A Study Case for Relationship between Skeletal Anomalies and Posture

Alketa Qafmolla, Ruzhdie Qafmolla
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Abstract

The concept that good health is connected in some way with posture is not new to the medical contemporary philosophy, because several authors have demonstrated an association between the morphology of the cervical column, the head and neck posture and mandible position. Different authors have highlighted a correlation between the morphology of the cervical column and the face dimensions. Positive correlations are found between cervico-cefalic posture and the anterior level of the dent-alveolar mandible and maxilla. For our study the main objective was to discover the relationship between oral anomalies and posture, analyzing the cervical and spinal pathologies at patients with malocclusion. In this study were involved 200 patients aged 5-16 years old with clinical anomalies, presented for 2006 - 2011 period in Orthodontic Department of Medical Dentistry Hospital. Patients were divided in four groups based on their oral anomalies. We performed clinical and radiological examinations, evaluating the morphology of the cervical column. Cephalometric measurements were performed in order to evaluate the cranial basis angle, the vertical craniofacial dimensions, and the sagittal relation of the jaws with each other and with the anterior and posterior cranial bases. Panoramic x-rays were also taken for each individual included at the study. Our study has demonstrated that patients had a higher prevalence of postural pathologies (32%) compared to the control group (3%), and in this change was find a significant statistically value about p-0,001. Also, the most prevalent postural anomalies were fusion C2-C3, kyphosis and lodrosis and less scoliosis. Keywords: Skeletal Anomalies, Posture Morphology, Craniofacial Dimensions, Kyphosis, Scoliosis
骨骼异常与姿势关系的个案研究
身体健康在某种程度上与姿势有关的概念在当代医学哲学中并不新鲜,因为一些作者已经证明了颈椎形态、头颈姿势和下颌骨位置之间的联系。不同的作者强调了颈椎形态和面部尺寸之间的相关性。颈-颅位与牙槽-下颌和上颌骨的前水平呈正相关。本研究的主要目的是发现口腔畸形与姿势之间的关系,分析错颌患者的颈椎和脊柱病变。本研究纳入2006 - 2011年在医学牙科医院正畸科就诊的200例5-16岁临床异常患者。根据口腔异常情况将患者分为四组。我们进行了临床和放射学检查,评估了颈椎的形态。头颅测量是为了评估颅基角、颅面垂直尺寸、颌骨彼此之间以及前后颅基之间的矢状关系。研究人员还对参与研究的每个人进行了全景x光检查。我们的研究表明,与对照组(3%)相比,患者有更高的体位病变患病率(32%),并且在这一变化中发现了显著的统计学价值,约为p- 0.001。此外,最常见的姿势异常是C2-C3融合,脊柱后凸和脊柱前凸以及脊柱侧凸较少。关键词:骨骼异常,姿势形态,颅面尺寸,后凸,脊柱侧凸
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