Evaluation of cervical sagittal parameters on supine magnetic resonance imaging in patients with Chiari I malformation without syringomyelia
The current study aimed to assess the effects of tonsillar herniation on cervical alignment in Chiari I patients without syringomyelia using new cervical sagittal alignment parameters, such as C0–2 Cobb angle, C2–7 cobb angle, T1 slope, and C2–7 sagittal vertical axis (SVA). Two spinal surgeons inde...
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| Published in | Neuro-chirurgie Vol. 68; no. 5; pp. 504 - 509 |
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| Main Authors | , |
| Format | Journal Article |
| Language | English |
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France
Elsevier Masson SAS
01.10.2022
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| Abstract | The current study aimed to assess the effects of tonsillar herniation on cervical alignment in Chiari I patients without syringomyelia using new cervical sagittal alignment parameters, such as C0–2 Cobb angle, C2–7 cobb angle, T1 slope, and C2–7 sagittal vertical axis (SVA).
Two spinal surgeons independently evaluated midline T2-weighted sagittal magnetic resonance imaging findings of 28 Chiari I patients without syringomyelia and 40 patients without tonsillar herniation but with similar complaints. Thereafter, the measured C0–2 Cobb angle, C2–7 Cobb angle T1 slope, and C2–7 SVA were compared using the t-test.
Differences in the mean values for C2–7 Cobb angle, T1 slope, and C2–7 SVA were found between Chiari I patients and those without tonsillar herniation.
The current study showed that Chiari I patients were less lordotic (kyphotic) compared to subjects without tonsillar herniation. |
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| AbstractList | The current study aimed to assess the effects of tonsillar herniation on cervical alignment in Chiari I patients without syringomyelia using new cervical sagittal alignment parameters, such as C0–2 Cobb angle, C2–7 cobb angle, T1 slope, and C2–7 sagittal vertical axis (SVA).
Two spinal surgeons independently evaluated midline T2-weighted sagittal magnetic resonance imaging findings of 28 Chiari I patients without syringomyelia and 40 patients without tonsillar herniation but with similar complaints. Thereafter, the measured C0–2 Cobb angle, C2–7 Cobb angle T1 slope, and C2–7 SVA were compared using the t-test.
Differences in the mean values for C2–7 Cobb angle, T1 slope, and C2–7 SVA were found between Chiari I patients and those without tonsillar herniation.
The current study showed that Chiari I patients were less lordotic (kyphotic) compared to subjects without tonsillar herniation. The current study aimed to assess the effects of tonsillar herniation on cervical alignment in Chiari I patients without syringomyelia using new cervical sagittal alignment parameters, such as C0-2 Cobb angle, C2-7 cobb angle, T1 slope, and C2-7 sagittal vertical axis (SVA).OBJECTIVEThe current study aimed to assess the effects of tonsillar herniation on cervical alignment in Chiari I patients without syringomyelia using new cervical sagittal alignment parameters, such as C0-2 Cobb angle, C2-7 cobb angle, T1 slope, and C2-7 sagittal vertical axis (SVA).Two spinal surgeons independently evaluated midline T2-weighted sagittal magnetic resonance imaging findings of 28 Chiari I patients without syringomyelia and 40 patients without tonsillar herniation but with similar complaints. Thereafter, the measured C0-2 Cobb angle, C2-7 Cobb angle T1 slope, and C2-7 SVA were compared using the t-test.METHODSTwo spinal surgeons independently evaluated midline T2-weighted sagittal magnetic resonance imaging findings of 28 Chiari I patients without syringomyelia and 40 patients without tonsillar herniation but with similar complaints. Thereafter, the measured C0-2 Cobb angle, C2-7 Cobb angle T1 slope, and C2-7 SVA were compared using the t-test.Differences in the mean values for C2-7 Cobb angle, T1 slope, and C2-7 SVA were found between Chiari I patients and those without tonsillar herniation.RESULTSDifferences in the mean values for C2-7 Cobb angle, T1 slope, and C2-7 SVA were found between Chiari I patients and those without tonsillar herniation.The current study showed that Chiari I patients were less lordotic (kyphotic) compared to subjects without tonsillar herniation.CONCLUSIONThe current study showed that Chiari I patients were less lordotic (kyphotic) compared to subjects without tonsillar herniation. AbstractObjectiveThe current study aimed to assess the effects of tonsillar herniation on cervical alignment in Chiari I patients without syringomyelia using new cervical sagittal alignment parameters, such as C0–2 Cobb angle, C2–7 cobb angle, T1 slope, and C2–7 sagittal vertical axis (SVA). MethodsTwo spinal surgeons independently evaluated midline T2-weighted sagittal magnetic resonance imaging findings of 28 Chiari I patients without syringomyelia and 40 patients without tonsillar herniation but with similar complaints. Thereafter, the measured C0–2 Cobb angle, C2–7 Cobb angle T1 slope, and C2–7 SVA were compared using the t-test. ResultsDifferences in the mean values for C2–7 Cobb angle, T1 slope, and C2–7 SVA were found between Chiari I patients and those without tonsillar herniation. ConclusionThe current study showed that Chiari I patients were less lordotic (kyphotic) compared to subjects without tonsillar herniation. |
| Author | İplikçioğlu, A.C. Karabağ, H. |
| Author_xml | – sequence: 1 givenname: H. surname: Karabağ fullname: Karabağ, H. email: hamzakarabag@yahoo.com organization: Department of Neurosurgery, Harran Üniversity, Şanlıurfa, Turkey – sequence: 2 givenname: A.C. surname: İplikçioğlu fullname: İplikçioğlu, A.C. organization: Department of Neurosurgery, BHT Clinic Istanbul TEMA Hospital, İstanbul, Turkey |
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| Cites_doi | 10.1007/s10143-017-0830-3 10.1016/j.nec.2015.06.005 10.3171/2014.11.SPINE14368 10.1007/s00776-006-1089-7 10.1007/s00586-017-5367-1 10.1097/00006123-199905000-00042 10.1097/01.BRS.0000107225.97653.CA 10.1007/s00381-016-3014-5 10.1007/s00586-018-5550-z 10.1007/s00586-013-2876-4 10.1097/BRS.0000000000002256 10.3171/2018.5.SPINE171232 10.23736/S0390-5616.17.04063-2 10.1007/s00586-016-4410-y 10.1016/j.spinee.2010.08.031 10.1097/MD.0000000000014393 10.1016/j.wneu.2016.10.127 10.1148/radiographics.14.2.8190952 10.1016/j.wneu.2020.08.048 10.3171/2013.4.SPINE12838 10.1097/BRS.0000000000001221 10.1093/neuros/nyx288 10.1007/s00402-017-2639-5 10.3171/2015.1.FOCUS14642 10.1097/BRS.0000000000001264 |
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| Keywords | Cobb Angle MRI NT Cervical Sagittal parameterse C2–7 SVA T1 TIA Chiari-I Malformation Supine MR Thoracic Inlet Angle Neck Tilt Cervical 2- Cervical 7 Sagittal Vertical Axis Magnetic Resonance Imaging Thoracal Vertebrae 1 |
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| Snippet | The current study aimed to assess the effects of tonsillar herniation on cervical alignment in Chiari I patients without syringomyelia using new cervical... AbstractObjectiveThe current study aimed to assess the effects of tonsillar herniation on cervical alignment in Chiari I patients without syringomyelia using... |
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| SubjectTerms | Cervical Chiari-I Malformation Cobb Angle Neurosurgery Sagittal parameterse Supine MR Surgery |
| Title | Evaluation of cervical sagittal parameters on supine magnetic resonance imaging in patients with Chiari I malformation without syringomyelia |
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