Horswell B B
Department of Oral and Maxillofacial Surgery, School of Dental Medicine, University of Connecticut Health Center, Farmington 06032.
J Oral Maxillofac Surg. 1991 Jul;49(7):693-7. doi: 10.1016/s0278-2391(10)80229-0.
The relationship, incidence, and distribution of cervical spine anomalies were assessed in 468 patients with cleft lip and/or palate. The patients were placed into four groups: lip and/or alveolar; complete unilateral or bilateral; isolated palatal; and soft palate or submucous clefts. Cervical anomalies were observed in 22% of the cleft patients and in 7% of the noncleft group. Patients with soft palate and submucous clefts had the highest incidence of vertebral anomalies (45%), whereas patients with cleft lip and/or alveolus had an incidence similar to the noncleft group. Patients with complete unilateral and bilateral clefts also had a higher incidence (15.6% to 19.0%) of anomalies than the noncleft group. Cervical anomalies occurred primarily in the occipital-C1-C2 region. The possible implications of these findings are discussed.
对468例唇裂和/或腭裂患者的颈椎异常关系、发生率及分布情况进行了评估。这些患者被分为四组：唇和/或牙槽突裂；完全性单侧或双侧唇腭裂；孤立性腭裂；软腭裂或黏膜下腭裂。在22%的腭裂患者和7%的非腭裂组中观察到颈椎异常。软腭裂和黏膜下腭裂患者的椎体异常发生率最高（45%），而唇裂和/或牙槽突裂患者的发生率与非腭裂组相似。完全性单侧和双侧唇腭裂患者的异常发生率（15.6%至19.0%）也高于非腭裂组。颈椎异常主要发生在枕骨-C1-C2区域。讨论了这些发现可能的影响。
