保留成人（20-45岁）的青春期颈椎成熟阶段。颈椎成熟在生长状态评估中的局限性：一项横断面研究

IF 1.8 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International Orthodontics Pub Date : 2025-05-20 DOI:10.1016/j.ortho.2025.101027

Erum Amin , Sajid Ali , Rana Faiza , Marium Jamil , Qasim Khalid , Umar Hussain , Nikoloas Pandis

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引用次数: 0

摘要

目的评价成人青春期颈椎成熟（CVM）阶段的保留，并评估垂直和矢状骨模式与这种保留的关系。方法对年龄在20 ~ 45岁之间的489名成人（女性286人，男性203人）的治疗前记录进行横断面研究。纳入标准为清晰的侧位头颅x线片，无系统性疾病或既往正畸治疗影响骨骼成熟。记录骨骼矢状和垂直模式。使用年龄的逆概率加权（IPW）调整有序逻辑回归分析CVM分期与性别、骨骼矢状和垂直模式之间的关系。结果患者平均年龄26.09（4.84）岁。CS4保留8.59%，CS5保留19.63%。年龄在各阶段差异显著（P = 0.01）， CS5的参与者年龄较大。性别差异显著（P = 0.01）， CS6雄性较多，CS5雌性较多。骨骼分类与CVM分期显著相关（P = 0.001）， III类受试者更有可能表现出不太成熟的CVM分期。然而，垂直模式与CVM分期无显著相关性（P = 0.63）。有序逻辑回归显示，III类受试者达到CS6的可能性显著降低(OR = 0.30, 95% CI: 0.16-0.54, P <；0.001)，而纵向模式和性别在年龄调整后无显著预测意义。结论成人未达到青春期后CVM阶段的比例较高，尤其是III类错颌畸形，值得关注CVM的可靠性。骨骼成熟度评估应结合多种生长指标和体格外观。

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Retention of pubertal cervical vertebral maturation stages in adults (20–45 years). Limitations of cervical vertebral maturation in growth status assessment: A cross-sectional study

Objective

To evaluate the retention of pubertal cervical vertebral maturation (CVM) stages in adults and assess the association of vertical and sagittal skeletal patterns on this retention.

Methods

This cross-sectional study was conducted on pre-treatment records of 489 adult participants (286 females and 203 males) aged 20 to 45. Inclusion criteria were clear lateral cephalometric radiographs and the absence of systemic conditions or previous orthodontic treatment affecting skeletal maturation. Skeletal sagittal and vertical patterns were recorded. Associations between CVM stages and sex, skeletal sagittal, and vertical pattern were analysed using inverse probability weighting (IPW)-adjusted ordinal logistic regression for age.

Results

The mean age was 26.09 (4.84) years. CS4 was retained in 8.59% and CS5 in 19.63%. Age varied significantly across stages (P = 0.01) with participants in CS5 being older. A significant sex difference was observed (P = 0.01) with more males in CS6 and more females in CS5. Skeletal class was significantly associated with CVM stages (P = 0.001) with Class III subjects more likely to exhibit less mature CVM stages. However, the vertical pattern was not significantly associated with CVM stages (P = 0.63). Ordinal logistic regression showed that Class III participants had a significantly lower likelihood of attaining CS6 (OR = 0.30, 95% CI: 0.16–0.54, P < 0.001) while vertical pattern and sex were not significant predictors after age adjustment.

Conclusion

A higher proportion of adults did not attain the post-pubertal CVM stage, especially in Class III malocclusion, raising concerns about CVM's reliability. Multiple growth indicators in combination with physical appearance should be used for skeletal maturation assessment.

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来源期刊

International Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.50

自引率

13.30%

发文量

审稿时长

26 days

期刊介绍： Une revue de référence dans le domaine de orthodontie et des disciplines frontières Your reference in dentofacial orthopedics International Orthodontics adresse aux orthodontistes, aux dentistes, aux stomatologistes, aux chirurgiens maxillo-faciaux et aux plasticiens de la face, ainsi quà leurs assistant(e)s. International Orthodontics is addressed to orthodontists, dentists, stomatologists, maxillofacial surgeons and facial plastic surgeons, as well as their assistants.