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Wu WL, Shao XB, Shen YG, Chen JS, Shu Q. Sex-specific differences in ossification patterns of the atlas and axis: a computed tomography study. World J Pediatr 2022; 18:263-270. [PMID: 35217985 DOI: 10.1007/s12519-022-00523-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 01/25/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND We investigated the sex-specific differences in ossification patterns of the first two cervical vertebrae in Chinese children. METHODS A retrospective computed tomography (CT) study was performed between June 2016 and December 2020. Patients younger than 16 years with cervical CT images acquired ≤ 1.5 mm slice thickness were included. All eligible patients were stratified into 2 sex groups and 16 age groups based on 1-year intervals. The ossification status of each synchondrosis and ossification variants were evaluated. RESULTS A total of 910 subjects (518 males and 392 females) were included in the study. For the C1 vertebra, the neurocentral synchondroses closed at a median age of 8 years in males and 6.3 years in females, and the posterior synchondrosis fused at 5.4 years in males and at 4.4 years in females. Multifocal anterior arch ossification centers were present in 74 of 411 (18%) subjects, whereas posterior arch variants were observed in 18 of 258 (7%) subjects. For the C2 vertebra, the sequence of complete fusion was as follows: posterior synchondrosis, neurocentral synchondroses, and dentoneural synchondrosis. Uniquely, a fusion line was observed in the dentocentral synchondrosis through adolescence. Anterior arch variants of the C2 vertebra occurred in 17 of 248 (6.9%) subjects. There was no significant difference between the sexes in ossification variants. CONCLUSIONS All synchondroses of the first two cervical vertebrae fuse slightly earlier in females. The sequence of fusion follows a posterior-to-anterior and caudal-to-cephalad pattern in both sexes. Congenital variants are not rare and should not be confused with trauma.
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Affiliation(s)
- Wei-Liang Wu
- Department of Orthopedic Surgery, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Xiao-Bo Shao
- Department of Orthopedic Surgery, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Yi-Guo Shen
- Department of Orthopedic Surgery, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Jian-Song Chen
- Department of Orthopedic Surgery, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Qiang Shu
- Department of Cardiac Surgery, Children's Hospital, Zhejiang University School of Medicine, Administrative Building, No. 3333 Binsheng Road, Hangzhou 310052, China.
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Rosas A, Ríos L, Estalrrich A, Liversidge H, García-Tabernero A, Huguet R, Cardoso H, Bastir M, Lalueza-Fox C, de la Rasilla M, Dean C. The growth pattern of Neandertals, reconstructed from a juvenile skeleton from El Sidrón (Spain). Science 2018; 357:1282-1287. [PMID: 28935804 DOI: 10.1126/science.aan6463] [Citation(s) in RCA: 42] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Accepted: 07/27/2017] [Indexed: 11/02/2022]
Abstract
Ontogenetic studies help us understand the processes of evolutionary change. Previous studies on Neandertals have focused mainly on dental development and inferred an accelerated pace of general growth. We report on a juvenile partial skeleton (El Sidrón J1) preserving cranio-dental and postcranial remains. We used dental histology to estimate the age at death to be 7.7 years. Maturation of most elements fell within the expected range of modern humans at this age. The exceptions were the atlas and mid-thoracic vertebrae, which remained at the 5- to 6-year stage of development. Furthermore, endocranial features suggest that brain growth was not yet completed. The vertebral maturation pattern and extended brain growth most likely reflect Neandertal physiology and ontogenetic energy constraints rather than any fundamental difference in the overall pace of growth in this extinct human.
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Affiliation(s)
- Antonio Rosas
- Paleoanthropology Group, Department of Paleobiology, Museo Nacional de Ciencias Naturales (MNCN)-Consejo Superior de Investigaciones Científicas (CSIC), Calle José Gutiérrez Abascal 2, 28006 Madrid, Spain.
| | - Luis Ríos
- Paleoanthropology Group, Department of Paleobiology, Museo Nacional de Ciencias Naturales (MNCN)-Consejo Superior de Investigaciones Científicas (CSIC), Calle José Gutiérrez Abascal 2, 28006 Madrid, Spain.,Department of Physical Anthropology, Aranzadi Society of Sciences, Zorroagagaina 11, 20014 Donostia-San Sebastián, Gipuzkoa, Spain
| | - Almudena Estalrrich
- Paleoanthropology Group, Department of Paleobiology, Museo Nacional de Ciencias Naturales (MNCN)-Consejo Superior de Investigaciones Científicas (CSIC), Calle José Gutiérrez Abascal 2, 28006 Madrid, Spain.,Department of Paleoanthropology, Senckenberg Research Institute and Natural History Museum Frankfurt, Senckenberganlage 25, 60325 Franckfurta, Germany
| | - Helen Liversidge
- Queen Mary University of London, Institute of Dentistry, Turner Street, London E1 2AD, UK
| | - Antonio García-Tabernero
- Paleoanthropology Group, Department of Paleobiology, Museo Nacional de Ciencias Naturales (MNCN)-Consejo Superior de Investigaciones Científicas (CSIC), Calle José Gutiérrez Abascal 2, 28006 Madrid, Spain
| | - Rosa Huguet
- Institut Català de Paleoecologia Humana i Evolució Social-Unidad Asociada al CSIC, Campus Sescelades (Edifici W3), Universitat Rovira i Virgili, Carrer Marcel.lí Domingo s/n, 43007 Tarragona, Spain
| | - Hugo Cardoso
- Department of Archaeology, Simon Fraser University, Burnaby, British Columbia V5A1S6, Canada
| | - Markus Bastir
- Paleoanthropology Group, Department of Paleobiology, Museo Nacional de Ciencias Naturales (MNCN)-Consejo Superior de Investigaciones Científicas (CSIC), Calle José Gutiérrez Abascal 2, 28006 Madrid, Spain
| | - Carles Lalueza-Fox
- Institute of Evolutionary Biology (CSIC-Universitat Pompeu Fabra), Carrer Dr. Aiguader 88, 08003 Barcelona, Spain
| | - Marco de la Rasilla
- Área de Prehistoria Departamento de Historia, Universidad de Oviedo, Calle Teniente Alfonso Martínez s/n, 33011 Oviedo, Spain
| | - Christopher Dean
- Department of Cell and Developmental Biology, University College London, Gower Street, London WC1E 6BT, UK
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Baumgart M, Wiśniewski M, Grzonkowska M, Małkowski B, Badura M, Szpinda M. Morphometric study of the neural ossification centers of the atlas and axis in the human fetus. Surg Radiol Anat 2016; 38:1205-1215. [PMID: 27142660 PMCID: PMC5104794 DOI: 10.1007/s00276-016-1681-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2016] [Accepted: 04/25/2016] [Indexed: 11/16/2022]
Abstract
Purposes The knowledge of the developing cervical spine and its individual vertebrae, including their neural processes may be useful in the diagnostics of congenital vertebral malformations. This study was performed to quantitatively examine the neural ossification centers of the atlas and axis with respect to their linear, planar and volumetric parameters. Methods Using the methods of CT, digital-image analysis and statistics, the size of neural ossification centers in the atlas and axis in 55 spontaneously aborted human fetuses aged 17–30 weeks was studied. Results Without any male–female and right–left significant differences, the best fit growth dynamics for the neural ossification centers of the atlas and axis were, respectively, modelled by the following functions: for length: y = −13.461 + 6.140 × ln(age) ± 0.570 and y = −15.683 + 6.882 × ln(age) ± 0.503, for width: y = −4.006 + 1.930 × ln(age) ± 0.178 and y = −3.054 + 1.648 × ln(age) ± 0.178, for cross-sectional area: y = −7.362 + 0.780 × age ± 1.700 and y = −9.930 + 0.869 × age ± 1.911, and for volume: y = −6.417 + 0.836 × age ± 1.924 and y = −11.592 + 1.087 × age ± 2.509. Conclusions The size of neural ossification centers of the atlas and axis shows neither sexual nor bilateral differences. The neural ossification centers of the atlas and axis grow logarithmically in both length and width and linearly in both cross-sectional area and volume. The numerical data relating to the size of neural ossification centers of the atlas and axis derived from the CT and digital-image analysis are considered specific-age reference values of potential relevance in both the ultrasound monitoring and the early detection of spinal abnormalities relating to the neural processes of the first two cervical vertebrae in the fetus.
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Affiliation(s)
- Mariusz Baumgart
- Department of Normal Anatomy, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń, Łukasiewicza 1 Street, 85-821, Bydgoszcz, Poland
| | - Marcin Wiśniewski
- Department of Normal Anatomy, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń, Łukasiewicza 1 Street, 85-821, Bydgoszcz, Poland
| | - Magdalena Grzonkowska
- Department of Normal Anatomy, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń, Łukasiewicza 1 Street, 85-821, Bydgoszcz, Poland
| | - Bogdan Małkowski
- Department of Positron Emission Tomography and Molecular Imaging, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń, Łukasiewicza 1 Street, 85-821, Bydgoszcz, Poland
| | - Mateusz Badura
- Department of Normal Anatomy, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń, Łukasiewicza 1 Street, 85-821, Bydgoszcz, Poland
| | - Michał Szpinda
- Department of Normal Anatomy, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń, Łukasiewicza 1 Street, 85-821, Bydgoszcz, Poland.
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Baumgart M, Wiśniewski M, Grzonkowska M, Małkowski B, Badura M, Dąbrowska M, Szpinda M. Digital image analysis of ossification centers in the axial dens and body in the human fetus. Surg Radiol Anat 2016; 38:1195-203. [PMID: 27130209 DOI: 10.1007/s00276-016-1679-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2016] [Accepted: 04/22/2016] [Indexed: 11/23/2022]
Abstract
Purposes The detailed understanding of the anatomy and timing of ossification centers is indispensable in both determining the fetal stage and maturity and for detecting congenital disorders. This study was performed to quantitatively examine the odontoid and body ossification centers in the axis with respect to their linear, planar and volumetric parameters. Methods Using the methods of CT, digital image analysis and statistics, the size of the odontoid and body ossification centers in the axis in 55 spontaneously aborted human fetuses aged 17–30 weeks was studied. Results With no sex difference, the best fit growth dynamics for odontoid and body ossification centers of the axis were, respectively, as follows: for transverse diameter y = −10.752 + 4.276 × ln(age) ± 0.335 and y = −10.578 + 4.265 × ln(age) ± 0.338, for sagittal diameter y = −4.329 + 2.010 × ln(age) ± 0.182 and y = −3.934 + 1.930 × ln(age) ± 0.182, for cross-sectional area y = −7.102 + 0.520 × age ± 0.724 and y = −7.002 + 0.521 × age ± 0.726, and for volume y = −37.021 + 14.014 × ln(age) ± 1.091 and y = −37.425 + 14.197 × ln(age) ± 1.109. Conclusions With no sex differences, the odontoid and body ossification centers of the axis grow logarithmically in transverse and sagittal diameters, and in volume, while proportionately in cross-sectional area. Our specific-age reference data for the odontoid and body ossification centers of the axis may be relevant for determining the fetal stage and maturity and for in utero three-dimensional sonographic detecting segmentation anomalies of the axis.
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