The incidence and relationship of cervical spine anomalies in patients with cleft lip and/or palate

Horswell, Bruce B.

doi:10.1016/s0278-2391(10)80229-0

Cited by 51 publications

(32 citation statements)

References 7 publications

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“…Overall, these findings indicate that some skeletal anomalies and normal variants seen in cephalometric radiographs are associated not only with malformations of the jaw, craniofacial morphology, and occlusion 15,21,25 but also with tooth anomalies such as PDC. This relationship seems to be based on the involvement of NCCs and/or homeobox or hox genes during the developmental stages 12,27 and formation of teeth and sella turcica.…”

Section: Discussionmentioning

confidence: 69%

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Skeletal Anomalies and Normal Variants in Patients with Palatally Displaced Canines

Leonardi

Barbato

Vichi

et al. 2009

The Angle Orthodontist

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Objective: To test the null hypothesis that there is no increased prevalence of skeletal anomalies and/or normal variants as evidenced by the cephalometric radiographs of patients with palatally displaced canines (PDC). Materials and Methods:The treatment records of 38 white subjects between 14 and 20 years old with PDC were collected and evaluated retrospectively. Inclusion criteria for the study required that the case records include good-quality panoramic radiographs and lateral cephalometric radiographs with the first four cervical vertebrae clearly visible. The anomalies recorded for each case included sella bridge, atlanto-occipital ligament calcification or ponticulus posticus, and posterior arch atlas deficiency. A control group consisted of 70 consecutively treated subjects who had no other dental anomalies and whose maxillary canines had erupted normally. Fisher's exact test and Pearson's chi-square test were used to determine possible statistically significant differences in the incidence of skeletal anomalies and/or normal variants between the group of patients with PDC and the control group. Results: The prevalence of skull anomalies and normal variants seen in cephalometric radiographs was increased in patients with PDC. Because of the presence of ponticulus posticus (Pearson's chi-square, P Ͻ .050; Fisher's exact test, P Ͻ .052), sella bridge (Pearson's chisquare, P Ͻ .042; Fisher's exact test, P Ͻ .042), and posterior arch deficiency (Pearson's chisquare, P Ͻ .047; Fisher's exact test, P Ͻ .039), statistically significant differences were observed between subjects with PDC and the control group. Conclusions: The null hypothesis was rejected. There is an increased prevalence of skull skeletal anomalies and/or normal variants in patients with PDC. (Angle Orthod. 2009;79:727-732.)

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Section: Discussionmentioning

confidence: 69%

“…Anomalies of the cervical vertebrae have been described in several syndromes, 9 and associations between cervical vertebrae and maxillary malformations 15,21,22 and condyle and vertical craniofacial morphology (deep bite) 6,7,23 have been reported more recently.…”

Section: Discussionmentioning

confidence: 99%

Skeletal Anomalies and Normal Variants in Patients with Palatally Displaced Canines

Leonardi

Barbato

Vichi

et al. 2009

The Angle Orthodontist

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“…The Cleft lip and/or palate (CLP) is considered to be the most common congenital anomaly present in the craniofacial region (Alkofide, 2008); it has been reported as a solitary finding, or associated with other malformations in over 250 syndromes (Horswell, 1991) that occurs particularly in the central nervous, cardiac, and musculoskeletal systems (Milerad et al, 1997;Horswell).…”

Section: Introductionmentioning

confidence: 99%

“…There have been conflicting reports regarding the incidence of associated anomalies in CLP patients (Horswell); for example, a common finding is that children with CLP have more prevalence of cervical vertebrae anomalies (CVA) than the control groups (Osborne et al, 1974;Sandham, 1986;Horswell;Lima et al, 2009;Srivastava et al, 2014); and although most CVA are asymptomatic these can be detected and investigated by plain radiography (Manaligod et al, 1999), especially by the la-teral cephalometric radiography taken before the orthodontic treatment (Srivastava et al).…”

Section: Introductionmentioning

confidence: 99%

Frequency of Ponticulus Posticus, Sella Turcica Bridge and Clinoid Enlargement in Cleft Lip and Palate Peruvian Patients: A Comparative Study with Non-Cleft Patients

Pérez

Chávez

2015

Int. J. Morphol.

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SUMMARY:The aims of this study were to determine the frequency of the Ponticulus posticus (PP) in the C1 vertebra and the Sella Turcica Bridge (STB) and Clinoid enlargement (CLEN) variants in two samples of Peruvian cleft lip and palate patients (CLP), determine if there are significant differences between sexes and compare the results with two samples of non-cleft controls. The digital images of the lateral cephalometric radiography of 163 and 150 CLP patients were utilized to determine the frequency of PP and, STB-CLEN respectively. The controls were composed of 1056 and 417 radiography of non-cleft patients. The chi-square statistic was utilized to determine if there were significant differences between genres for the CLP patients, and between the CLP and control samples. The confidence level was set at p<0.05. The frequency of PP (partial and complete) in CLP patients was 11.04% (18 cases) and 6.13% (10 cases) respectively; both of them were more frequent in males and there were no significant differences between sexes and between the CLP and control groups (p>0.05). The frequency of STB and CLEN in CLP patients was 6% (9 cases) and 8.7% (13 cases) respectively; both of them were more frequent in males and there were no significant differences between sexes and between the CLP and control samples for the STB (p>0.05). The frequency of CLEN was significantly lower (p<0.05) in the cleft group and in the female cleft group when compared to the control group. The frequencies of the Ponticulus Posticus, Sella Turcica Bridge and Clinoid Enlargement were similar to the control group and should not be considered as Cleft Lip and Palate associated anomalies; the frequency of the Clinoid Enlargement was significantly lower in cleft patients and this could be confirmed through studies centered on the Clinoid apophysis.

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“…24 It is possible that the pattern of associated anomalies could be underestimated, since it is usually based on examination of the newborn and additional anomalies are detected with increasing age, 2,25 while other anomalies need special investigation. 26 In this study, only major anomalies were reported. The majority of patients were seen before the age of two years.…”

Section: Discussionmentioning

confidence: 83%

Facial Clefting in Arab Populations: Analysis of 134 Cases

Ali

1996

Ann Saudi Med

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The incidence and relationship of cervical spine anomalies in patients with cleft lip and/or palate

Cited by 51 publications

References 7 publications

Skeletal Anomalies and Normal Variants in Patients with Palatally Displaced Canines

Skeletal Anomalies and Normal Variants in Patients with Palatally Displaced Canines

Frequency of Ponticulus Posticus, Sella Turcica Bridge and Clinoid Enlargement in Cleft Lip and Palate Peruvian Patients: A Comparative Study with Non-Cleft Patients

Facial Clefting in Arab Populations: Analysis of 134 Cases

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