Determination of reference values of the craniovertebral junction in healthy individuals using computed tomography

Sema Polat; Mahmut Oksüzler

Makale detayları

Determination of reference values of the craniovertebral junction in healthy individuals using computed tomography

Yazarlar:

Sema Polat | Mahmut Oksüzler

Yayıncı:

Cukurova University

Ana Başlıklar:

Cerrahi (Diğer)

Dergi:

Cukurova Medical Journal Vol.50 Issue 3, pp.732-743

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357851

pISSN:

2602-3032

Anahtar kelimeler:

Özet:

 Purpose: This study aims to investigate the clinical and anatomical characteristics of the craniovertebral junction in healthy individuals to establish reference data for surgical planning and evaluation. Materials and Methods: The Computed Tomography CT images including, dens transverse length DTL, dens anteroposterior length DAPL, dens height DH, dens tip DT, atlantooccipital joint angle AOJA, distance between basion to opistion BOD, axis height AH, atlantooccipital interval AOI, Welcher basal angle WBA, clivus canal angle CCA, Klaus height index KHI, anterior atlanto-dental interval AADI, and posterior atlanto dental interval PADI of 180 healthy individuals between 18-60 years were retrospectively evaluated. Results: Measurement results were found as follows: DTL 10.350.83 mm, DAPL 11.450.95 mm, DH 15.701.44 mm, DT 1.580.49 mm, AOJA 118.247.11, BOD 33.582.79 mm, AH 34.782.82 mm, AOI 1.470.29 mm, WBA, 130.415.89, CCA 160.569.94, KHI 41.453.03, AADI 1.190.48 mm, and PADI, 19.471.84 mm, in healthy subjects, respectively. Additionally, some parameters, including DTL, DAPL, DH, BOD, AH, AADI, and PADI, were significantly higher in males than in females. DTL, DH, DT, AH, and AOI parameters showed a significant difference between ages. Conclusion: Detailed anatomical and radiological knowledge of the craniovertebral junction is crucial in various clinical disciplines, including anatomy, radiology, anesthesiology, neurosurgery, and otolaryngology, due to its complex structure and critical anatomical relationships.

 Purpose: This study aims to investigate the clinical and anatomical characteristics of the craniovertebral junction in healthy individuals to establish reference data for surgical planning and evaluation. Materials and Methods: The Computed Tomography CT images including, dens transverse length DTL, dens anteroposterior length DAPL, dens height DH, dens tip DT, atlantooccipital joint angle AOJA, distance between basion to opistion BOD, axis height AH, atlantooccipital interval AOI, Welcher basal angle WBA, clivus canal angle CCA, Klaus height index KHI, anterior atlanto-dental interval AADI, and posterior atlanto dental interval PADI of 180 healthy individuals between 18-60 years were retrospectively evaluated. Results: Measurement results were found as follows: DTL 10.350.83 mm, DAPL 11.450.95 mm, DH 15.701.44 mm, DT 1.580.49 mm, AOJA 118.247.11, BOD 33.582.79 mm, AH 34.782.82 mm, AOI 1.470.29 mm, WBA, 130.415.89, CCA 160.569.94, KHI 41.453.03, AADI 1.190.48 mm, and PADI, 19.471.84 mm, in healthy subjects, respectively. Additionally, some parameters, including DTL, DAPL, DH, BOD, AH, AADI, and PADI, were significantly higher in males than in females. DTL, DH, DT, AH, and AOI parameters showed a significant difference between ages. Conclusion: Detailed anatomical and radiological knowledge of the craniovertebral junction is crucial in various clinical disciplines, including anatomy, radiology, anesthesiology, neurosurgery, and otolaryngology, due to its complex structure and critical anatomical relationships.

 Purpose: This study aims to investigate the clinical and anatomical characteristics of the craniovertebral junction in healthy individuals to establish reference data for surgical planning and evaluation. Materials and Methods: The Computed Tomography CT images including, dens transverse length DTL, dens anteroposterior length DAPL, dens height DH, dens tip DT, atlantooccipital joint angle AOJA, distance between basion to opistion BOD, axis height AH, atlantooccipital interval AOI, Welcher basal angle WBA, clivus canal angle CCA, Klaus height index KHI, anterior atlanto-dental interval AADI, and posterior atlanto dental interval PADI of 180 healthy individuals between 18-60 years were retrospectively evaluated. Results: Measurement results were found as follows: DTL 10.350.83 mm, DAPL 11.450.95 mm, DH 15.701.44 mm, DT 1.580.49 mm, AOJA 118.247.11, BOD 33.582.79 mm, AH 34.782.82 mm, AOI 1.470.29 mm, WBA, 130.415.89, CCA 160.569.94, KHI 41.453.03, AADI 1.190.48 mm, and PADI, 19.471.84 mm, in healthy subjects, respectively. Additionally, some parameters, including DTL, DAPL, DH, BOD, AH, AADI, and PADI, were significantly higher in males than in females. DTL, DH, DT, AH, and AOI parameters showed a significant difference between ages. Conclusion: Detailed anatomical and radiological knowledge of the craniovertebral junction is crucial in various clinical disciplines, including anatomy, radiology, anesthesiology, neurosurgery, and otolaryngology, due to its complex structure and critical anatomical relationships.

 Amaç: Bu çalışma, sağlıklı bireylerde kraniovertebral bileşkenin klinik ve anatomik özelliklerini inceleyerek, cerrahi planlama ve değerlendirmelere yönelik referans veriler oluşturmayı amaçlamaktadır. Gereç ve Yöntem: Dens transvers uzunluğu DTU, dens anteroposterior uzunluğu DAPU, dens yüksekliği DY, dens ucu DU, atlantooksipital eklem açısı AOEA, basion ile opistion arasındaki uzaklık BOU, axis yüksekliği AY, atlantooksipital aralık AOA, Welcher bazal açısı WBA, klivus kanal açısı KKA, Klaus yükseklik indeksi KYI, anterior atlanto-dental aralık AADA ve posterior atlanto dental aralık PADA içeren bilgisayarlı tomografi BT görüntüleri, 18-60 yaşları arasındaki 180 sağlıklı bireyde retrospektif olarak değerlendirilmiştir. Bulgular: Ölçüm sonuçları aşağıdaki gibi bulunmuştur: DTU 10.350.83 mm, DAPU 11,450,95 mm, DY 15,701,44 mm, DU 1,580,49 mm, AOEA 118,247,11, BOU 33,582,79 mm, AY 34,782,82 mm, AOA 1,470,29 mm, WBA, 130,415,89, KKA 160,569,94, KYI 41,453,03, AADA 1,190,48 mm ve PADA 19,471,84 mm, sağlıklı bireylerde sırasıyla, Ayrıca, DTU, DAPU, DY, BOU, AH, AADI ve PADI gibi bazı parametreler erkeklerde kadınlara göre anlamlı derecede yüksekti, DTU, DY, DU, AY ve AOA parametreleri yaşlar arasında anlamlı farklılık gösterdi, Sonuç: Kraniyovertebral bileşkenin ayrıntılı anatomik ve radyolojik bilgisi, kompleks yapısı ve kritik komşulukları nedeniyle anatomi, radyoloji, anestezi, beyin cerrahisi ve kulak burun boğaz gibi birçok klinik disiplinde önem taşır.

Makale detayları

Determination of reference values of the craniovertebral junction in healthy individuals using computed tomography

Yazarlar:

Sema Polat | Mahmut Oksüzler

Yayıncı:

Cukurova University

Ana Başlıklar:

Cerrahi (Diğer)

Dergi:

Cukurova Medical Journal Vol.50 Issue 3, pp.732-743

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357851

pISSN:

2602-3032

Atlantoaxial dislocation

craniovertebral junction

dens axisAtlantoaksiyel dislokasyon

kraniyovertebral bileşke

dens axis

Sayı

Makale detayları

Determination of reference values of the craniovertebral junction in healthy individuals using computed tomography

Yazarlar: Sema Polat | Mahmut Oksüzler

Yayıncı: Cukurova University

Ana Başlıklar: Cerrahi (Diğer)

Dergi: Cukurova Medical Journal Vol.50 Issue 3, pp.732-743

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001357851

pISSN: 2602-3032

Atlantoaxial dislocation

craniovertebral junction

dens axisAtlantoaksiyel dislokasyon

kraniyovertebral bileşke

dens axis

Sayı

Yazarlar:

Sema Polat | Mahmut Oksüzler

Yayıncı:

Cukurova University

Ana Başlıklar:

Cerrahi (Diğer)

Dergi:

Cukurova Medical Journal Vol.50 Issue 3, pp.732-743

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357851

pISSN:

2602-3032