Cranio-cervical abnormalities in moderate-to-severe osteogenesis imperfecta - Genotypic and phenotypic determinants.

cone-beam computed tomography cranio-cervical abnormalities genotypic and phenotypic determinants osteogenesis imperfecta

Journal

Orthodontics & craniofacial research
ISSN: 1601-6343
Titre abrégé: Orthod Craniofac Res
Pays: England
ID NLM: 101144387

Informations de publication

Date de publication:
29 Aug 2023
Historique:
revised: 11 08 2023
received: 16 06 2023
accepted: 16 08 2023
medline: 29 8 2023
pubmed: 29 8 2023
entrez: 29 8 2023
Statut: aheadofprint

Résumé

Cranio-cervical anomalies are significant complications of osteogenesis imperfecta (OI), a rare bone fragility disorder that is usually caused by mutations in collagen type I encoding genes. To assess cranio-cervical anomalies and associated clinical findings in patients with moderate-to-severe OI using 3D cone beam computed tomography (CBCT) scans. Cross-sectional analysis of CBCT scans in 52 individuals with OI (age 10-37 years; 32 females) and 40 healthy controls (age 10-32 years; 26 females). Individuals with a diagnosis of OI type III (severe, n = 11), type IV (moderate, n = 33) and non-collagen OI (n = 8) were recruited through the Brittle Bone Disorders Consortium. Controls were recruited through the orthodontic clinic of the University of Missouri-Kansas City (UMKC). OI and control groups were similar in mean age (OI: 18.4 [SD: 7.2] years, controls: 18.1 [SD: 6.3] years). The cranial base angle was increased in the OI group (OI: mean 148.6° [SD: 19.3], controls: mean 130.4° [SD: 5.7], P = .001), indicating a flatter cranial base. Protrusion of the odontoid process into the foramen magnum (n = 7, 14%) and abnormally located odontoid process (n = 19, 37%) were observed in the OI group but not in controls. Low stature, expressed as height z-score (P = .01), presence of DI (P = .04) and being male (P = .04) were strong predictors of platybasia, whereas height z-score (P = .049) alone was found as positive predictor for basilar impression as per the Chamberlain measurement. The severity of the phenotype in OI, as expressed by the height z-score, correlates with the severity of cranial base anomalies such as platybasia and basilar impression in moderate-to-severe OI. Screening for cranial base anomalies is advisable in individuals with moderate-to-severe OI, with special regards to the individuals with a shorter stature and DI.

Identifiants

pubmed: 37642979
doi: 10.1111/ocr.12707
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA
Organisme : The Brittle Bone Disease Consortium

Investigateurs

Brendan Lee (B)
V Reid Sutton (VR)
Sandesh C S Nagamani (SCS)
Frank Rauch (F)
Francis Glorieux (F)
Jean-Marc Retrouvey (JM)
Janice Lee (J)
Paul Esposito (P)
Maegen Wallace (M)
Michael Bober (M)
David Eyre (D)
Danielle Gomez (D)
Gerald Harris (G)
Tracy Hart (T)
Mahim Jain (M)
Deborah Krakow (D)
Jeffrey Krischer (J)
Eric Orwoll (E)
Lindsey Nicol (L)
Cathleen Raggio (C)
Peter Smith (P)
Laura Tosi (L)

Informations de copyright

© 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

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Auteurs

Juliana Marulanda (J)

Shriners Hospital for Children, Montreal, Quebec, Canada.
Department of Pediatrics, McGill University, Montreal, Quebec, Canada.

Jean-Marc Retrouvey (JM)

University of Missouri-Kansas City, Kansas City, Missouri, USA.

Brendan Lee (B)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.

V Reid Sutton (VR)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.

Frank Rauch (F)

Shriners Hospital for Children, Montreal, Quebec, Canada.
Department of Pediatrics, McGill University, Montreal, Quebec, Canada.

Michelle Briner (M)

University of Missouri-Kansas City, Kansas City, Missouri, USA.

Classifications MeSH