CERVICAL SPINAL ALIGNMENT PARAMETERS
Journal Title: Journal of Turkish Spinal Surgery - Year 2019, Vol 30, Issue 3
Abstract
Aim: The management of complex cervical pathologies could be handled with understanding of cervical biomechanics as well as the baseline data of cervical alignment parameters. The aim of our paper is to support nominative baseline data of the cervical spine alignment parameters to provide guidance for proper surgical treatment. Material and Methods: We evaluated the lateral cervical radiographs of 347 healthy adult patients between the ages of 18 and 60. We measured cervical lordosis with Cobb angle C0-2 and C2-7, Jackson physiological stress lines, Harrison tangent lines and also sagittal vertical axis with C2-C7 plumb line, cervical tilt and cranial tilt. We analysed measurements according to mean values and genders. Results: Two hundred and twenty eight patients (65.7%) were female, and 119 patients (34.3%) were males. Mean age was 44.12±16.03 years. Cobb C0-C2 (p=0.307), Jackson (p=0.106), and Harrison (p=0.688) measurements were similar between males and females. But Cobb C2-C7 was significantly different between genders (p=0.017). The comparisons of methods revealed that Cobb C0-C2 had highest values, and Cobb C2- C7 and Jackson was lower than Harrison (CobbC0-C2>Harrison>Cobb C2-C7~Jackson) (p<0.001). SVA (p=0.690) and cervical tilt angle (p=0.538) measurements were similar between males and females but cranial tilt angle was significantly different between genders (p=0.046). Conclusion: All of these techniques and the standard data must be well understood along with the biomechanical features so that surgeons can choose the best technique for the management of deformities.
Authors and Affiliations
Şahin YÜCELI, Cumhur Kaan YALTIRIK
Keywords
Related Articles
- EP ID EP677066
- DOI -
- Views 140
- Downloads 0
THE EFFECT OF PEDICLE SCREWS AND HOOKS ON PROXIMAL JUNCTIONAL KYPHOSIS APPLIED TO THE SUPERIOR VERTEBRA DURING POSTERIOR SURGERY OF ADOLESCENT IDIOPATHIC SCOLIOSIS
In this study, 31 adolescent idiopathic scoliosis patients were evaluated retrospectively. Posterior instrumentation and fusion were applied to the patients as surgical intervention. The patients were divided into two gr...
NEW CONCEPTS IN THE TREATMENT OF POTT’S DISEASE
Tuberculosis is a chronic infectious disease ca-used by mycobacteria of the ""tuberculosis complex", mainly mycobacterium tuberculosis. The most frequ-ent site for extra pulmonary involvement of tuberculosis infection is...
TREATMENT AND RESULTS IN VERTEBRAL FRACTURES WITH NEUROLOGIC DEFICITS
The operations performed in order to maintain normal anatomy and stabilization of the spinal canal in verte-bral injuries have frequently been a matter of discussion. The relationship betvveen neurologic healing and corr...
ANTERIOR VS HYBRID POSTERIOR INSTRUMENTATIONIN THE TREATMENT OF ADOLESCENTIDIOPATHIC SCOLIOSIS WITH LENKE TYPEICURVES
Significant correction can be achieved through both anterior and posterior instrumented spinal fusion in the treatment of adolescent idiopathic scoliosis. However, there are only a few studies comparing two methods appli...
THE BIOMECHANICAL ENDURANCE OF ANTERIOR AND POSTERIOR ALICI SPINAL SYSTEMS AGAINST COMPRESSION FORCES İN BURST FRACTURES
We carried out this experimentat study in order to compare and test the biomechanical strengths of Anteriar Spinal System and Posterior Alıcı Spinal System which we have been using in the treatment of burst fractures in...