Srpski arhiv za celokupno lekarstvo 2016 Volume 144, Issue 1-2, Pages: 15-22
https://doi.org/10.2298/SARH1602015T
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Relationship between the vertical craniofacial disproportions and the cervicovertebral morphology in adult subjects
Trajković Milena (Faculty of Dental Medicine, Belgrade)
Lazić Emira (Faculty of Dental Medicine, Department of Orthodontics, Belgrade)
Nedeljković Nenad 
(Faculty of Dental Medicine, Department of Orthodontics, Belgrade)
Stamenković Zorana (Faculty of Dental Medicine, Department of Orthodontics, Belgrade)
Glišić Branislav (Faculty of Dental Medicine, Department of Orthodontics, Belgrade)
Introduction. Orthodontic diagnosis includes the interpretation of the
relations between the craniofacial and cervical system, given the potential
impact of the irregularities from one system to another. Objective. The aim
of this study was to examine morphological characteristics of the cervical
spine, depending on the parameters of the vertical craniofacial growth and
gender in adult subjects. Methods. The sample comprised lateral cephalograms
of 120 subjects with different vertical facial growth, aged 17.5-35 years.
Measured parameters were the following: anterior and posterior vertebral body
height (ABHC2-C5, PBHC2-C5), anterior and posterior intervertebral space
(AISC2-C5, PISC2-C5), distance between vertebrae and point sella (SC2, SC3,
SC4), pterygomaxillare (PmC2), gonion (GoC2) and basion (BaC4); cervical
spine angulation (OPT/CVT) and inclination (OPT/HOR, CVT/HOR). Results.
Results showed that subjects with anterior facial growth rotation have
greater values for BaC4, OPT/HOR, CVT/HOR, OPT/CVT, anterior and posterior
vertebral body heights and intervertebral spaces, and lower values for GoC2
and PmC2. Higher values in males were found for anterior and posterior
vertebral body heights, distances SC2, SC3, SC4, and BaC4. In females, the
greater values were found for GoC2 and ОРТ/СVT. Conclusion. Subjects with
anterior facial growth rotation have greater cervical spine inclination and
angulation, higher cervical vertebrae and intervertebral spaces, longer upper
cervical spines and shorter distances GoC2 and PmC2. Males show smaller
cervical column curvature, but higher cervical vertebrae and greater length
of the upper cervical spine.
Keywords: craniofacial morphology, facial growth rotation, cervical vertebrae