특발성 척추측만증의 양상과 안면비대칭 양상의 연관성
- 주제(키워드) idiopathic scoliosis , facial asymmetry , Cobb's angle , whole spine anteroposterior radiography , posteroanterior cephalogram
- 발행기관 고려대학교 임상치의학대학원
- 지도교수 이동렬
- 발행년도 2010
- 학위수여년월 2010. 8
- 학위구분 석사
- 학과 임상치의학대학원 치과교정학과
- 원문페이지 21 p
- 실제URI http://www.dcollection.net/handler/korea/000000023126
- 본문언어 한국어
- 제출원본 000045611936
초록/요약
Idiopathic scoliosis is an orthopedic condition with faulty posture. It might be associated with head posture, occlusion and facial asymmetry. The aim of this study was to investigate the relaionship between idiopathic scoliosis and facial asymmetry. Null hypothesis are, first, in idiopathic scoliosis patient there is no relationship between degrees of spinal curve and degrees of facial asymmetry, and second, there is no directional correlation among curved spine, shoulder imbalance and facial asymmetry. 65 female patients were selected in this study. Inclusion and exclusion criteria were more than or equal to 13 years of age, no prior spine surgery, and no history of clinically significant pathology affecting the craniofacial region. Each subject underwent whole spine anteroposterior radiography and posteroanterior cephalogram. Spine parameter, shoulder parameter and facial parameter were measured and compared. All sujects divided into 4 groups (normal group, mild group, moderate group, severe group) by Cobb's angle. ANOVA, Multi-variate regression analysis and Overall kappa were used for statistical evaluation at P < 0.05 level From the results of parameter estimates, horizontal distance of Me from vertical reference line and angle between vertical reference line and ANS-Me line of severe group are 2.27 and 1.56 which are higher than these of normal group, respectively. The overall kappa value of mild, moderate and severe group is 0.030, 0.025, and 0.012, repectively, which means very weak directional correlation among curved spine, shoulder imbalance and facial asymmetry. In conclusion, the first null hypothesis is rejected. Degrees of facial asymmetry of severe group is larger than these of normal group. The second null hypothesis is accepted. No statistically significant correlation was found among direction of major curve, direction of shoulder imbalance and facial asymmetry.
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