Measurement and clinical significance of cervical spine physiological curvature in children and adolescents

doi:10.13418/j.issn.1001-165x.2023.6.08

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Chinese Journal of Clinical Anatomy ›› 2023, Vol. 41 ›› Issue (6) : 675-679. DOI: 10.13418/j.issn.1001-165x.2023.6.08

Measurement and clinical significance of cervical spine physiological curvature in children and adolescents

Li Kun^1#, Zhang Boran^2#, Zhang Yu², Han Keming², Feng Jie²,Wu Siyao³, Su Xin³, Su Na³, Wang Chaoqun⁴, Zhang Shaojie¹, Li Zhijun¹*, Wang Xing¹*

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Abstract

Objective To analyze the clinical significance of children and adolescents cervical curvature based on the CT measurement of related basic parameters. Methods The collected CT imaging data of 364 patients were divided into 6 groups by gender and age: 1~3 years old group, 4~6 years old group, 7~9 years old group, 10~12 years old group, 13~15 years old group, 16~18 years old group. The original cervical spine tomography data were stored in DICOM format and imported into Mimics 16.0. The method based on distance [①Borden's measurement; ② cervical curvature index (CCI); ③ vertebral body cardiogram (CCL) measurement method] and Angle [①C1-C7 Cobb Angle measurement method; ②C2-C7Cobb Angle measurement; ③Harrison's measurement (CSA)]. A total of 6 measurement methods were used to measure the cervical curvature of children and adolescents, and the measurement results were statistically analyzed. Results Borden's method and CCL method showed there were statistical differences between 13-15 year old group and the first four groups (P<0.05). C1-C7 Cobb Angle measurement showed that there were statistical differences between the 16-18 year old group and the first five groups (P<0.05). Harrison's method and CCL method showed that there were statistical differences between the five groups aged 4-18 years and the group aged 1-3 years (P<0.05). There was no statistical difference between the genders. The correlation coefficient of Angle-based curvature measurement method was poor, but there were significant differences among all indexes (P<0.05). Conclusions There are many measurement methods for cervical curvature, and each index has its own advantages. Different clinical measurement methods can be adopted according to the research object and content, so as to provide theoretical and technical support for the early diagnosis, prevention and treatment of cervical curvature in children and adolescents.

Key words

Cervical spine curvature; / / Children; / / Teenagers; / / CT; / / Cobb Angle; / / Borden method

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Li Kun#, Zhang Boran#, Zhang Yu, Han Keming, Feng Jie, Wu Siyao, Su Xin, Su Na, Wang Chaoqun, Zhang Shaojie, Li Zhijun, Wang Xing. Measurement and clinical significance of cervical spine physiological curvature in children and adolescents[J]. Chinese Journal of Clinical Anatomy. 2023, 41(6): 675-679 https://doi.org/10.13418/j.issn.1001-165x.2023.6.08

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