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无症状人群颈椎CTX线片上的T1斜率与颈椎矢状位对线情况

T1 Slope and Cervical Sagittal Alignment on Cervical CT Radiographs of Asymptomatic Persons.

作者信息

Park Ji Hoon, Cho Chul Bum, Song Jun Ho, Kim Seok Woo, Ha Yoon, Oh Jae Keun

机构信息

Department of Neurosurgery, Hallym University College of Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.

出版信息

J Korean Neurosurg Soc. 2013 Jun;53(6):356-9. doi: 10.3340/jkns.2013.53.6.356. Epub 2013 Jun 30.

DOI:10.3340/jkns.2013.53.6.356
PMID:24003370
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3756128/
Abstract

OBJECTIVE

We performed a retrospective analysis of medical records and radiographic images of patients who never underwent spinal treatment including diagnosis. The objective of this study is to explain the biomechanical and physiologic characteristics of cervical alignment related to thoracic inlet angle including T1 slope changes in each individual.

METHODS

We reviewed the cervical CT radiographs of 80 patients who visited ENT outpatient clinic without any symptom, diagnosis and treatment of cervical spine from January 2011 to September 2012. All targeted people were randomized without any prejudice. We assessed the data-T1 slope, Cobb's angle C2-7, neck tilt, sagittal vertical axis (SVA) C2-7 and thoracic inlet angle by the CT radiographs.

RESULTS

The relationships between each value were analyzed and we concluded that Cobb's angle C2-7 gets higher as the T1 slope gets higher, while the SVA C2-7 value decreases.

CONCLUSION

We propose that the T1 slope is background information in deciding how much angle can be made in the cervical spinal angle of surgical lordotic curvature, especially severe cervical deformity.

摘要

目的

我们对从未接受过包括诊断在内的脊柱治疗的患者的病历和影像学图像进行了回顾性分析。本研究的目的是解释与胸廓入口角相关的颈椎排列的生物力学和生理学特征，包括每个个体的T1斜率变化。

方法

我们回顾了2011年1月至2012年9月期间到耳鼻喉科门诊就诊且无任何颈椎症状、诊断和治疗的80例患者的颈椎CT X光片。所有目标人群均无偏见地随机选取。我们通过CT X光片评估了数据——T1斜率、C2-7 Cobb角、颈部倾斜度、矢状垂直轴（SVA）C2-7和胸廓入口角。

结果

分析了各值之间的关系，我们得出结论，随着T1斜率升高，C2-7 Cobb角升高，而SVA C2-7值降低。

结论

我们提出，T1斜率是决定手术前凸曲度的颈椎角度，尤其是严重颈椎畸形时可形成多大角度的背景信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf16/3756128/5d310c23a293/jkns-53-356-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf16/3756128/c5ef47c7cc6e/jkns-53-356-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf16/3756128/2b94ff939d8d/jkns-53-356-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf16/3756128/a2a23d6a501d/jkns-53-356-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf16/3756128/5d310c23a293/jkns-53-356-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf16/3756128/c5ef47c7cc6e/jkns-53-356-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf16/3756128/2b94ff939d8d/jkns-53-356-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf16/3756128/a2a23d6a501d/jkns-53-356-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf16/3756128/5d310c23a293/jkns-53-356-g004.jpg

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