Meseke Christopher A, Duray Stephen M, Brillon Sebastien R
Academic Affairs, Palmer College of Chiropractic, Florida Campus, Port Orange, Fla 32129, USA.
J Manipulative Physiol Ther. 2008 Mar;31(3):212-6. doi: 10.1016/j.jmpt.2008.02.010.
This project explored morphological asymmetry of the atlas by comparing multiple structural variables bilaterally using multivariate statistics.
Two hundred thirty-seven atlases were obtained from the Hamann-Todd Osteological Collection (Cleveland Museum of Natural History, Cleveland, Ohio). The following dimensions were bilaterally measured: anteroposterior length of the superior articular facet, width of the superior articular facet, length of the transverse process, width of the vertebral canal, anteroposterior diameter of the inferior facet, height of the lateral mass, transverse diameter of the inferior articular facet, width of the inferior lateral mass, slope of the inferior facet, convergence angle of the superior facet, circumference of the inferior articular facet, and circumference of the superior articular facet. Principal components analysis (varimax rotation) was used to determine sources of variation within the dataset. Multivariate analysis of variance and paired t tests were used to identify statistical differences between right and left sides for each variable.
More than 99% of variance was accounted for across 11 eigenvectors, with most eigenvectors dominated by a single variable. Bilateral comparison of variables showed a significant difference between sides for the anteroposterior length of the superior facet, the width of the superior facet, the width of the vertebral canal, anteroposterior diameter of the inferior facet, and convergence angle of the superior facet (all significant at P < .05).
Based on statistical analysis of the atlantal variables, vertebral canal width and the morphology of the superior and inferior articular facets showed significant asymmetry. The role of these asymmetries related to the biomechanics of the C0 through C1 and encroachment on the spinal cord warrant further investigation.
本项目通过使用多变量统计方法双侧比较多个结构变量,探讨寰椎的形态不对称性。
从哈曼 - 托德骨学收藏馆(俄亥俄州克利夫兰市克利夫兰自然历史博物馆)获取了237个寰椎标本。双侧测量了以下尺寸:上关节面的前后长度、上关节面的宽度、横突长度、椎管宽度、下关节面的前后直径、侧块高度、下关节面的横径、下外侧块宽度、下关节面的斜率、上关节面的汇聚角、下关节面的周长以及上关节面的周长。使用主成分分析(方差最大化旋转)来确定数据集中的变异来源。使用多变量方差分析和配对t检验来确定每个变量左右两侧之间的统计差异。
11个特征向量解释了超过99%的方差,大多数特征向量由单个变量主导。变量的双侧比较显示,上关节面的前后长度、上关节面的宽度、椎管宽度、下关节面的前后直径以及上关节面的汇聚角在两侧之间存在显著差异(所有P值均小于0.05,差异显著)。
基于对寰椎变量的统计分析,椎管宽度以及上下关节面的形态显示出显著的不对称性。这些不对称性与C0至C1的生物力学以及对脊髓的侵犯之间的关系值得进一步研究。