Literature DB >> 35088221

Prevalence of ponticulus posticus on the posterior arch of the atlas in symptomatic and asymptomatic patients.

Mohammed Najmuddin1.   

Abstract

OBJECTIVE: To calculate the prevalence of ponticulus posticus and its association with headache.
METHODS: The presence and types of ponticulus posticus were investigated on 640 digital lateral cephalograms. Patients with complete or partial ponticulus posticus were further evaluated and questioned for a history of cervicogenic headache. Dissemination of attain values was analyzed using a Chi-Square test, and p values < 0.05 were considered statistically significant.
RESULTS: The prevalence of ponticulus posticus in our study was 9.8%, with complete form in 45 (7%) patients of which 29 (64.5%) were male and 16 (35.5%) were female. Partial ponticulus posticus was found in 18 (2.8%) of patients, of which 12 (66.6%) patients were male and six (33.33%) were female. In patients with the complete form of ponticulus posticus, 37 (82.22%) were symptomatic. Among these 37 patients, 22 (59.45%) were male and 15 (40.54%) were female. In complete ponticulus posticus patients, symptoms were slightly worse in males than females. Whereas in partial ponticulus posticus, 13 (72.22%) patients were found to be symptomatic. Of these 13 patients, seven (53.84%) were male and six (46.15%) were female. Of the 72 patients with a history of cervical pain, 50 (69.44%) showed ponticulus posticus on a lateral cephalogram. Of the 568 patients with no history of cervical pain, only 13 (2.2%) showed ponticulus posticus on the lateral cephalogram.
CONCLUSION: This study examination showed that ponticulus posticus is a common anatomic variation often associated with tension-type headaches.
© 2021. The Author(s) under exclusive licence to Japanese Society for Oral and Maxillofacial Radiology.

Entities:  

Keywords:  Atlantoaxial instability; Atlas vertebrae; Headache; Lateral cephalogram; Ponticulus posticus

Mesh:

Year:  2022        PMID: 35088221     DOI: 10.1007/s11282-021-00583-x

Source DB:  PubMed          Journal:  Oral Radiol        ISSN: 0911-6028            Impact factor:   1.882


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