Hirschfelder U, Hirschfelder H
Poliklinik für Kieferorthopädie, Universität Erlangen-Nürnberg.
Fortschr Kieferorthop. 1991 Oct;52(5):302-9. doi: 10.1007/BF02166731.
A cervico-cephalometric examination of 61 yet untreated orthodontic patients was performed in order to analyze differences in head posture between standardized cephalograms and lateral cephalograms taken in natural head position. Additional x-rays were taken in extreme flexion and extention of the head in 48 patients examining the mobility of the upper cervical spine. Finding partly large differences in cranio-vertical and cranio-cervical parameters between the two methods of registration it could be shown, that head posture on the average was more proclined in natural than in fixed standardized position. Subjects with class III malocclusion tended to a more extended head posture relatively to those with class I or class II malocclusion. Judging the atlas position with regard to the functional mobility of the upper cervical spine, a superior and inferior atlas position was not thought to be a pathologic fixed malposition.
对61名未经治疗的正畸患者进行了头影测量检查,以分析标准化头影测量片与自然头位下拍摄的侧位头影测量片之间的头部姿势差异。对48名患者在头部极度前屈和后伸时进行了额外的X线检查,以检查上颈椎的活动度。结果表明,两种记录方法在颅垂直和颅颈参数上存在部分较大差异,平均而言,自然头位时的头部姿势比固定标准化姿势时更前倾。与安氏Ⅰ类或Ⅱ类错牙合患者相比,安氏Ⅲ类错牙合患者的头部姿势往往更伸展。就上颈椎的功能活动度判断寰椎位置时,寰椎的上、下位置并不被认为是病理性的固定错位。