Sağlıklı yetişkinlerde servikal spinal kord, spinal kanal ve intervertebral disk morfometrisinin radyolojik ve anatomik değerlendirmesi

Yıl 2023, Cilt: 48 Sayı: 4, 1310 - 1321, 29.12.2023

Sema Özandaç Polat Mahmut Oksüzler Fatma Yasemin Öksüzler Pınar Göker

https://doi.org/10.17826/cumj.1367418

Öz

Amaç: Bu çalışmada, sağlıklı bireylere ait servikal spinal kord, spinal kanal ve discus intervertebralis morfometrisinin normal değerlerini değerlendirmek amaçlandı
Gereç ve Yöntem: Sağlıklı 83 bireyin regio cervicalis manyetik rezonans görüntüleri retrospektif olarak incelendi. Her bir corpus vertebrae anterior ve posterior yüksekliği, C3-T1 arasındaki her bir discus intervertebralis anterior ve posterior yüksekliği, spinal kanal ve spinal kord çapları ölçülmüştür. Ayrıca, corpus vertebra (vertebrae cervicales) ve discus intervertebralis yükseklik oranları hesaplanmıştır.
Bulgular: C1'den C7'ye kadar spinal kord çapları açısından cinsiyetler arasında anlamlı fark bulunmazken, C1'den C4'e kadar spinal kanal çapları açısından cinsiyetler arasında anlamlı fark vardı. C3 seviyesinden C7 seviyesine kadar anterior ve posterior corpus vertebrae yüksekliği açısından cinsiyetler arasında anlamlı farklılıklar vardı. Ayrıca, C3-4'ten C7-T1 seviyesine kadar (C6-7 discus intervertebralis anterior yükseklik hariç) anterior ve posterior discus intervertebralis yükseklik açısından cinsiyetler arasında anlamlı farklılıklar bulundu..
Sonuç: Regio cervicalis konumu, cerrahi önemi, çok sayıda yaralanmaya maruz kalması gibi nedenlerle klinik olarak önemli bir yapı olduğunu vurgulamak isteriz. Cinsiyet, öncelikle spinal kanal morfometrisinde önemli bir rol oynarken, bunu corpus vertebrae ve discus intervertebralis yükseklik parametreleri takip eder.

Anahtar Kelimeler

Servikal omurga, spinal kord, spinal kanal, intervertebral disk

Etik Beyan

Etik kurul izin belgesi ektedir.

Radiological and anatomical evaluation of the cervical spinal cord, spinal canal, and intervertebral disc morphometry in healthy adults

Öz

Purpose: The aim of this study was to examine the normal values of the cervical spinal cord, spinal canal, and intervertebral disc morphometry of healthy subjects in this study
Materials and Methods: Cervical magnetic resonance imaging of 83 healthy subjects were examined retrospectively. The anterior and posterior height of each cervical vertebra body, anterior and posterior height of each intervertebral disc between C3-T1, and spinal canal and cord diameters were measured. Additionally, the height ratios of the cervical vertebra body and intervertebral disc were calculated.
Results: There was no significant difference between genders in spinal cord diameters from C1 to C7, whereas there was a significant difference between genders in spinal canal diameters from C1 to C4. There were significant differences between genders in terms of anterior and posterior vertebral body height from C3 to C7 level. Moreover, significant differences between genders in terms of anterior and posterior intervertebral height from C3-4 to C7-T1 level (except C6-7 intervertebral anterior height) were found.
Conclusion: We would like to stress that the cervical region is a clinically important structure because of its location, surgical importance, its exposure to a large number of injuries, Gender plays the most important role in spinal canal morphometry, following vertebral

Anahtar Kelimeler

Cervical spine, Spinal cord, Spinal canal, Intervertebral disk

Kaynakça

• Kaiser JT, Reddy V, Lugo-Pico JG. Anatomy, Head and Neck: Cervical Vertebrae. In StatPearls. Treasure Island (FL), StatPearls Publishing, 2022.
• Arıncı K, Elhan A. Anatomi., 7.Baskı. Ankara, Güneş Kitabevi, 2021.
• Waxenbaum JA, Reddy V, Black AC, Futterman B. Anatomy, Back, Cervical Vertebrae. In StatPearls. Treasure Island (FL), StatPearls Publishing, 2023.
• Barut Ç, Sevinç Ö, İş M, Arifoğlu Y. Alt servikal bölgede vertebra ve disk morfometrisinin değerlendirilmesi. Cerrahpasa Med J. 2008;39:111-6.
• Dağ N, Erdoğan K.N., Cansız MS, Öztürk M. Morphometric analysis of cervical spinal cord and spinal canal with magnetic resonance imaging in Turkish adults. J Contemp Med. 2021;11:811-5.
• Cael C. Ergun N. Çev.Edi. Fonskiyonel Anatomi. Manuel Terapistler için Muskuloskeletal Anatomi, Kinezyoloji ve Palpasyon. İstanbul, Nobel Tıp Kitabevleri. 2.Baskı. 2021.
• Sisodia PK, Jaiswal D, Sushma BJ. Study on morphometric analysis of cervical canal using computerized tomography (CT) scan. Journal of Cardiovascular Disease Research. 2022;13:1126-32.
• Oyakhire MO, Harcourt LS, Adheke OM. Morphometrıc study of cervical vertebra of a Nigerian population towards correcting cervial instabilities. European Journal of Biomedical and Pharmaceutical Sciences. 2023;10:261-7.
• Goh S, Tan C, Price RI, Edmondston SJ, Song S, Davis S, Singer KP. Influence of age and gender on thoracic vertebral body shape and disc degeneration: an MR investigation of 169 cases. J Anat. 2000;4:647-57.
• Hirsch C. The reaction of intervertebral discs to compression forces. J Bone Joint Surg Am. 1955;37:1188-96.
• Virgin WJ. Experimental investigations into the physical properties of the intervertebral disc. J Bone Joint Surg Br. 1951;33:607-11.
• Ulbrich EJ, Schraner C, Boesch C, Hodler J, Busato A, Anderson SE et al. Normative MR cervical spinal canal dimensions. Radiology. 2014;271:172-82.
• Jee K, Yadav Y, Kaul NV, Pant H. Morphometric analysis of the cervical canal using computed tomography scan among patients with neck pain in North India. Cureus. 2022;14:e25466.
• Morishita Y, Naito M, Hymanson H, Miyazaki M, Wu G, Wang JC. The relationship between the cervical spinal canal diameter and the pathological changes in the cervical spine. Eur Spine J. 2009;18:877-83.
• Matveeva N, Janevski P, Nakeva Janevski N, Zhivadinovik Bogdanovska J, Dodevski A. Morphometric analysis of the cervical spinal canal on MRI. Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2013;34:97-103.
• Kameyama T, Hashizume Y, Ando T, Takahashi A. Morphometry of the normal cadaveric cervical spinal cord. Spine. 1994;19:2077–81.
• Ros L, Mota J, Guedea A, Bidgood D. Quantitative measurements of the spinal cord and canal by MR imaging and myelography. Eur Radiol. 1998;8:966–70.
• Karakaş P, Bozkır MG. Reference values for radiologic evaluation of cervical canal, vertebral body, and Torg Pavlov Ratio. Neurosurg Q. 2007;17:291-3.
• Zhang L, Chen HB, Wang Y, Zhang LY, Liu JC, Wang ZG. Cervical spinal canal narrowing and cervical neurological injuries. Chin J Traumatol. 2012;15:36-41.
• Okada Y, Ikata T, Katoh S, Yamada H. Morphologic analysis of the cervical spinal cord, dural tube, and spinal canal by magnetic resonance imaging in normal adults and patients with cervical spondylotic myelopathy. Spine (Phila Pa 1976). 1994;19:2331-5.
• Prasad SS, O’Malley M, Caplan M, Shackleford IM, Pydisetty RK. MRI measurements of the cervical spine and their correlation to Pavlov’s ratio. Spine. 2003;28:1263-8.
• Panjabi MM, Goel V, Oxland T, Takata K, Duranceau J, Krag M et al. Human lumbar vertebrae. Quantitative three-dimensional anatomy. Spine (Phila Pa 1976). 1992;17:299-306.
• Aydınlıoğlu A. Discus intervertebralis: Değişen fonksiyonel özellikler (III). Van Tıp Dergisi. 1998;5:106-10.
• Cheng XG, Sun Y, Boonen S, Nicholson PHF, Brys P, Dequeker J et al. Measurements of vertebral shape by radiographic morphometry: sex differences and relationships with vertebral level and lumbar lordosis. Skeletal Radiol. 1998;27:380-4.
• Datta S, Lee M, Falco FJ, Bryce DA, Hayek SM. Systematic assessment of diagnostic accuracy and therapeutic utility of lumbar facet joint interventions. Pain Physician. 2009;12:437-60.
• Delitto A, George SZ, Dillen VL, Whitman JM, Sowa G, Shekelle P et al. Low back pain. J Orthop Sports Phys Ther. 2012;42:A1-57.
• Liu X, Jin L, Jiang C, Jiang X, Chen Z, Cao Y. Characteristics of cervical intervertebral disc signal intensity: an analysis of T2-weighted magnetic resonance imaging in 5843 asymptomatic Chinese subjects. Eur Spine J. 2023;32:2415-24.
• Abuzayed B, Tutunculer B, Kucukyuruk B, Tuzgen, S. Anatomic basis of anterior and posterior instrumentation of the spine: morphometric study. Surg Radiol Anat. 2010:32:75-85.
• Bazaldúa Cruz JJ, González Larios A, Gómez Sánchez A, Villarreal Silva EE, Velázquez Gauna SE, Sánchez Uresti AS et al. Morphometric study of cervical vertebrae C3-C7 in a population from Northeastern Mexico. Int J Morphol. 2011:29:325-30.
• Mahto AK, Omar S. Clinico-anatomical approach for instrumentation of the cervical spine: a morphometric study on typical cervical vertebrae. Int J Sci Study. 2015;3:143-5.
• Desdicioglu K, Öztürk K, Çizmeci G, Malas M. Morphometric investigation of anatomic structures of vertebras and clinical evaluation: an anatomical study. SDU Sağlık Bilimleri Dergisi. 2017;8:16-20.
• Prabavathy G, Philip XC, Arthi G, Sadeesh T. Morphometric study of cervical vertebrae C3-C7 in South Indian population-a clinicoanatomical approach. Ital J Anat Embryol. 2017;122:49-57.
• Rao EVK, Rao BS, Vinila BHS. Morphometric analysis of typical cervical vertebrae and their clinical implications: a cross sectional study. Int J Anat Res. 2016;4:2988-92.
• Polat S, Göker P, Yücel AH, Bozkır MG. Morphometric study of dried cervical vertebrae. Int J Morphol. 2019;37:845-51.