Frequency and Type of Ponticulus Posticus and Lateralis in a Chinese Population: A CT-Based Analysis of 4047 Cases.

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY

Turkish neurosurgery Pub Date : 2023-01-01 DOI:10.5137/1019-5149.JTN.26190-19.2

Jun Zhang, Jianjian Shen, Yong Li, Jiayin Zheng, Yixin Wang, Haiyu Shao, Mengran Jin, Zhongxiang Ding, Tingxiao Zhao, Xinji Chen, Yazeng Huang

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引用次数: 1

Abstract

Aim: To investigate the prevalence and type of ponticulus posticus (PP) and ponticulus lateralis (PL) in the Chinese population by analyzing computed tomography (CT) scans, and to uncover the pathogenesis of PP and PL.

Material and methods: A total of 4,047 cases were included in this study. We evaluated cervical spine CT scans with three dimensional reconstructions and collected age, gender, and presence of PP and PL in each case. If either or both were present, location and type were recorded.

Results: The overall prevalence of PP was 8.01%. The age of patients with PP was significantly higher than those without. Men had a higher prevalence of PP than women. The presence of PP was more common on the left side than the right. According to our previous classification, the most common type of a PP was AC (32.41%), followed by CC (20.06%) and CA (16.98%). The overall prevalence of PL was 4.67%, with no differences between age groups, genders or by location. The most common type of PL was AC (43.92%), followed by CA (35.98%) and CC (20.11%). The prevalence of PP and PL occurring in the same patient was 1.26%.

Conclusion: Based on cervical spine CT scans of 4,047 Chinese patients, we found that the prevalence of PP and PL were 8.01% and 4.67%, respectively. PP was more common in older patients, which strongly suggests that PP may be a congenital osseous anomaly of the atlas that mineralizes during aging.

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4047例中国人群后ponticus和外侧ponticus的频率和类型分析。

目的:通过计算机断层扫描(CT)分析中国人群中后脑丛(PP)和侧脑丛(PL)的患病率和类型，揭示PP和PL的发病机制。材料和方法:共4047例。我们通过三维重建评估颈椎CT扫描，并收集每个病例的年龄、性别以及PP和PL的存在。如果其中一种或两种都存在，则记录位置和类型。结果:PP总患病率为8.01%。PP患者的年龄明显高于非PP患者。男性的PP患病率高于女性。PP的存在在左侧比右侧更常见。根据我们之前的分类，最常见的PP类型是AC(32.41%)，其次是CC(20.06%)和CA(16.98%)。PL的总体患病率为4.67%，无年龄组、性别和地区差异。最常见的PL类型为AC(43.92%)，其次为CA(35.98%)和CC(20.11%)。同一患者发生PP和PL的发生率为1.26%。结论:通过4047例中国患者的颈椎CT扫描，我们发现PP和PL的患病率分别为8.01%和4.67%。PP在老年患者中更为常见，这强烈表明PP可能是先天性寰椎骨异常，在衰老过程中矿化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Turkish neurosurgery 医学-临床神经学

CiteScore

1.50

自引率

12.50%

发文量

126

审稿时长

2 months

期刊介绍： Turkish Neurosurgery is a peer-reviewed, multidisciplinary, open access and totally free journal directed at an audience of neurosurgery physicians and scientists. The official language of the journal is English. The journal publishes original articles in the form of clinical and basic research. Turkish Neurosurgery will only publish studies that have institutional review board (IRB) approval and have strictly observed an acceptable follow-up period. With the exception of reference presentation, Turkish Neurosurgery requires that all manuscripts be prepared in accordance with the Uniform Requirements for Manuscripts Submitted to Biomedical Journals.