Odontoid incidence: a constant cervical anatomical feature evident in standing plain radiographs and supine magnetic resonance images
Abstract Objective To assess whether there is a difference between measurements of odontoid incidence (OI) and other cervical sagittal parameters by X-ray radiography and those by supine magnetic resonance imaging (MRI). Methods Standing X-ray and supine MRI images of 42 healthy subjects were retros...
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BMC
2024-01-01
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Series: | Journal of Orthopaedic Surgery and Research |
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Online Access: | https://doi.org/10.1186/s13018-024-04542-0 |
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author | Longao Huang Weiyou Chen Hongyuan Xu Hongyu Qin Hua Jiang |
author_facet | Longao Huang Weiyou Chen Hongyuan Xu Hongyu Qin Hua Jiang |
author_sort | Longao Huang |
collection | DOAJ |
description | Abstract Objective To assess whether there is a difference between measurements of odontoid incidence (OI) and other cervical sagittal parameters by X-ray radiography and those by supine magnetic resonance imaging (MRI). Methods Standing X-ray and supine MRI images of 42 healthy subjects were retrospectively analyzed. Surgimap software was employed to measure cervical sagittal parameters including OI, odontoid tilt (OT), C2 slope (C2S), C0-2 angle, C2-7 angle, T1 slope (T1S) and T1S-cervical lordosis (CL). Paired samples t-test was applied to determine the difference between parameters measured by standing X-ray and those by supine MRI. In addition, the statistical correlation between the parameters were compared. The prediction of CL was performed and validated using the formula CL = 0.36 × OI − 0.67 × OT − 0.69 × T1S. Results Significant correlations and differences were found between cervical sagittal parameters determined by X-ray and those by MRI. OI was verified to be a constant anatomic parameter and the formula CL = 0.36 × OI − 0.67 × OT − 0.69 × T1S can be used to predict CL in cervical sagittal parameters. Conclusions OI is verified as a constant anatomic parameter, demonstrating the necessity of a combined assessment of cervical sagittal balance by using standing X-ray and supine MRI. The formula CL = 0.36 × OI − 0.67 × OT − 0.69 × T1S can be applied to predict CL in cervical sagittal parameters. |
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institution | Directory Open Access Journal |
issn | 1749-799X |
language | English |
last_indexed | 2024-03-08T14:14:13Z |
publishDate | 2024-01-01 |
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series | Journal of Orthopaedic Surgery and Research |
spelling | doaj.art-78243743b66e447d892068ec6bce99c82024-01-14T12:30:08ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2024-01-011911810.1186/s13018-024-04542-0Odontoid incidence: a constant cervical anatomical feature evident in standing plain radiographs and supine magnetic resonance imagesLongao Huang0Weiyou Chen1Hongyuan Xu2Hongyu Qin3Hua Jiang4Department of Spine Surgery, The First Affiliated Hospital of Guangxi Medical UniversityDepartment of Spine Surgery, The First Affiliated Hospital of Guangxi Medical UniversityDepartment of Spine Surgery, The First Affiliated Hospital of Guangxi Medical UniversityDepartment of Spine Surgery, The First Affiliated Hospital of Guangxi Medical UniversityDepartment of Spine Surgery, The First Affiliated Hospital of Guangxi Medical UniversityAbstract Objective To assess whether there is a difference between measurements of odontoid incidence (OI) and other cervical sagittal parameters by X-ray radiography and those by supine magnetic resonance imaging (MRI). Methods Standing X-ray and supine MRI images of 42 healthy subjects were retrospectively analyzed. Surgimap software was employed to measure cervical sagittal parameters including OI, odontoid tilt (OT), C2 slope (C2S), C0-2 angle, C2-7 angle, T1 slope (T1S) and T1S-cervical lordosis (CL). Paired samples t-test was applied to determine the difference between parameters measured by standing X-ray and those by supine MRI. In addition, the statistical correlation between the parameters were compared. The prediction of CL was performed and validated using the formula CL = 0.36 × OI − 0.67 × OT − 0.69 × T1S. Results Significant correlations and differences were found between cervical sagittal parameters determined by X-ray and those by MRI. OI was verified to be a constant anatomic parameter and the formula CL = 0.36 × OI − 0.67 × OT − 0.69 × T1S can be used to predict CL in cervical sagittal parameters. Conclusions OI is verified as a constant anatomic parameter, demonstrating the necessity of a combined assessment of cervical sagittal balance by using standing X-ray and supine MRI. The formula CL = 0.36 × OI − 0.67 × OT − 0.69 × T1S can be applied to predict CL in cervical sagittal parameters.https://doi.org/10.1186/s13018-024-04542-0Cervical sagittal parametersOdontoid incidenceOdontoid tiltC2 slopeCL prediction |
spellingShingle | Longao Huang Weiyou Chen Hongyuan Xu Hongyu Qin Hua Jiang Odontoid incidence: a constant cervical anatomical feature evident in standing plain radiographs and supine magnetic resonance images Journal of Orthopaedic Surgery and Research Cervical sagittal parameters Odontoid incidence Odontoid tilt C2 slope CL prediction |
title | Odontoid incidence: a constant cervical anatomical feature evident in standing plain radiographs and supine magnetic resonance images |
title_full | Odontoid incidence: a constant cervical anatomical feature evident in standing plain radiographs and supine magnetic resonance images |
title_fullStr | Odontoid incidence: a constant cervical anatomical feature evident in standing plain radiographs and supine magnetic resonance images |
title_full_unstemmed | Odontoid incidence: a constant cervical anatomical feature evident in standing plain radiographs and supine magnetic resonance images |
title_short | Odontoid incidence: a constant cervical anatomical feature evident in standing plain radiographs and supine magnetic resonance images |
title_sort | odontoid incidence a constant cervical anatomical feature evident in standing plain radiographs and supine magnetic resonance images |
topic | Cervical sagittal parameters Odontoid incidence Odontoid tilt C2 slope CL prediction |
url | https://doi.org/10.1186/s13018-024-04542-0 |
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