Konik Işınlı Bilgisayarlı Tomografi ile Pontikulus Postikus’un Görülme Sıklığının Değerlendirilmesi: Pilot Çalışma
Amaç: Pontikulus postikus, içinden ver tebr al ar terin geçtiği atlasüzerinde anormal bir kemik köprüdür ve C1 lateral kitle vidası ameliyatıgeçirecek hastalarda önemli roloynamaktadır. Buçalışmanınamacı,genelpopülasyonda pontikulus postikus’un görülme sıklığı veözelliklerini saptamaktır. Gereç ve Yöntem: 108 hastanın konik ışınlıbilgisayarlı tomografi görüntüleri randomize olarak seçildi. Kesitlerincelendi. Pontikulus Postikusun normal popülasyonda görülme sıklığıbelirlendi. Bulgular: 108 hastanın 10 (% 9,2) ‘unda pontikuluspostikus belirlendi. Sonuç: Pontikulus postikus klinik olarak servikalomurga cerrahisinde önemli bir anomalidir. Bu nedenle ameliyattanönce pontikulus postikus’un görülme ihtimali akılda tutulmalıdır.
Evaluation of Ponticulus Posticus Prevalance with Cone Beam Computed Tomography: A Pilot Study
Objective:Ponticulus posticus is an abnormal bony bridge on the atlas. It plays a significant role in patients undergoing C1 lateral mass screw procedure. The purpose of the this study was to determine of the prevalence and characteristics of PP in general population. Methods: Cone beam computed tomography images was randomly selected from 108 patients. The sections were examined. The incidence of ponticulus posticus in the normal population was determined. Results: Ponticulus posticus was identified in 10 of 108 patients. Conclusion: Thus, ponticulus posticus is clinically an important anomaly for cervical spine surgery. We suggest that ponticulus posticus should be taken into account prior to cervical vertebral surgery
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- Lin JM, Hipp JA, Reitman CA. C1 lateral
mass screw placement via the posterior arch: a
technique comparison and anatomic analysis.
The Spine Journal. 2013;13(11):1549-55.
- Christensen DM, Eastlack RK, Lynch JJ,
Yaszemski MJ, Currier BL. C1 anatomy and
dimensions relative to lateral mass screw placement.
Spine. 2007;32(8):844-8.
- Ahmad FU, Wang MY. Lateral mass of C1
fixation and ponticulus-posticus. World Neurosurg.
2014;82(1-2):e145-e6.
- Lee MJ, Cassinelli E, Riew KD. The feasibility
of inserting atlas lateral mass screws via the
posterior arch. Spine. 2006;31(24):2798-801.
- Zhang X-L, Huang D-G, Wang X-D, Zhu JW,
Li Y-B, He B-R, et al. The feasibility of inserting
a C1 pedicle screw in patients with ponticulus
posticus: a retrospective analysis of eleven
patients. European Spine Journal. 2016
- Pérez IE, Chávez AK. Frequency of Ponticulus
Posticus, Sella Turcica Bridge and Clinoid
Enlargement in Cleft Lip and Palate Peruvian
Patients: A Comparative Study with Non-Cleft
Patients. International Journal of Morphology.
2015;33(3):895- 901.
- Sekerci AE, Soylu E, Arikan MP, Ozcan G,
Amuk M, Kocoglu F. Prevalence and Morphologic
Characteristics of Ponticulus Posticus:
Analysis Using Cone-Beam Computed Tomography.
Journal of Chiropractic Medicine.
2015;14(3):153-61.
- Schilling J, Schilling A, Galdames IS. Ponticulus
posticus on the posterior arch of atlas,
prevalence analysis in asymptomatic patients.
Int J Morphol. 2010;28(1):317-22.
- Terzi R, Özer T. Vertebrobaziler yetmezlik
bulguları ile semptomatik Kimmerle anomalisi:
Olgu sunumu. Turkish Journal of Physical Medicine
& Rehabilitation/Turkiye Fiziksel Tip ve
Rehabilitasyon Dergisi. 2016;62(2).
- Sharma V, Chaudhary D, Mitra R. Prevalence
of ponticulus posticus in Indian orthodontic patients.
Dentomaxillofacial Radiology. 2010;39
(5):277-83.
- Mudit G, Srinivas K, Sateesha R. Retrospective
Analysis of Ponticulus Posticus in Indian
Orthodontic Patients- A Lateral Cephalometric
Study. Ethiopian Journal of Health Sciences.
2014;24(4):285.
- Bayrakdar IS, Miloglu O, Altun O, Gumussoy
I, Durna D, Yilmaz AB. Cone beam
computed tomography imaging of ponticulus
posticus: Prevalence, characteristics, and a review
of the literature. Oral surgery, oral medicine,
oral pathology and oral radiology.
2014;118(6):e210-e9.
- Cho YJ. Radiological Analysis of Ponticulus
Posticus in Koreans. Yonsei Medical Journal.
2009;50(1):45.
- Gibelli D, Cappella A, Cerutti E, Spagnoli L,
Dolci C, Sforza C. How frequent is ponticulus
posticus in italian people? A lateral cephalometric
study in an orthodontic population. Italian
Journal of Anatomy and Embryology.
2015;120(1):34.