Lazić Emira, Glišić Branislav, Stamenković Zorana, Nedeljković Nenad
Srp Arh Celok Lek. 2015 Nov-Dec;143(11-12):662-8. doi: 10.2298/sarh1512662l.
During growth, proportions of craniofacial and cervical structures are changed. Craniofacial and cervicovertebral structures are morphologically and functionally connected, but their each other's influence is still unknown.
The aim of this study was to determine the changes in cervical lordosis and cervicovertebral morphology in different age periods and the possibility of estimating skeletal maturity, based on the percentage of anterior cervical vertebrae body height sum in the total anterior C2-C5 height.
The study included lateral radiographs of 120 patients of both sexes, divided into three different age groups: eight, 12-13 and 17-18 years of age. Five craniofacial and 15 cervical parameters were measured and analyzed.
The results showed significant correlation between cervical lordosis angle and age, gender, anterior and posterior body height of C3, C4, C5, anterior C4-C5 and posterior C2-C3, C3-C4, C4-C5 intervertebral space, anterior body height of C2-C5. Overall values of all cervical body heights were more present in the total height of the spine in females, while all intervertebral spaces were more present in males. The percentage of anterior and posterior C2, C3, C4, C5 body height sum compared to total C2-C5 height increases with age.
The cervical lordosis becomes more curved and vertebral bodies occupy more space in females, while intervertebral spaces occupy more in males. Skeletal maturity could be estimated following vertebral percentage distribution in the total anterior C2-C5 part.
在生长过程中，颅面和颈部结构的比例会发生变化。颅面和颈椎结构在形态和功能上相互关联，但其相互影响仍不明确。
本研究旨在确定不同年龄段颈椎前凸和颈椎形态的变化，以及基于颈椎椎体前部高度总和占C2 - C5总前部高度的百分比来评估骨骼成熟度的可能性。
该研究纳入了120例男女患者的侧位X线片，分为三个不同年龄组：8岁、12 - 13岁和17 - 18岁。测量并分析了5个颅面参数和15个颈椎参数。
结果显示颈椎前凸角度与年龄、性别、C3、C4、C5椎体的前后高度、C4 - C5前部、C2 - C3、C3 - C4、C C4 - C5后部椎间隙、C2 - C5椎体前部高度之间存在显著相关性。女性所有颈椎椎体高度的总体值在脊柱总高度中占比更大，而所有椎间隙在男性中占比更大。C2、C3、C4、C5椎体前后高度总和占C2 - C5总高度的百分比随年龄增加。
女性颈椎前凸变得更弯曲，椎体占据更多空间，而男性椎间隙占据更多空间。可根据C2 - C5前部椎体的百分比分布来估计骨骼成熟度。
