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European Spine Journal
Published in: European Spine Journal 7/2019

01-07-2019 | Scoliosis | Original Article

Spinal deformity and malocclusion association is not supported by high-quality studies: results from a systematic review of the literature

Authors: Francesco Langella, Federico Fusini, Gregorio Rossi, Jorge Hugo Villafañe, Nicola Migliaccio, Sabrina Donzelli, Pedro Berjano

Published in: European Spine Journal | Issue 7/2019

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Abstract

Background

Several reports in the literature have suggested a causative association between oral occlusion and spinal deformity such as scoliosis and Scheuermann’s disease or kyphosis. Based on these findings, a growing number of adolescents with spinal deformity receive orthodontic treatment, supposing a beneficial effect on the spine.

Objective

The aim of this study was to verify the association between spinal deformity and malocclusion in the orthopedic population and potential effect of orthodontic treatment on the spinal deformity.

Method

The databases: MEDLINE, CINAHL, EMBASE, Cochrane Register, OTseeker and ScienceDirect were searched up to August 2017 for studies reporting on associations between spinal and occlusal conditions. Case series, cohort, case–control studies and randomized clinical trials were considered for analysis. Two reviewers independently selected studies, conducted quality assessment and extracted results. Methodological quality was assessed using MINORS score.

Results

Nine publications reporting on 1424 patients were included. Studies were two case series, five case–control studies, one cohort study and one randomized clinical trial. The methodological quality was poor in 8/9 studies.

Conclusion

Evidence from three low-quality studies suggests an increased prevalence of occlusal dysfunction in patients with known spinal deformity, but the conclusions have a high risk of bias. No evidence of beneficial effects of orthodontic treatment on spinal deformity was found.

Graphical abstract

These slides can be retrieved under Electronic Supplementary Material.
Appendix
Available only for authorised users
Literature
1.
Isgro M, Buraschi R, Barbieri C et al (2014) Conservative management of degenerative disorders of the spine. J Neurosurg Sci 58(2 Suppl 1):73–76PubMed
2.
Arienti C, Villafane JH, Donzelli S et al (2017) Trunk and craniofacial asymmetry are not associated in the general population: a cross-sectional study of 1029 adolescents. Eur J Med Res 22(1):36CrossRefPubMedPubMedCentral
3.
Kouwenhoven JW, Bartels LW, Vincken KL et al (2007) The relation between organ anatomy and pre-existent vertebral rotation in the normal spine: magnetic resonance imaging study in humans with situs inversus totalis. Spine 32(10):1123–1128CrossRefPubMed
4.
Villafane JH, Bissolotti L, Zaina F et al (2018) Thoracic hyperkyphosis non invasively measured by general practitioners is associated with chronic low back pain: a cross-sectional study of 1364 subjects. J Bodyw Mov Ther 22(3):752–756CrossRefPubMed
5.
Korbmacher H, Eggers-Stroeder G, Koch L et al (2004) Correlations between dentition anomalies and diseases of the of the postural and movement apparatus—a literature review. J Orofac Orthop 65(3):190–203CrossRefPubMed
6.
Goldberg CJ, Dowling FE (1991) Idiopathic scoliosis and asymmetry of form and function. Spine 16(1):84–87CrossRefPubMed
7.
Ohlendorf D, Seebach K, Hoerzer S et al (2014) The effects of a temporarily manipulated dental occlusion on the position of the spine: a comparison during standing and walking. Spine J 14(10):2384–2391CrossRefPubMed
8.
Hong JY, Suh SW, Modi HN et al (2011) Correlation between facial asymmetry, shoulder imbalance, and adolescent idiopathic scoliosis. Orthopedics 34(6):187PubMed
9.
10.
11.
Rainoldi L, Zaina F, Villafane JH et al (2015) Quality of life in normal and idiopathic scoliosis adolescents before diagnosis: reference values and discriminative validity of the SRS-22. A cross-sectional study of 1,205 pupils. Spine J 15(4):662–667CrossRefPubMed
12.
Lippold C, Danesh G, Hoppe G et al (2007) Trunk inclination, pelvic tilt and pelvic rotation in relation to the craniofacial morphology in adults. Angle Orthod 77(1):29–35CrossRefPubMed
13.
Ben-Bassat Y, Yitschaky M, Kaplan L et al (2006) Occlusal patterns in patients with idiopathic scoliosis. Am J Orthod Dentofacial Orthop 130(5):629–633CrossRefPubMed
14.
Korbmacher H, Koch L, Eggers-Stroeder G et al (2007) Associations between orthopaedic disturbances and unilateral crossbite in children with asymmetry of the upper cervical spine. Eur J Orthod 29(1):100–104CrossRefPubMed
15.
16.
Vegh A, Fabian G, Jianu R et al (2012) Orofacial characteristics of adolescents with diagnosed spinal disorders. Biomed Tech (Berl) 57(1):65–69CrossRef
17.
Zepa I, Hurmerinta K, Kovero O et al (2003) Trunk asymmetry and facial symmetry in young adults. Acta Odontol Scand 61(3):149–153CrossRefPubMed
18.
Marz K, Adler W, Matta RE et al (2017) Can different occlusal positions instantaneously impact spine and body posture?: a pilot study using rasterstereography for a three-dimensional evaluation. J Orofac Orthop 78(3):221–232CrossRefPubMed
19.
Lippold C, Moiseenko T, Drerup B (2012) Spine deviations and orthodontic treatment of asymmetric malocclusions in children. BMC Musculoskelet Disord 13:151CrossRefPubMedPubMedCentral
20.
Luedtke GL (1970) Management of the dentition of patients under treatment for scoliosis using the Milwaukee brace. Am J Orthod 57(6):607–614CrossRefPubMed
21.
Olin W, Ponseti I (2011) Orthodontic considerations for the patient wearing a Milwaukee Brace. Iowa Orthop J 31:22–29PubMedPubMedCentral
22.
D’Attilio M, Epifania E, Ciuffolo F et al (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(1):27–44CrossRefPubMed
23.
Festa F, Tecco S, Dolci M et al (2003) Relationship between cervical lordosis and facial morphology in Caucasian women with a skeletal class II malocclusion: a cross-sectional study. Cranio 21(2):121–129CrossRefPubMed
24.
25.
de Farias Neto JP, de Santana JM, de Santana-Filho VJ et al (2010) Radiographic measurement of the cervical spine in patients with temporomandibular dysfunction. Arch Oral Biol 55(9):670–678CrossRefPubMed
26.
Flores HF, Ottone NE, Fuentes R (2017) Analysis of the morphometric characteristics of the cervical spine and its association with the development of temporomandibular disorders. Cranio 35(2):79–85CrossRefPubMed
27.
Munhoz WC, Hsing WT (2014) Interrelations between orthostatic postural deviations and subjects’ age, sex, malocclusion, and specific signs and symptoms of functional pathologies of the temporomandibular system: a preliminary correlation and regression study. Cranio 32(3):175–186CrossRefPubMed
28.
Walczynska-Dragon K, Baron S, Nitecka-Buchta A et al (2014) Correlation between TMD and cervical spine pain and mobility: is the whole body balance TMJ related? Biomed Res Int 2014:582414CrossRefPubMedPubMedCentral
29.
Rocha CP, Croci CS, Caria PH (2013) Is there relationship between temporomandibular disorders and head and cervical posture? A systematic review. J Oral Rehabil 40(11):875–881CrossRefPubMed
30.
Palazzo C, Sailhan F, Revel M (2014) Scheuermann’s disease: an update. Joint Bone Spine 81(3):209–214CrossRefPubMed
31.
Lippold C, Segatto E, Vegh A et al (2010) Sagittal back contour and craniofacial morphology in preadolescents. Eur Spine J 19(3):427–434CrossRefPubMed
32.
D’Attilio M, Filippi MR, Femminella B et al (2005) The influence of an experimentally-induced malocclusion on vertebral alignment in rats: a controlled pilot study. Cranio 23(2):119–129CrossRefPubMed
33.
Ramirez-Yanez GO, Mehta L, Mehta NR (2015) The effect of dental occlusal disturbances on the curvature of the vertebral spine in rats. Cranio 33(3):217–227CrossRefPubMed
Metadata
Title
Spinal deformity and malocclusion association is not supported by high-quality studies: results from a systematic review of the literature
Authors
Francesco Langella
Federico Fusini
Gregorio Rossi
Jorge Hugo Villafañe
Nicola Migliaccio
Sabrina Donzelli
Pedro Berjano
Publication date
01-07-2019
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue 7/2019
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-019-05896-4

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