Dergiler / Journal of Turkish Spinal Surgery / 2015 / Cilt: 26 - Sayı: 2
EVALUATION OF THE CRANIOCERVICAL JUNCTION OF THE ADOLESCENT PATIENTS WITH CONGENITAL SPINAL DEFORMITY VIA COMPUTERIZED TOMOGRAPHY
- Sayfa
- 113–117
- DOI
- —
Özet
Amaç: Konjenital omurga deformiteli adölesan hastalarda bilgisayarlı tomografi (BT) ile kranioservikal bileşkenin analizi planlandı.Materyal ve Metod: Konjenital omurga patolojisi olan ve servikal bölgesine BT çekilen, 23 adölesan hasta (15 kadın, 8 erkek) retrospektif olarak değerlendirildi. Yaş ortalaması 18.4 yıl (10-19 yıl) idi. BT de basion-aksis mesafesi (BAM), basiondens mesafesi (BDM), Powers ratio, atlanto-oksipital mesafe (AOM), atlantodental mesafe (ADM) ve posterior atlantodental mesafe (PADM) ölçüldü. Sonuçlar cinsiyetlere, atlantoaksiyel anomali ve inraspinal anomali olup olmamasına göre karşılaştırıldı. Gruplar arası karşılaştırma için Mann Whitney U testi kullanıldı.Sonuçlar: Tüm hastalarda BT ile ölçülen ortanca, en küçük ve en yüksek değerler hesaplandı. BT de BAM 2.5 mm (0-7.4 mm), BDM 4.0 mm (2-7.5 mm), Powers ratio 0.76 (0.63-0.88), AOM 1,2 mm (0-2.8 mm), ADM 1.5 mm (0-3.1 mm) ve PADM 17.5 (14.623 mm) bulundu. Atlantoaksiyel bileşkede konjenital anomalisi olan hastalarda olmayanlara göre AOM anlamlı olarak farklı bulundu (P=0.015). İntraspinal anomali olan hastalarda BDM istatistiksel olarak anlamlı farklılık gösterdi (P=0.008).Çıkarım: Atlantoaksiyel patoloji varlığında AOM ve intraspinal anomalisi olan hastalarda BDM değerlerinin olmayanlara göre yüksek olması konjenital omurga deformitelerinin eşlik ettiği adölesan olgularda kranioservikal bileşkeye yönelik bir tedavi planlanırken önemli olabilir. Kranioservikal bileşkeye yönelik daha fazla hasta sayısı ile kapsamlı detaylı çalışmalara ihtiyaç vardır
Abstract
Aim: Analysis of the craniocervical junction of adolescent patients with congenital spine deformities with computed tomography (CT) was planned.Materials and Methods: 23 adolescent patients (15 females and 8 males) with congenital spine pathology and CT of the cervical region were evaluated retrospectively. The mean age was 18.4 years (10-19 years). Basion-axis interval (BAI), basiondens interval (BDI), Powers ratio, atlanto-occipital interval (AOI), atlantodental interval (ADI) and posterior atlantodental interval (PADI) were measured in CT. Results were compared according to gender, presence or absence of atlantoaxial anomalies and inraspinal anomalies. Mann-Whitney U test was used for comparisons between groups.Results: The median, minimum and maximum values measured by CT were calculated in all patients. In CT, BAI was found as 2.5 mm (0-7.4 mm), BDI was found as as 4.0 mm (2-7.5 mm), Powers ratio was found as 0.76 (0.63-0.88), AOI was found as 1.2 mm (02.8 mm), ADI was found as 1.5 mm (0-3.1 mm) and PADI was found as 17.5 (14.6-23 mm). AOI was found to be significantly different in the patients with congenital anomalies in atlantoaxial junction when compared to the patients without congenital anomalies (P=0.015). In patients with intraspinal anomalies, BDI showed statistically significant differences (P = 0.008).Conclusion: Being high values of BDI in the patients with AOI and intraspinal anomalies in the presence of atlantoaxial pathology compared to those without could be important when a treatment for craniocervical junction in the adolescent cases accompanied by congenital spinal deformity. The larger number of patients for craniocervical junction is needed for comprehensive detailed studies