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A Correlational Study of Scoliosis and Trunk Balance in Adult Patients with Mandibular Deviation
Previous studies have confirmed that patients with mandibular deviation often have abnormal morphology of their cervical vertebrae. However, the relationship between mandibular deviation, scoliosis, and trunk balance has not been studied. Currently, mandibular deviation is usually treated as a singl...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3612109/ https://www.ncbi.nlm.nih.gov/pubmed/23555836 http://dx.doi.org/10.1371/journal.pone.0059929 |
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author | Zhou, Shuncheng Yan, Juanjuan Da, Hu Yang, Yang Wang, Na Wang, Wenyong Ding, Yin Sun, Shiyao |
author_facet | Zhou, Shuncheng Yan, Juanjuan Da, Hu Yang, Yang Wang, Na Wang, Wenyong Ding, Yin Sun, Shiyao |
author_sort | Zhou, Shuncheng |
collection | PubMed |
description | Previous studies have confirmed that patients with mandibular deviation often have abnormal morphology of their cervical vertebrae. However, the relationship between mandibular deviation, scoliosis, and trunk balance has not been studied. Currently, mandibular deviation is usually treated as a single pathology, which leads to poor clinical efficiency. We investigated the relationship of spine coronal morphology and trunk balance in adult patients with mandibular deviation, and compared the finding to those in healthy volunteers. 35 adult patients with skeletal mandibular deviation and 10 healthy volunteers underwent anterior X-ray films of the head and posteroanterior X-ray films of the spine. Landmarks and lines were drawn and measured on these films. The axis distance method was used to measure the degree of scoliosis and the balance angle method was used to measure trunk balance. The relationship of mandibular deviation, spine coronal morphology and trunk balance was evaluated with the Pearson correlation method. The spine coronal morphology of patients with mandibular deviation demonstrated an “S” type curve, while a straight line parallel with the gravity line was found in the control group (significant difference, p<0.01). The trunk balance of patients with mandibular deviation was disturbed (imbalance angle >1°), while the control group had a normal trunk balance (imbalance angle <1°). There was a significant difference between the two groups (p<0.01). The degree of scoliosis and shoulder imbalance correlated with the degree of mandibular deviation, and presented a linear trend. The direction of mandibular deviation was the same as that of the lateral bending of thoracolumbar vertebrae, which was opposite to the direction of lateral bending of cervical vertebrae. Our study shows the degree of mandibular deviation has a high correlation with the degree of scoliosis and trunk imbalance, all the three deformities should be clinically evaluated in the management of mandibular deviation. |
format | Online Article Text |
id | pubmed-3612109 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-36121092013-04-03 A Correlational Study of Scoliosis and Trunk Balance in Adult Patients with Mandibular Deviation Zhou, Shuncheng Yan, Juanjuan Da, Hu Yang, Yang Wang, Na Wang, Wenyong Ding, Yin Sun, Shiyao PLoS One Research Article Previous studies have confirmed that patients with mandibular deviation often have abnormal morphology of their cervical vertebrae. However, the relationship between mandibular deviation, scoliosis, and trunk balance has not been studied. Currently, mandibular deviation is usually treated as a single pathology, which leads to poor clinical efficiency. We investigated the relationship of spine coronal morphology and trunk balance in adult patients with mandibular deviation, and compared the finding to those in healthy volunteers. 35 adult patients with skeletal mandibular deviation and 10 healthy volunteers underwent anterior X-ray films of the head and posteroanterior X-ray films of the spine. Landmarks and lines were drawn and measured on these films. The axis distance method was used to measure the degree of scoliosis and the balance angle method was used to measure trunk balance. The relationship of mandibular deviation, spine coronal morphology and trunk balance was evaluated with the Pearson correlation method. The spine coronal morphology of patients with mandibular deviation demonstrated an “S” type curve, while a straight line parallel with the gravity line was found in the control group (significant difference, p<0.01). The trunk balance of patients with mandibular deviation was disturbed (imbalance angle >1°), while the control group had a normal trunk balance (imbalance angle <1°). There was a significant difference between the two groups (p<0.01). The degree of scoliosis and shoulder imbalance correlated with the degree of mandibular deviation, and presented a linear trend. The direction of mandibular deviation was the same as that of the lateral bending of thoracolumbar vertebrae, which was opposite to the direction of lateral bending of cervical vertebrae. Our study shows the degree of mandibular deviation has a high correlation with the degree of scoliosis and trunk imbalance, all the three deformities should be clinically evaluated in the management of mandibular deviation. Public Library of Science 2013-03-29 /pmc/articles/PMC3612109/ /pubmed/23555836 http://dx.doi.org/10.1371/journal.pone.0059929 Text en © 2013 Zhou et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Zhou, Shuncheng Yan, Juanjuan Da, Hu Yang, Yang Wang, Na Wang, Wenyong Ding, Yin Sun, Shiyao A Correlational Study of Scoliosis and Trunk Balance in Adult Patients with Mandibular Deviation |
title | A Correlational Study of Scoliosis and Trunk Balance in Adult Patients with Mandibular Deviation |
title_full | A Correlational Study of Scoliosis and Trunk Balance in Adult Patients with Mandibular Deviation |
title_fullStr | A Correlational Study of Scoliosis and Trunk Balance in Adult Patients with Mandibular Deviation |
title_full_unstemmed | A Correlational Study of Scoliosis and Trunk Balance in Adult Patients with Mandibular Deviation |
title_short | A Correlational Study of Scoliosis and Trunk Balance in Adult Patients with Mandibular Deviation |
title_sort | correlational study of scoliosis and trunk balance in adult patients with mandibular deviation |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3612109/ https://www.ncbi.nlm.nih.gov/pubmed/23555836 http://dx.doi.org/10.1371/journal.pone.0059929 |
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