Uysal Tancan, Ramoglu Sabri Ilhan, Basciftci Faruk Ayhan, Sari Zafer
Department of Orthodontics, Faculty of Dentistry, Erciyes University, Kayseri, Turkey.
Am J Orthod Dentofacial Orthop. 2006 Nov;130(5):622-8. doi: 10.1016/j.ajodo.2005.01.031.
The aims of this study were (1) to investigate the relationship between chronologic age and maturation of cervical vertebrae, (2) to identify the relationship between chronologic age and maturation stage evaluated by hand-wrist radiographs, and (3) to determine whether the maturation of cervical vertebrae correlates with maturation indicated by hand-wrist radiographs in a Turkish population.
The samples were derived from lateral cephalometric and hand-wrist radiographs of 503 subjects (213 male, 290 female; ages, 5.3-24.1 years). Cervical vertebral development was evaluated by the method of Hassel and Farman. Skeletal maturation of each hand-wrist radiograph was determined according to the method described by Björk and Grave, and Brown's system. The Spearman rank-order correlation coefficients were estimated separately for males and females to measure the relationships among chronologic age, cervical vertebral maturation, and the skeletal maturation measured at the hand-wrist.
The Spearman correlation coefficients were 0.72 (P <.001) between chronologic age and cervical vertebrae skeletal maturation, and 0.79 (P < .001) between chronologic age and maturation via hand-wrist radiographs. The correlation coefficient between hand-wrist and cervical-vertebrae maturation was 0.86 (P <.001).
The cervical-vertebrae maturation stages are clinically useful maturity indicators of the pubertal growth period Turkish subjects.
本研究的目的是：（1）调查实足年龄与颈椎成熟度之间的关系；（2）确定实足年龄与通过手腕部X线片评估的成熟阶段之间的关系；（3）确定在土耳其人群中颈椎成熟度是否与手腕部X线片所示的成熟度相关。
样本来自503名受试者（213名男性，290名女性；年龄5.3 - 24.1岁）的头颅侧位片和手腕部X线片。采用哈塞尔（Hassel）和法曼（Farman）的方法评估颈椎发育情况。根据比约克（Björk）和格雷夫（Grave）描述的方法以及布朗（Brown）系统确定每张手腕部X线片的骨骼成熟度。分别对男性和女性估计斯皮尔曼等级相关系数，以测量实足年龄、颈椎成熟度和手腕部测量的骨骼成熟度之间的关系。
实足年龄与颈椎骨骼成熟度之间的斯皮尔曼相关系数为0.72（P <.001），实足年龄与通过手腕部X线片评估的成熟度之间的相关系数为0.79（P <.001）。手腕部与颈椎成熟度之间的相关系数为0.86（P <.001）。
颈椎成熟阶段是土耳其受试者青春期生长发育的临床有用成熟指标。
