poor, but there were significant differences among all indexes (P<0.05). Conclusions There are many measurement methods for cervical curvature, and each index has its own advantages. Different clinical measurement methods can be adopted according to the research object and content, so as to provide theoretical and technical support for the early diagnosis, prevention and treatment of cervical curvature in children and adolescents.

Key words: Cervical spine curvature; , , Children; , , Teenagers; , , CT; , , Cobb Angle; , , Borden method

CLC Number:

R323.1

Li Kun#, Zhang Boran#, Zhang Yu, Han Keming, Feng Jie, Wu Siyao, Su Xin, Su Na, Wang Chaoqun, Zhang Shaojie, Li Zhijun, Wang Xing . Measurement and clinical significance of cervical spine physiological curvature in children and adolescents[J]. Chinese Journal of Clinical Anatomy, 2023, 41(6): 675-679.

References 20

[1]	张明才, 牛阿凤, 石印玉, 等. 上海市青少年颈椎亚健康状况调查及影响因素分析[J]. 上海中医药杂志, 2014, 48(3): 7-9. CNKI: SUN:SHZZ.0.2014-03-004.
[2]	刘湘, 龙耀武, 王锋, 等. 颈椎病严重程度与颈椎曲度相关性的影像学研究[J]. 临床放射学杂志, 2018, 37(6): 1021-1024. CNKI: SUN:LCFS.0.2018-06-035.
[3]	Vialle R, Levassor N, Rillardon L, et al. Radiographic analysis of thesagittal alignment and balance of the spine in asymptomatic subjects[J]. J Bone Joint Surg Am, 2005, 87(2): 260-267. DOI: 10.2106/JBJS.D.02043.
[4]	Iyer S, Nemani VM, Nguyen J, et al. Impact of cervical sagittal alignment parameters on neck disability[J]. Spine (Phila Pa1976), 2016, 41(5): 371-377. DOI: 10.1097/brs.0000000000001221.
[5]	Harrison DE, Harrison DD, Troyanovich SJ, et al. A normal spinal position: its time to accept the evidence[J]. J Manipulative Physiol Ther, 2000, 23(9): 623-644. DOI: 10.1067/mmt.2000.110941.
[6]	Miyazaki M, Hymanson HJ, Morishita Y, et al. Kinematic analysis of the relationship between sagittal alignment and disc degeneration in the cervical spine[J]. Spine (Phila Pa 1976), 2008, 33(23): E870-E876. DOI: 10.1097/BRS.0b013e3181839733.
[7]	方文, 石志才, 贾连顺. 颈椎病患者颈椎曲度的X线测量[J]. 颈腰痛杂志, 1999, 20(2): 83-86. DOI: 10.3969/j.issn.1005-7234.1999.02.003.
[8]	任龙喜, 何玉宝, 郭函, 等. 颈部疼痛程度与颈椎曲度相关性的临床观察[J]. 中国脊柱脊髓杂志, 2011, 21(9): 750-753. DOI: 10.3969/j.issn.1005-7234.1999.02.003.
[9]	周永富, 王志宏, 杜婷, 等. 颈椎曲度与颈痛相关性的临床研究[J]. 颈腰痛杂志, 2015, 36(5): 406-409. DOI: 10.3969/j.issn.1005-7234.2015.00.000.
[10]	吴涛, 刘军, 王刚. X射线、CT、MRI评估C_7椎体显示不清颈椎退变性疾病C_(2-7)Cobb角的可靠性[J]. 中国组织工程研究, 2018, 22(31): 4993-4997. DOI: 10.3969/j.issn.2095-4344.0334.
[11]	Jun HS, Chang IB, Song JH, et al. Is it possible to evaluate the parameters of cervical sagittal alignment on cervical computed tomographic scans[J]. Spine (Phila Pa 1976), 2014, 39(10): E630-E636. DOI: 10.1097/BRS.0000000000000281.
[12]	李军朋, 李义凯, 王志宏. 四种颈椎曲度测量方法的可靠性研究[J]. 颈腰痛杂志, 2002, 23(4): 278-280. DOI: 10.3969/j.issn.1005-7234. 2002.04.004.
[13]	Takeshita K, Murakami M, Kobayashi A, et al. Relationship between cervical curvature index (Ishihara) and cervical spine angle (C2-7)[J]. J Orthop Sci, 2001, 6(3): 223-226. DOI: 10.1007/s007760100038.
[14]	Ohara A, Miyamoto K, Naganawa T, et al. Reliabilities of and correlations among five standard methods of assessing the sagittal alignment of the cervical spine[J]. Spine, 2006, 31(22): 2585-2591. DOI: 10.1097/01.brs.0000240656.79060.18.
[15]	刘静. 单纯颈椎生理曲度异常是颈椎病的早期x线表现[J]. 中国医药导报, 2007, 4(9):109-110. DOI: 10.3969/j.issn.1673-7210. 2007. 09. 090.
[16]	Harrison DE, Harrison DD, Cailliet R, et al. Cobb method or Harrison posterior tangent method: which to choose for lateral cervical radiographic analysis[J]. Spine, 2000, 25(16): 2072-2078. DOI: 10.1097/00007632-200008150-00011.
[17]	Nguyen NLM, Baluch DA, Patel AA. Cervical sagittal balance: a review[J]. Contemporary Spine Surgery, 2014, 15(1): 1-7.
[18]	张明才, 石印玉, 王翔, 等. 颈椎生理曲度异常对颈椎病发病作用的病例对照研究[J]. 中国骨伤, 2010, 23(10): 746-749. DOI: 10.3969/j.issn.1003-0034.2010.10.008.
[19]	何剑波, 苏国义, 林定坤. 未成年人颈痛与颈椎曲度相关性的回顾分析[J]. 中华中医药杂志, 2017, 32(8): 3812-3815. CNKI: SUN:BXYY.0.2017-08-131.
[20]	Grob D, Frauenfelder H, Mannion AF. The association between cervical spine curvature and neck pain[J]. Eur Spine J, 2007, 16(5): 669-678. DOI: 10.1007/s00586-006-0254-1.

Measurement and clinical significance of cervical spine physiological curvature in children and adolescents

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References 20

Related Articles 15

Metrics

Comments

Recommended 0

[1]	Jiang Jianhong, Duan Renpeng, Li Xiaofeng. Application of three-dimensional visualization technology in the anatomical variations of hilar bile ducts in Chinese population [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 1-4.
[2]	Guo Hongzhi, Wang Yu, Zhang Jiaqi, Liang Haibin, Ma Ziwei, Feng Wei, Wu You, Si Ziyi. Evaluation of placental vascular structure in preeclampsia by vascular casting combined with CT three-dimensional model [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 5-10.
[3]	Li Jiawei, Zhang Jing, Li Canran, Lan Wenjie, Ji Qingyu, Guo Zhiyong, Zhang Yunfeng, Liu Qi, Chen Qingwei, Li Xiaohe. X-ray measurement of proximal femur anatomical parameters in Mongolian population [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 11-16.
[4]	. Digital measurement and clinical significance of occipitocervical Angle and posterior occipitocervical Angle in children and adolescents [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 17-20.
[5]	Li Wen, Yang Siyi, Huang Lei, Qing Jiwen, Jiang Songtao, Zhang Lei. Morphological characteristics and clinical significance of Lisfranc ligament based on MRI [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 21-25.
[6]	Li Fanfan, Xu Yang, Wang Xiaoxu. Therapeutic effect of shikonin on the treatment of granuloma lobular mastitis in model rats by regulating Nrf2/HO-1 signaling pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 26-32.
[7]	Wang Xinghang, Ding Jiayuan, Li Fang, Bao Cuifen, Yan Lijing. Ginsenoside Rg1 reduces the inflammatory response of microglia after oxygen glucose deprivation/resupply by inhibiting the NLRP3 inflammasome pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 33-41.
[8]	Cheng Yingying, Wu Jianjun, Cai Haiyan , Jiao Xunwen, Ma Jiangbo, Ding Yinxiu. Activation and functional changes of astrocytes cultured in vitro under inflammatory stimulation [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 42-46.
[9]	Qi Zhi, Yang Li, Jia Qiuye, Chen Haolun, Duan Zhaoda, Wu Chunyun. Edaravone regulates Sirt3 expression in lipopolysaccharide-activated microglia via MAPKs signaling pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 47-53.
[10]	Zhang Jingjing, Wang Hongxin. Protective effect of Baicalin on rats with pulmonary hypertension through PDGF/P38 MAPK signaling pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 54-58.
[11]	Yue Qin, Chen Rongli, Xiong Jingxi, Wang Tingyi, Cai Zhiheng, Yi Qiushi, Zeng Xinyi. Effect of Bletilla striata polysaccharides on the choke-area of cross-boundary flap in rats [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 59-64.
[12]	Li Xiaoyu , Zhang Lei , Fu Lei , Li Dongbo , Wang Guoyou. Finite element study on the treatment of Sanders type II calcaneal fracture with three-step reduction method [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 65-70.
[13]	Wu Yanfei, Ma Jianxiong, Lu Bin, Wang Ying, Bai Haohao, Jin Hongzhen, Ma Xinlong. Study on the correlation between the reconstruction of grayscale values using CT post-processing technology and the compressive strength of the endplate [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 71-76.
[14]	Zhuang Wanqiang, Tang Yi, Luo Yonggang, Zhang Hui. An early and mid-term retrospective study of the effects of arthroscopy combined with high tibial osteotomy on patellar position and patellofemoral joint function [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 77-82.
[15]	Luo Ying, Dou Weiyu, Wu Xiaohang, Chen Jingkun, Peng Changgui, Pan Jianying . Risk factors of postoperative complications of calcaneal fractures treated with hippocampal plate internal fixation through minimally invasive method [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 83-88.