The effect of Scheuermann's kyphosis on rib cage morphology: A skeletal study.

Hyperkyphosis Scheuermann's kyphosis rib cage rib length rib shape

Journal

Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft
ISSN: 1618-0402
Titre abrégé: Ann Anat
Pays: Germany
ID NLM: 100963897

Informations de publication

Date de publication:
23 Oct 2024
Historique:
received: 18 08 2024
revised: 17 10 2024
accepted: 20 10 2024
medline: 26 10 2024
pubmed: 26 10 2024
entrez: 25 10 2024
Statut: aheadofprint

Résumé

Evolutionary changes in human rib cage morphology rendered it prone to pathologies like Scheuermann's kyphosis (SK). However, the impact of SK on rib cage morphology is unclear. This study aimed to examine differences in rib cage morphology (e.g., ribs and sternum) between SK patients and a control group. Measurements of the vertebral body, transverse process angle, sternum, and rib size were taken from the skeletons of SK patients (76) and a control group (96). Statistical tests were carried out to examine differences between the study and control groups and between the right and left sides. Correlations were obtained to examine the associations between the extent of the kyphosis (kyphosis angle) and rib cage variables. The SK group yielded significantly longer and flatter ribs than the control group in both sexes. However, males had the largest differences in the 9 SK affects the morphology of the entire thorax and changes rib proportions similarly in males and females. These changes might have a role in bipedal stability and locomotion efficiency. Moreover, understanding the unique anatomy of SK patients is essential when performing an anterior release and anterior fusion operative approach. Finally, it provides insights into respiratory complications and poor prognosis related to individuals suffering from severe hyperkyphosis.

Sections du résumé

BACKGROUND BACKGROUND
Evolutionary changes in human rib cage morphology rendered it prone to pathologies like Scheuermann's kyphosis (SK). However, the impact of SK on rib cage morphology is unclear.
PURPOSE OBJECTIVE
This study aimed to examine differences in rib cage morphology (e.g., ribs and sternum) between SK patients and a control group.
METHODS METHODS
Measurements of the vertebral body, transverse process angle, sternum, and rib size were taken from the skeletons of SK patients (76) and a control group (96). Statistical tests were carried out to examine differences between the study and control groups and between the right and left sides. Correlations were obtained to examine the associations between the extent of the kyphosis (kyphosis angle) and rib cage variables.
RESULTS RESULTS
The SK group yielded significantly longer and flatter ribs than the control group in both sexes. However, males had the largest differences in the 9
DISCUSSION AND CONCLUSIONS CONCLUSIONS
SK affects the morphology of the entire thorax and changes rib proportions similarly in males and females. These changes might have a role in bipedal stability and locomotion efficiency. Moreover, understanding the unique anatomy of SK patients is essential when performing an anterior release and anterior fusion operative approach. Finally, it provides insights into respiratory complications and poor prognosis related to individuals suffering from severe hyperkyphosis.

Identifiants

pubmed: 39454838
pii: S0940-9602(24)00140-7
doi: 10.1016/j.aanat.2024.152348
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

152348

Informations de copyright

Copyright © 2024. Published by Elsevier GmbH.

Déclaration de conflit d'intérêts

Declaration of Competing Interest Smadar Peleg, Ruth Pelleg-Kallevag, Gali Dar, Nili Steinberg, Ziv Lenzner and Hila May, declare that they have no conflict of interest.

Auteurs

Smadar Peleg (S)

Biomechanics Laboratory, Faculty of Sports and Movement Sciences, Levinsky-Wingate Academic College (Wingate Campus), Netanya, Israel. Electronic address: smadarp13@gmail.com.

Ruth Pelleg Kallevag (RP)

Department of Anatomy and Anthropology, Faculty of Medicine and Health Sciences, Tel Aviv University, Tel Aviv, Israel; The Dan David Center for Human Evolution and Biohistory Research, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel; Department of Physical Therapy, Zefat Academic College, Zefat, Israel.

Gali Dar (G)

Department of Physical Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa, Israel.

Nili Steinberg (N)

Applied Anatomy Laboratory, Faculty of Sports and Movement Sciences, Levinsky-Wingate Academic College (Wingate Campus), Netanya, Israel.

Ziv Lenzner (Z)

Academy of Arts and Design Bezalel, Jerusalem.

Hila May (H)

The Dan David Center for Human Evolution and Biohistory Research, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel; Department of Physical Therapy, Zefat Academic College, Zefat, Israel. Electronic address: mayhila@tauex.tau.ac.il.

Classifications MeSH