BibTex RIS Cite

Torokal ve Lumbal Vertebraların Morfometrik Olarak İncelenmesi

Year 2017, Volume: 27 Issue: 4, 115 - 120, 01.12.2017

Işık Tuncer

Abstract

Amaç: Çalışmamız, lumbal ve torokal vertebraların morfometrik özelliklerinin belirlenmesi amacıyla düzenlenmiştir.Gereç ve Yöntem: Bu çalışmada, Anatomi Anabilim Dalı'nda bulunan 103 torokal ve 53 lumbal vertebra kullanıldı.Bulgular: Yapılan çalışmada, korpusun arka yüksekliği; ortalama torokallerde 18,96 ± 2,68 mm, lumballerde 25,33 ± 2,69 mm , korpusun ön yüksekliği ortalama torokallerde 19,29 ± 2,75 mm lumballerde 25,24 ± 2,51 mm , pedikül genişliği; ortalama torokallerde 27,17 ± 5,50 mm, lumballerde 31,84 ± 4,19 mm pedikül yüksekliği; ortalama torokallerde12,67±2,43mm, lumballerde 13,54 ± 2,08mm , korpusun sagittal çapı ortalama torokallerde 15,30 ± 2,54 mm, lumballerde 15,08 ± 2,12 mm , korpusun transvers çapı ortalama torokallerde 33,31 ± 5,62 mm, lumballerde 48,53 ± 6,86 mm foramen vertebrale transvers çapı ortalama torokallerde 20,38 ± 3,10 mm, lumballerde 23,13 ± 2,50 mm foramen vertebralenin sagittal çapı ortalama torokallerde 7,83 ±4,40mm, lumballerde 11,86 ± 5,00 mm olarak tespit edilmiştir.Sonuç: Omurgaya yönelik cerrahi girişimlerde anomalilerin, morfometrik ölçümlerdeki değişkenliklerin ve ortalama değerlerinin bilinmesi mortalite ve morbiditeyi azaltacaktır

Keywords

Omur morfometri erişkin

References

  • Dere F.Anatomi 3nd ed. Adana 1994; 125.
  • Odar IV. Anatomi Ders Kitabı Cilt 1 AÜ Tıp Fakültesi Yayınları Ankara 1980.
  • Çimen A. Anatomi Uludağ Üniversitesi Basımevi Bursa 1987.
  • Williams PL, Warwick R. Gray's Anatomi 36nd ed. Churcill Livingstone, Edinburgh 1980 ; 275-7.
  • Varol T, İyem C, Cezayirli E, ve ark.Comparative morpho- metry of the lower lumbar vertebrae:computed tomograp- hy images of patients with and without low back pain. The journal of international Medical Research 2006;34:316-30.
  • Clark GA, Panjabi MM, Wetzel FT. Can infant malnitrition cause adult vertebral stenosis? Spine 1985; 10: 165-70.
  • Porter RW, Pavitt D. The vertebral canal: I Nutrition and de- velopment, an archeological study. Spine 1987 ; 12 : 901-6.
  • Afshani E, Khun J. Common causes of low back pain in children. Radiographics 1991; 11: 269-91.
  • Porter RW, Oakshott G. Spinal stenosis and health status. Spine 1994; 19: 901-3.
  • Porter RW, Hibbert CS, Wicks M. The spinal canal in sy- mptomatic lumbar disc lesions. J Bone Joint Surg Br 1978; 60 :485-487.
  • Hurme M, Alaranta H, Aalto T. Lumbar spinal canal size of sciatica patients. Acta Radiol 1989 ; 30: 353-7.
  • Epstein BS, Epstein JA, Jones MD. Lumbar spinal stenosis. Radiol Clin North Am 1977 ;15: 227-39.
  • Modic MT, Masaryk T, Boumphry F. Lumbar herniated disc disease and canal stenosis : prospective evaluation by sur- face coil MR, CT and myelography. AJR Am J Roentgenol 1986; 147 : 757-65.
  • Frymoyer JW. Back pain and sciatica. N Engl J Med 1988; 318: 291-300.
  • Brown DE, Neumann RD eds Orthopedic Secrets.St Louis:- Mosby, 1995; 190-2.
  • Firooznia H. Spinal stenosis. İn: MRI and CT of the Mus- culoskeletal System (Firoznia H, Golinbu C, Rafii M, Raus- chning W, Weinreb JC, eds). St Louis:Mosby, 1992; 141-206.
  • Huckman MS. Lumbar spinal stenosis. In: Neuroradiology (Harwod-Nash DC, Pettersson H, eds). London: Merit, 1992 ; 223-45.
  • Wegener OH (ed): Whole body CT. Boston: Blackwell, 1992; 527-30.
  • Arnoldi CC, Brodsky AE, Cauchoix J et al.Lumbar spinal stenosis and nevre root entrapment syndromes. Definition and classification.Clin Orthop Relat Res 1976 ; 115 : 4-5.
  • Angın S. Unilateral diz üstü amputelerinde ağırlık dağılımı, Uzm. Tezi, Hacettepe Üniversitesi, Ankara, 1990.
  • Liljenqvist UR, Link TM, Halm HFH. Morphometric analysis of thoracic and lumbar vertebrae in idiopathic sco- liosis. Spine 2000; 25: 1247-53.
  • George DC, Krag MH, Johnson CC,et al. Hole preparation techniqes for transpedicle screws. Spine 1991; 16: 181-4.
  • Weinstein J, Rydevik B, Rauschning W. Anatomic and tech- nical considerations of pedicle screw fixation. Clin Orthop 1992; 284: 34-46.
  • Zindrick MR, Wiltse LL, Widell EH, et al. A biomechanical study of intrapeduncular screw fixation in the lumbosacral spine. Clin Orthop 1986; 203: 99-111.
  • Donovan DJ, Polly DW, Ondra SL.The removal of a trans- dural pedicle screw placed for thoracolumbar spine fractu- re. Spine 1996; 21: 2495-9.
  • Ebraheim N, Jabaly G, Xu R, et al. Anatomic relations of the thoracic pedicle to the adjacent neural structures. Spine 1997; 22: 1553-7.
  • Vaccaro A, Rizzolo S, Balderstone RA, et al. Placement of pedicle screws in the thoracic spine. Part II: An anatomical and radiographic assessment. J Bone Joint Surg [Am] 1995; 77: 1200-6.
  • Berry JL, Moran JM, Berg WS, Steffee AD. A morphomet- ric study of human lumbar and selected thoracic vertebrae. Spine 1987; 12: 362-7.
  • Ebraheim N, Xu R, Ahmad M, et al. Projection of the tho- racic pedicle and its morphometric analysis. Spine 1997; 22 :2338-41.
  • Krag M, Weaver D, Beynnon B, et al.Morphometry of the thoracic and lumbar spine related to transpedicular screw placement for surgical spinal fixation. Spine 1988; 13: 27- 32.
  • Scoles PV, Linton AE, Latimer B, et al. Vertebral body and posterior element morphology:The normal spine in middle life. Spine1988;13:1082-6.
  • Vaccaro A, Rizzolo S, Allardyce T, et al. Placement of pe- dicle screws in the thoracic spine. Part I: Morphometric analysis of the thoracic vertebrae. J Bone Joint Surg [Am] 1995; 77: 1193-9.
  • Zindrick MR, Wiltse LL, Doornik A. et al. Analysis of the morphometric characteristics of the thoracic and lumbar pedicles. Spine 1987; 12: 160-6.
  • Yıldırım M. İnsan Anatomisi 1.Baskı İstanbul, 1994; 9-10.
  • Postacchini F, Ripani M. Morphometry of the lumbar ver- tebrae. Clinical Orthopaedics And Related Researc 1983; 172 : 296-303.
  • Huizinga J, Heiden JAVD, Vinken PJJG. The human lumbar vertebral canal:A biometric study. Proc Kon Ned Akad Wed C 1952; 55: 22.
  • Eisenstein S. The morphomery and pathological anatomy of the lumbar spine in South African Negroes and Cauca- soids with specific reference to spinal stenosis. J Bone Joint Surg 1977; 59B: 173.
  • Verbiest H.Pathomorphologic aspects of developmenal lumbar stenosis. Orthop Clin North Am 1975; 6: 177.
  • Verbiest H.Stenosis of the bony lumbar vertebral canal. In Wachenheim A, and Babin E,(eds):The Narrow Lumbar Canal. Berlin, Heidelberg, Springer-Verlag, 1980 ; 115-146.
  • Aharinejad S, Bertagnoli R, Wicke K, et al.Morphometric analysis of vertebrae and intervertebral discs as a basis of disc replacement.The American Journal of Anatomy 1990; 189: 69-76.
  • Santiago RS, Milena GL, Herrera RO, et al.Morphometry of the lower lumbar vertebrae in patients with and without low back pain.Eur Spine J 2001;10 : 228-33.
  • Nam Hyun K, Hwan Mo L. Morphometric study of the pe- dicles of thoracic and lumbar vertebrae in Koreans. Spine 1994; 19 ( 12) : 1390-4.
  • Mitra SR, Datir SP, Jadhav SO.Morphometric study of the lumbar pedicle in the İndian population as related to pedi- cular screw fixation.Spine 2002 ; 27 ( 5 ) : 453-459.
  • Olsewski JM, Simmons EH, Kalen FC, et al. Morpho- metry of the lumbar spine: anatomical perspectives related to transpedicular fixation.J Bone Joint Surg [Am] 1990; 72542-9.
  • Vanichkachorn JS, Vaccaro AR, Cohen MJ, et al.Potenti- al large vessel injury during thoracolumbar pedicle screw removal Spine 1997; 22: 110-3.
  • Kothe R, O'Holleran JD, Liu W, et al. Internal architecture of the thoracic pedicle. Spine 1996; 21: 264-70.
  • Misenhimer GR,Peek RD, Wiltse LL, et al.Anatomic analy- sis of pedicle cortical and cancellous diameter as related to screw size.Spine 1989; 14: 367-72.
  • Panjabi M, O' Holleran J, Crisco J III, et al. Complexity of the thoracic spine pedicle anatomy. Eur Spine J 1997; 6: 19- 24.
  • Banta CJ, King AG, Dabezies EJ, et al. Measurement of ef- fective pedicle diameter in the human spine. Orthopedics 1989; 12: 939-42.
  • Chen Yi L. Geometric measurements of lumbar spine in Chinese men during trunk flexion. Spine 1999; 24: 666-9.
  • Ross PD, Wasnich RD, Davis JW, et al.Vertebral dimension differences between Caucaians and Japanese Bone 1991; 12: 107-12.
  • McLain RF, Ferrara L, Kabins M.Pedicle morphometry in the upper thoracic spine.Spine 2002; 27: 2467-71.

Year 2017, Volume: 27 Issue: 4, 115 - 120, 01.12.2017

Işık Tuncer

Abstract

Objective: To evaluate the morphometric specialities of the thorocal and lumbar vertebraes.Results: In this study, 103 thorocal and 53 lumbar vertebraes were studied in anatomy department . The mean posterior height of the thorocal and lumbar corpuses respectly as follows 18,96 ± 2,68 mm and 25,33 ± 2,69 mm, anterior height 19,29 ± 2,75 mm and 25,24 ± 2,51 mm, the width of pedicules; 27,17 ± 5,50 mm and 31,84 ± 4,19 mm, the height of pedicul;12,67 ± 2,43 mm and 13,54 mm ±2,08mm, the sagittal diameter corpuses ;15,30 ± 2,54 mm and 15,08 ± 2,12 mm the transvers diameter ; 33,31 ± 5,62 mm and 48,53 ±6,86 the transvers diameter of the foramen vertebrale 20,38 ± 3,10 mm and 23,13 ± 2,50 mm the sagittal diameter of the foramen vertebrale 7,83 ± 4,40 mm and 11,86 ± 5,00 mm. Conclusion: The anomalies, knowledge of mean values and morphometric measurements variabilities of thorocal and lumbar vertebraes will decrease the mortality and morbidity in spinal surgery

Keywords

Vertebrae morphometry adult

References

  • Dere F.Anatomi 3nd ed. Adana 1994; 125.
  • Odar IV. Anatomi Ders Kitabı Cilt 1 AÜ Tıp Fakültesi Yayınları Ankara 1980.
  • Çimen A. Anatomi Uludağ Üniversitesi Basımevi Bursa 1987.
  • Williams PL, Warwick R. Gray's Anatomi 36nd ed. Churcill Livingstone, Edinburgh 1980 ; 275-7.
  • Varol T, İyem C, Cezayirli E, ve ark.Comparative morpho- metry of the lower lumbar vertebrae:computed tomograp- hy images of patients with and without low back pain. The journal of international Medical Research 2006;34:316-30.
  • Clark GA, Panjabi MM, Wetzel FT. Can infant malnitrition cause adult vertebral stenosis? Spine 1985; 10: 165-70.
  • Porter RW, Pavitt D. The vertebral canal: I Nutrition and de- velopment, an archeological study. Spine 1987 ; 12 : 901-6.
  • Afshani E, Khun J. Common causes of low back pain in children. Radiographics 1991; 11: 269-91.
  • Porter RW, Oakshott G. Spinal stenosis and health status. Spine 1994; 19: 901-3.
  • Porter RW, Hibbert CS, Wicks M. The spinal canal in sy- mptomatic lumbar disc lesions. J Bone Joint Surg Br 1978; 60 :485-487.
  • Hurme M, Alaranta H, Aalto T. Lumbar spinal canal size of sciatica patients. Acta Radiol 1989 ; 30: 353-7.
  • Epstein BS, Epstein JA, Jones MD. Lumbar spinal stenosis. Radiol Clin North Am 1977 ;15: 227-39.
  • Modic MT, Masaryk T, Boumphry F. Lumbar herniated disc disease and canal stenosis : prospective evaluation by sur- face coil MR, CT and myelography. AJR Am J Roentgenol 1986; 147 : 757-65.
  • Frymoyer JW. Back pain and sciatica. N Engl J Med 1988; 318: 291-300.
  • Brown DE, Neumann RD eds Orthopedic Secrets.St Louis:- Mosby, 1995; 190-2.
  • Firooznia H. Spinal stenosis. İn: MRI and CT of the Mus- culoskeletal System (Firoznia H, Golinbu C, Rafii M, Raus- chning W, Weinreb JC, eds). St Louis:Mosby, 1992; 141-206.
  • Huckman MS. Lumbar spinal stenosis. In: Neuroradiology (Harwod-Nash DC, Pettersson H, eds). London: Merit, 1992 ; 223-45.
  • Wegener OH (ed): Whole body CT. Boston: Blackwell, 1992; 527-30.
  • Arnoldi CC, Brodsky AE, Cauchoix J et al.Lumbar spinal stenosis and nevre root entrapment syndromes. Definition and classification.Clin Orthop Relat Res 1976 ; 115 : 4-5.
  • Angın S. Unilateral diz üstü amputelerinde ağırlık dağılımı, Uzm. Tezi, Hacettepe Üniversitesi, Ankara, 1990.
  • Liljenqvist UR, Link TM, Halm HFH. Morphometric analysis of thoracic and lumbar vertebrae in idiopathic sco- liosis. Spine 2000; 25: 1247-53.
  • George DC, Krag MH, Johnson CC,et al. Hole preparation techniqes for transpedicle screws. Spine 1991; 16: 181-4.
  • Weinstein J, Rydevik B, Rauschning W. Anatomic and tech- nical considerations of pedicle screw fixation. Clin Orthop 1992; 284: 34-46.
  • Zindrick MR, Wiltse LL, Widell EH, et al. A biomechanical study of intrapeduncular screw fixation in the lumbosacral spine. Clin Orthop 1986; 203: 99-111.
  • Donovan DJ, Polly DW, Ondra SL.The removal of a trans- dural pedicle screw placed for thoracolumbar spine fractu- re. Spine 1996; 21: 2495-9.
  • Ebraheim N, Jabaly G, Xu R, et al. Anatomic relations of the thoracic pedicle to the adjacent neural structures. Spine 1997; 22: 1553-7.
  • Vaccaro A, Rizzolo S, Balderstone RA, et al. Placement of pedicle screws in the thoracic spine. Part II: An anatomical and radiographic assessment. J Bone Joint Surg [Am] 1995; 77: 1200-6.
  • Berry JL, Moran JM, Berg WS, Steffee AD. A morphomet- ric study of human lumbar and selected thoracic vertebrae. Spine 1987; 12: 362-7.
  • Ebraheim N, Xu R, Ahmad M, et al. Projection of the tho- racic pedicle and its morphometric analysis. Spine 1997; 22 :2338-41.
  • Krag M, Weaver D, Beynnon B, et al.Morphometry of the thoracic and lumbar spine related to transpedicular screw placement for surgical spinal fixation. Spine 1988; 13: 27- 32.
  • Scoles PV, Linton AE, Latimer B, et al. Vertebral body and posterior element morphology:The normal spine in middle life. Spine1988;13:1082-6.
  • Vaccaro A, Rizzolo S, Allardyce T, et al. Placement of pe- dicle screws in the thoracic spine. Part I: Morphometric analysis of the thoracic vertebrae. J Bone Joint Surg [Am] 1995; 77: 1193-9.
  • Zindrick MR, Wiltse LL, Doornik A. et al. Analysis of the morphometric characteristics of the thoracic and lumbar pedicles. Spine 1987; 12: 160-6.
  • Yıldırım M. İnsan Anatomisi 1.Baskı İstanbul, 1994; 9-10.
  • Postacchini F, Ripani M. Morphometry of the lumbar ver- tebrae. Clinical Orthopaedics And Related Researc 1983; 172 : 296-303.
  • Huizinga J, Heiden JAVD, Vinken PJJG. The human lumbar vertebral canal:A biometric study. Proc Kon Ned Akad Wed C 1952; 55: 22.
  • Eisenstein S. The morphomery and pathological anatomy of the lumbar spine in South African Negroes and Cauca- soids with specific reference to spinal stenosis. J Bone Joint Surg 1977; 59B: 173.
  • Verbiest H.Pathomorphologic aspects of developmenal lumbar stenosis. Orthop Clin North Am 1975; 6: 177.
  • Verbiest H.Stenosis of the bony lumbar vertebral canal. In Wachenheim A, and Babin E,(eds):The Narrow Lumbar Canal. Berlin, Heidelberg, Springer-Verlag, 1980 ; 115-146.
  • Aharinejad S, Bertagnoli R, Wicke K, et al.Morphometric analysis of vertebrae and intervertebral discs as a basis of disc replacement.The American Journal of Anatomy 1990; 189: 69-76.
  • Santiago RS, Milena GL, Herrera RO, et al.Morphometry of the lower lumbar vertebrae in patients with and without low back pain.Eur Spine J 2001;10 : 228-33.
  • Nam Hyun K, Hwan Mo L. Morphometric study of the pe- dicles of thoracic and lumbar vertebrae in Koreans. Spine 1994; 19 ( 12) : 1390-4.
  • Mitra SR, Datir SP, Jadhav SO.Morphometric study of the lumbar pedicle in the İndian population as related to pedi- cular screw fixation.Spine 2002 ; 27 ( 5 ) : 453-459.
  • Olsewski JM, Simmons EH, Kalen FC, et al. Morpho- metry of the lumbar spine: anatomical perspectives related to transpedicular fixation.J Bone Joint Surg [Am] 1990; 72542-9.
  • Vanichkachorn JS, Vaccaro AR, Cohen MJ, et al.Potenti- al large vessel injury during thoracolumbar pedicle screw removal Spine 1997; 22: 110-3.
  • Kothe R, O'Holleran JD, Liu W, et al. Internal architecture of the thoracic pedicle. Spine 1996; 21: 264-70.
  • Misenhimer GR,Peek RD, Wiltse LL, et al.Anatomic analy- sis of pedicle cortical and cancellous diameter as related to screw size.Spine 1989; 14: 367-72.
  • Panjabi M, O' Holleran J, Crisco J III, et al. Complexity of the thoracic spine pedicle anatomy. Eur Spine J 1997; 6: 19- 24.
  • Banta CJ, King AG, Dabezies EJ, et al. Measurement of ef- fective pedicle diameter in the human spine. Orthopedics 1989; 12: 939-42.
  • Chen Yi L. Geometric measurements of lumbar spine in Chinese men during trunk flexion. Spine 1999; 24: 666-9.
  • Ross PD, Wasnich RD, Davis JW, et al.Vertebral dimension differences between Caucaians and Japanese Bone 1991; 12: 107-12.
  • McLain RF, Ferrara L, Kabins M.Pedicle morphometry in the upper thoracic spine.Spine 2002; 27: 2467-71.
There are 52 citations in total.

Details

Primary Language Turkish
Journal Section Original Article
Authors

Işık Tuncer This is me

Publication Date December 1, 2017
Published in Issue Year 2017 Volume: 27 Issue: 4

Cite

Vancouver Tuncer I. Torokal ve Lumbal Vertebraların Morfometrik Olarak İncelenmesi. Genel Tıp Derg. 2017;27(4):115-20.

The Journal of General Medicine is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY NC).