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RADIOGRAPHIC ALIGNMENT OF CERVICAL SPINE ON A SAMPLE OF ASYMPTOMATIC SUBJECTS

ALINHAMENTO RADIOGRÁFICO DA COLUNA VERTEBRAL CERVICAL EM UMA AMOSTRA DE INDIVÍDUOS ASSINTOMÁTICOS

ALINEACIÓN RADIOGRÁFICA DE LA COLUMNA VERTEBRAL CERVICAL EN UNA MUESTRA DE INDIVIDUOS ASINTOMÁTICOS

ABSTRACT

Objective:

To present normality parameters for the cervical spine in a sample of the Brazilian population and its distribution by sex and age.

Methods:

This was a prospective study considering 94 asymptomatic individuals evaluated by panoramic radiograph of the spine for the analysis of the following parameters: cervical lordosis (CL), C2 sagittal vertical axis (SVA-C2), cervical sagittal vertical axis (cSVA), and T1 Slope (TA-T1). The parameter values were compared according to sex and age of individuals.

Results:

The mean CL was -16.5° (SD: ± 10.8°), SVA-C2 was -3.9 mm (SD: ± 29.2 mm), cSVA was 16.9 mm (SD: ± 10.6 mm) and TA-T1 was 24.8° (SD: ± 7.0°). There was no significant difference between the radiographic parameters when considered with respect to sex and age of individuals (P>0.05). The analysis of correlation among the radiographic parameters showed that the TA-T1 presented the highest correlation with the other parameters, including CL (r= 0.367, P<0.01), SVA-C2 (r= 0.434, P<0.001) and cSVA (r= 0.441, P<0.001). There was also a correlation between SVA-C2 and cSVA (r= 0.32, P= 0.001) and inverse correlation between CL and the cSVA (r= -0.242, P= 0.019).

Conclusio:

We introduced normality data of the cervical spine alignment in a Brazilian population sample. There was significant correlation among the analyzed parameters, especially considering TA-T1 in relation to the other parameters.

Keywords:
Spine; Spinal curvatures; Radiography; Cervical vertebrae

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