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Published in: European Spine Journal 3/2010

01-03-2010 | Original Article

Sagittal back contour and craniofacial morphology in preadolescents

Authors: Carsten Lippold, Emil Segatto, András Végh, Burkhard Drerup, Tatjana Moiseenko, Gholamreza Danesh

Published in: European Spine Journal | Issue 3/2010

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Abstract

The aim of this study was to analyze the correlation ratios between the sagittal back contour (flèche cervicale and lombaire, trunk inclination) and selected parameters of craniofacial morphology in children. The patient sample consisted of 66 healthy children with a mean age of 11.2 years (SD 1.6 years), of which 34 were male (mean age 11.5 years, SD 1.3 years) and 32 were females (mean age 10.9 years, SD 1.9 years). The children were recruited during the preparation of the initial orthodontic treatment records. Craniofacial morphology was analyzed by six angular measurements: facial axis, mandibular plane angle, inner gonial angle, lower facial height, facial depth and maxilla position. Rasterstereography was used for reconstruction of the spinal back sagittal profile. From the profile flèche cervicale, flèche lombaire and trunk inclination were determined and the correlations with the craniofacial morphology were calculated (Pearson and Mann–Whitney U test). Significant correlations were found with respect to the inner gonial angle and the flèche cervicale, the mandibular plane angle and the flèche lombaire, the inner gonial angle and the flèche lombaire, and the angular lower facial height and the flèche lombaire, as well as the inner gonial angle and the trunk inclination. The craniofacial vertical growth pattern, presented by mandibular plane angle, inner gonial angle and the angular lower facial height, and the correlation to flèche cervicale and lombaire as well as trunk inclination reveal correlations between growth pattern and sagittal back contour.
Literature
1.
go back to reference Korbmacher H, Eggers-Stroeder G, Koch L, Kahl-Nieke B (2004) Correlations between anomalies of the dentition and pathologies of the locomotor system- a literature review. J Orofac Orthop 65:190–203CrossRefPubMed Korbmacher H, Eggers-Stroeder G, Koch L, Kahl-Nieke B (2004) Correlations between anomalies of the dentition and pathologies of the locomotor system- a literature review. J Orofac Orthop 65:190–203CrossRefPubMed
2.
go back to reference Festa F, Tecco S, Dolci M, Ciufolo F, Di Meo S, Filippi MR, Ferritto AL, D′Attillio M (2003) Relationship between cervical lordosis and facial morphology in Caucasian women with skeletal class II malocclusion: a cross-sectional study. Cranio 21:121–129PubMed Festa F, Tecco S, Dolci M, Ciufolo F, Di Meo S, Filippi MR, Ferritto AL, D′Attillio M (2003) Relationship between cervical lordosis and facial morphology in Caucasian women with skeletal class II malocclusion: a cross-sectional study. Cranio 21:121–129PubMed
3.
go back to reference Michelotti A, Manzo P, Farella M, Martina R (1999) Occlusion and posture: is there evidence of correlation? Minerva Stomatol 48:525–534PubMed Michelotti A, Manzo P, Farella M, Martina R (1999) Occlusion and posture: is there evidence of correlation? Minerva Stomatol 48:525–534PubMed
4.
go back to reference Lippold C, Danesh G, Schilgen M, Drerup B, Hackenberg L (2006) Relationship between Thoracic, Lordotic, and Pelvic Inclination and Craniofacial Morphology in Adults. Angle Orthod 76:779–785PubMed Lippold C, Danesh G, Schilgen M, Drerup B, Hackenberg L (2006) Relationship between Thoracic, Lordotic, and Pelvic Inclination and Craniofacial Morphology in Adults. Angle Orthod 76:779–785PubMed
5.
go back to reference Segatto E, Jianu R, Marschalko P, Vegh A (2006) Dentofacial features of children diagnosed with scoliosis and Scheuermann’s disease. TMJ 56:259–264 Segatto E, Jianu R, Marschalko P, Vegh A (2006) Dentofacial features of children diagnosed with scoliosis and Scheuermann’s disease. TMJ 56:259–264
6.
go back to reference Segatto E, Lippold C, Vegh A (2008) Craniofacial features of children with spinal deformities. BMC Musculoskelet Disord 9:169CrossRefPubMed Segatto E, Lippold C, Vegh A (2008) Craniofacial features of children with spinal deformities. BMC Musculoskelet Disord 9:169CrossRefPubMed
7.
go back to reference D’Attilio M, Epifania E, Ciuffolo F, Salini V, Filippi MR, Dolci M, Festa F, Tecco S (2004) Cervical lordosis angle measured on lateral cephalograms; findings in skeletal class II female subjects with and without TMD: a cross-sectional study. Cranio 22:27–44PubMed D’Attilio M, Epifania E, Ciuffolo F, Salini V, Filippi MR, Dolci M, Festa F, Tecco S (2004) Cervical lordosis angle measured on lateral cephalograms; findings in skeletal class II female subjects with and without TMD: a cross-sectional study. Cranio 22:27–44PubMed
8.
go back to reference D’Attilio M, Caputi S, Epifania E, Festa F, Tecco S (2005) Evaluation of cervical posture of children in skeletal class I, II, and III. Cranio 23:219–228PubMed D’Attilio M, Caputi S, Epifania E, Festa F, Tecco S (2005) Evaluation of cervical posture of children in skeletal class I, II, and III. Cranio 23:219–228PubMed
9.
go back to reference Stagnara P, De Mauroy JC, Dran G, Gonon GP, Constanzo G, Dimnet J, Pasquet A (1982) Reciprocal angulation of vertebral bodies in a sagittal plane: approach to references for the evaluation of kyphosis and lordosis. Spine 7:335–342CrossRefPubMed Stagnara P, De Mauroy JC, Dran G, Gonon GP, Constanzo G, Dimnet J, Pasquet A (1982) Reciprocal angulation of vertebral bodies in a sagittal plane: approach to references for the evaluation of kyphosis and lordosis. Spine 7:335–342CrossRefPubMed
10.
go back to reference Drerup B (1982) The measurement of the kyphotic angle by contact-free registration of back shape. Z Orthop Ihre Grenzgeb 120:64–70CrossRefPubMed Drerup B (1982) The measurement of the kyphotic angle by contact-free registration of back shape. Z Orthop Ihre Grenzgeb 120:64–70CrossRefPubMed
11.
go back to reference Crawford RJ, Price RI, Singer KP (2009) The effect of interspinous implant surgery on back surface shape and radiographic lumbar curvature. Clin Biomech 24:467–472CrossRef Crawford RJ, Price RI, Singer KP (2009) The effect of interspinous implant surgery on back surface shape and radiographic lumbar curvature. Clin Biomech 24:467–472CrossRef
12.
go back to reference Neugebauer H (1970) Back measuring device for mass examination. Z Orthop Ihre Grenzgeb 108:395–406PubMed Neugebauer H (1970) Back measuring device for mass examination. Z Orthop Ihre Grenzgeb 108:395–406PubMed
13.
go back to reference Sinko K, Grohs JG, Millesi-Schobel G, Watzinger F, Turhani D, Undt G, Baumann A (2006) Dysgnathia, orthognathic surgery and spinal posture. Int J Oral Maxillofac Surg 35:312–317CrossRefPubMed Sinko K, Grohs JG, Millesi-Schobel G, Watzinger F, Turhani D, Undt G, Baumann A (2006) Dysgnathia, orthognathic surgery and spinal posture. Int J Oral Maxillofac Surg 35:312–317CrossRefPubMed
14.
go back to reference Hierholzer E, Drerup B (1995) High-resolution rasterstereography. In: D’Amico M et al (eds) Three-dimensional analysis of spinal deformities. IOS Press, Amsterdam, pp 435–439 Hierholzer E, Drerup B (1995) High-resolution rasterstereography. In: D’Amico M et al (eds) Three-dimensional analysis of spinal deformities. IOS Press, Amsterdam, pp 435–439
15.
go back to reference Proffit WR (2000) Contemporary orthodontics, 3rd edn. Mosby, St Louis Proffit WR (2000) Contemporary orthodontics, 3rd edn. Mosby, St Louis
16.
go back to reference Frobin W, Hierholzer E (1981) Rasterstereography: a photogrammetric method for measurement of body surfaces. Photogramm Eng Remote Sens 47:1717–1724 Frobin W, Hierholzer E (1981) Rasterstereography: a photogrammetric method for measurement of body surfaces. Photogramm Eng Remote Sens 47:1717–1724
17.
go back to reference Drerup B, Hierholzer E (1994) Back shape measurement using video rasterstereography and three-dimensional reconstruction of spinal shape. Clin Biomech 9:28–36CrossRef Drerup B, Hierholzer E (1994) Back shape measurement using video rasterstereography and three-dimensional reconstruction of spinal shape. Clin Biomech 9:28–36CrossRef
18.
go back to reference Drerup B, Hierholzer E (1987) Automatic localization of anatomical landmarks on the back surface and construction of a body-fixed coordinate system. J Biomech 20:961–970CrossRefPubMed Drerup B, Hierholzer E (1987) Automatic localization of anatomical landmarks on the back surface and construction of a body-fixed coordinate system. J Biomech 20:961–970CrossRefPubMed
19.
go back to reference Drerup B, Hierholzer E, Ellger B (1997) Shape analysis of the lateral and frontal projection of spine curves assessed from rasterstereographs. In: Sevastik JA et al (eds) Research into spinal deformities, 1st edn. IOS Press, Amsterdam, pp 271–275 Drerup B, Hierholzer E, Ellger B (1997) Shape analysis of the lateral and frontal projection of spine curves assessed from rasterstereographs. In: Sevastik JA et al (eds) Research into spinal deformities, 1st edn. IOS Press, Amsterdam, pp 271–275
20.
go back to reference Stagnara P (1965) Ambulante orthopädische Behandlung der Scheuermannschen Krankheit im floriden Stadium. Schweiz med Wschr 95:674 Stagnara P (1965) Ambulante orthopädische Behandlung der Scheuermannschen Krankheit im floriden Stadium. Schweiz med Wschr 95:674
21.
go back to reference Stagnara P, du Peloux J, Fauchet R (1966) Traitement orthopaedique ambulatoire de la maladie de Scheuermann en periode devolution. Rev Chir Orthop 52:585–600 Stagnara P, du Peloux J, Fauchet R (1966) Traitement orthopaedique ambulatoire de la maladie de Scheuermann en periode devolution. Rev Chir Orthop 52:585–600
22.
go back to reference Dahlberg B (1940) Statistical methods for medical and biological students. Interscience Publications, New York Dahlberg B (1940) Statistical methods for medical and biological students. Interscience Publications, New York
23.
go back to reference Trpkova B, Major P, Prasad N, Nebbe B (1997) Cephalometric landmarks identification and reproducibility: a meta-analysis. Am J Orthod Dentofac Orthop 112:165–170CrossRef Trpkova B, Major P, Prasad N, Nebbe B (1997) Cephalometric landmarks identification and reproducibility: a meta-analysis. Am J Orthod Dentofac Orthop 112:165–170CrossRef
24.
go back to reference Solow B, Sandham A (2002) Cranio-cervical posture: a factor in the development and function of the dentofacial structures. Eur J Orthod 24:447–456CrossRefPubMed Solow B, Sandham A (2002) Cranio-cervical posture: a factor in the development and function of the dentofacial structures. Eur J Orthod 24:447–456CrossRefPubMed
25.
go back to reference Lippold C, Danesh G, Hoppe G, Drerup B, Hackenberg L (2007) Trunk inclination, pelvic tilt and pelvic rotation in relation to the craniofacial morphology in adults. Angle Orthod 77:29–35CrossRefPubMed Lippold C, Danesh G, Hoppe G, Drerup B, Hackenberg L (2007) Trunk inclination, pelvic tilt and pelvic rotation in relation to the craniofacial morphology in adults. Angle Orthod 77:29–35CrossRefPubMed
26.
go back to reference Hackenberg L, Hierholzer E, Potzl W, Götze C, Liljenqvist U (2003) Rasterstereographic back shape analysis in idiopathic scoliosis after posterior correction and fusion. Clin Biomech 18:883–889CrossRef Hackenberg L, Hierholzer E, Potzl W, Götze C, Liljenqvist U (2003) Rasterstereographic back shape analysis in idiopathic scoliosis after posterior correction and fusion. Clin Biomech 18:883–889CrossRef
27.
go back to reference Hackenberg L, Hierholzer E, Pötzl W, Götze C, Liljenqvist U (2003) Rasterstereographic back shape analysis in idiopathic soliosis after anterior correction and fusion. Clin Biomech 18:1–8CrossRef Hackenberg L, Hierholzer E, Pötzl W, Götze C, Liljenqvist U (2003) Rasterstereographic back shape analysis in idiopathic soliosis after anterior correction and fusion. Clin Biomech 18:1–8CrossRef
28.
go back to reference Hierholzer E, Drerup B (1999) Rasterstereographic functional examinations: precision measurement of kyphosis and lordosis. In: Stokes IAF (ed) Research into spinal deformities, 2nd edn. IOS Press, Amsterdam, pp 101–104 Hierholzer E, Drerup B (1999) Rasterstereographic functional examinations: precision measurement of kyphosis and lordosis. In: Stokes IAF (ed) Research into spinal deformities, 2nd edn. IOS Press, Amsterdam, pp 101–104
29.
go back to reference Huggare JAV, Cooke MS (1994) Head posture and cervicovertebral anatomy as mandibular growth predictors. Eur J Orthod 16:175–180PubMed Huggare JAV, Cooke MS (1994) Head posture and cervicovertebral anatomy as mandibular growth predictors. Eur J Orthod 16:175–180PubMed
30.
go back to reference Huggare JAV (1989) The first cervical vertebra as an indicator of mandibular growth. Eur J Orthod 11:10–16PubMed Huggare JAV (1989) The first cervical vertebra as an indicator of mandibular growth. Eur J Orthod 11:10–16PubMed
31.
go back to reference Nobili A, Adversi R (1996) Relationship between posture and occlusion: a clinical and experimental investigation. Cranio 14:274–285PubMed Nobili A, Adversi R (1996) Relationship between posture and occlusion: a clinical and experimental investigation. Cranio 14:274–285PubMed
Metadata
Title
Sagittal back contour and craniofacial morphology in preadolescents
Authors
Carsten Lippold
Emil Segatto
András Végh
Burkhard Drerup
Tatjana Moiseenko
Gholamreza Danesh
Publication date
01-03-2010
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue 3/2010
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-009-1218-z

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