{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:09Z","timestamp":1740148629538,"version":"3.37.3"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T00:00:00Z","timestamp":1642723200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003A capacidade de acesso anterior \u00e0 regi\u00e3o cervicotor\u00e1cica com base na idade e g\u00eanero do paciente e a possibilidade de varia\u00e7\u00f5es anat\u00f4micas em diferentes popula\u00e7\u00f5es geogr\u00e1ficas ainda n\u00e3o foram investigadas. O objetivo deste trabalho foi realizar uma an\u00e1lise radiogr\u00e1fica de pacientes brasileiros para avaliar a acessibilidade anterior da jun\u00e7\u00e3o cervicotor\u00e1cica conforme idade e g\u00eanero.<\/jats:p><jats:p>\n          M\u00e9todos\u2003An\u00e1lise radiogr\u00e1fica retrospectiva de 300 tomografias computadorizadas. Os pacientes foram separados por idade e g\u00eanero. Os par\u00e2metros radiogr\u00e1ficos estudados foram: n\u00edvel horizontal acima do esterno (HLS, na sigla em ingl\u00eas), angula\u00e7\u00e3o do corpo vertebral (VBA, na sigla em ingl\u00eas), linha do disco intervertebral (IDL, na sigla em ingl\u00eas) e angula\u00e7\u00e3o da linha do disco intervertebral (IDLA, na sigla em ingl\u00eas).<\/jats:p><jats:p>\n          Resultados\u2003Os HLS e IDL mais frequentes foram T2 (34,3%) e C7\u2013T1 (46%), respectivamente. Os valores m\u00e9dios de VBA e IDLA foram de 18\u2009\u00b1\u20098,94 e 19\u2009\u00b1\u20097,9 graus, respectivamente. Os homens apresentaram valores maiores de IDLA (p\u2009=\u20090,003) e VBA (p\u2009=\u20090,02). Os grupos de maior idade apresentaram valores maiores de IDLA (p\u2009=\u20090,01) e VBA (p\u2009=\u20090,001). N\u00e3o houve diferen\u00e7as de HLS entre os g\u00eaneros masculino e feminino (p\u2009=\u20090,3) ou faixas et\u00e1rias (p\u2009=\u20090,79). N\u00e3o foram observadas diferen\u00e7as na IDL entre os g\u00eaneros masculino e feminino (p\u2009=\u20090,3); entretanto, o grupo mais velho apresentou n\u00edvel mais caudal do que os grupos mais jovens (p\u2009=\u20090,12).<\/jats:p><jats:p>\n          Conclus\u00f5es\u2003Em compara\u00e7\u00e3o a outras popula\u00e7\u00f5es, nossa amostra apresentou IDL e HLS mais cef\u00e1licos. AVBA e a IDLA foram maiores no g\u00eanero masculino, enquanto VBA e IDLA foram maiores em grupos mais velhos. A IDL era mais caudal em pacientes idosos.<\/jats:p>","DOI":"10.1055\/s-0041-1740295","type":"journal-article","created":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T23:39:37Z","timestamp":1642808377000},"page":"061-068","source":"Crossref","is-referenced-by-count":0,"title":["Determina\u00e7\u00e3o da capacidade de acesso anterior \u00e0 coluna cervicotor\u00e1cica conforme idade e g\u00eanero: An\u00e1lise radiogr\u00e1fica de imagens de tomografia computadorizada"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9246-0076","authenticated-orcid":false,"given":"Rafael Lindi","family":"Sugino","sequence":"additional","affiliation":[{"name":"Divis\u00e3o de Cirurgia de Coluna, Instituto Vita, S\u00e3o Paulo, SP, Brasil"},{"name":"Divis\u00e3o de Cirurgia de Coluna, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, 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