Research Article
BibTex RIS Cite

Reliability of coeliac and superior mesenteric artery origin level in lumbosacral transitional vertebrae detection and vertebral numbering

Year 2022, , 48 - 52, 31.01.2022

Erhan Bıyıklı Ibrahim Halil Sever Feyyaz Baltacıoglu

https://doi.org/10.5472/marumj.1030355

Abstract

Objective: To evaluate the value of coeliac artery (CA) and superior mesenteric artery (SMA) origin levels as an anatomic marker in the detection of lumbosacral transitional vertebrae (LSTV) and vertebral enumeration.
Patients and Methods: Institutional review board approval was obtained. Routine lumbar magnetic resonance (MR) imaging that included sagittal cervicothoracic scout images in 972 cases were evaluated retrospectively. Six segments were created in the vertebral column with 7 lines. CA and SMA ostiums were localized in these segments.
Results: Coeliac artery and SMA levels were detected more caudally in lumbarized S1 and more cranially in sacralized L5 cases compared to non-LSTV cases.
Conclusion: Coeliac artery and SMA origin levels are not confidential in consequence of wide variability.

Keywords

Lumbosacral transitional vertebrae Coeliac artery Superior mesenteric artery Vertebral enumeration; Magnetic resonance imaging

References

  • [1] Konin GP, Walz DM. Lumbosacral transitional vertebrae: Classification, imaging findings, and clinical relevance. Am J Neuroradiol 2010 ;31:1778-86. https://doi.org/10.3174/ajnr.A2036
  • [2] Tini PG, Wieser C, Zinn WM. The transitional vertebra of the lumbosacral spine: its radiological classification, incidence, prevalence, and clinical significance. Rheumatology 1977 ;16:180-5. https://doi.org/10.1093/rheumatology/16.3.180
  • [3] Carrino JA, Campbell PD, Lin DC, et al. Effect of spinal segment variants on numbering vertebral levels at lumbar MR imaging. Radiology 2011 ;259:196-202. https://doi.org/10.1148/radiol.11081511
  • [4] Jancuska JM, Spivak JM, Bendo JA. A review of symptomatic lumbosacral transitional vertebrae: Bertolotti’s syndrome. Int J Spine Surg 2015 ;9:1-18. https://doi.org/10.14444/2042
  • [5] Lee CH, Seo BK, Choi YC, et al. Using MRI to evaluate anatomic significance of aortic bifurcation, right renal artery, and conus medullaris when locating lumbar vertebral segments. Am J Roentgenol 2004 ;182:1295-300. https://doi.org/10.2214/ajr.182.5.1821295
  • [6] Tureli D, Ekinci G, Baltacioglu F. Is any landmark reliable in vertebral enumeration? A study of 3.0-Tesla lumbar MRI comparing skeletal, neural, and vascular markers. Clin Imaging 2014 ;38:792-6. https://doi.org/10.1016/j.clinimag.2014.05.001
  • [7] Tang M, Yang XF, Yang SW, et al. Lumbosacral transitional vertebra in a population-based study of 5860 individuals: prevalence and relationship to low back pain. Eur J Radiol 2014 ;83:1679-82. https://doi.org/10.1016/j.ejrad.2014.05.036
  • [8] Erken E, Ozer HTE, Gulek B, Durgun B. The association between cervical rib and sacralization. Spine (Phila Pa 1976) 2002 ;27:1659-64. https://doi.org/10.1097/00007632-200208010-00013
  • [9] Apazidis A, Ricart PA, Diefenbach CM, Spivak JM. The prevalence of transitional vertebrae in the lumbar spine. Spine J 2011 ;11:858-62. https://doi.org/10.1016/j.spinee.2011.08.005
  • [10] French HD, Somasundaram AJ, Schaefer NR, Laherty RW. Lumbosacral transitional vertebrae and its prevalence in the Australian population. Glob Spine J 2014 ;4:229-32. https://doi.org/10.1055/s-0034-1387808
  • [11] Hsieh CYJ, Vanderford JD, Moreau SR, Prong T. Lumbosacral transitional segments: classification, prevalence, and effect on disk height. J Manipulative Physiol Ther. 2000 ;23:483-9. https://doi.org/10.1067/mmt.2000.108817
  • [12] Delport EG, Cucuzzella TR, Kim N, Marley JK, Pruitt C, Delport AG. Lumbosacral transitional vertebrae: incidence in a consecutive patient series. Pain Physician 2006 ;9:53-6.
  • [13] Luoma K, Vehmas T, Raininko R, Luukkonen R, Riihimӓki H. Lumbosacral transitional vertebra: relation to disc degeneration and low back pain. Spine (Phila Pa 1976) 2004 ;29:200-5. https://doi.org/10.1097/01.BRS.0000107223.02346.A8
  • [14] Chang HL, Park CM, Kyeong AK, et al. Identification and prediction of transitional vertebrae on imaging studies: anatomical significance of paraspinal structures. Clin Anat 2007 ;20:905-14. https://doi.org/10.1002/ca.20540
  • [15] Tokgoz N, Ucar M, Erdogan AB, Kilic K, Ozcan C. Are spinal or paraspinal anatomic markers helpful for vertebral numbering and diagnosing lumbosacral transitional vertebrae? Korean J Radiol 2014 ;15:258-66. https://doi.org/10.3348/kjr.2014.15.2.258
  • [16] Ucar D, Ucar BY, Cosar Y, et al. Retrospective cohort study of the prevalence of lumbosacral transitional vertebra in a wide and well-represented population. Arthritis 2013 ;2013:1-5. https://doi.org/10.1155/2013/461425
  • [17] Nardo L, Alizai H, Virayavanich W, et al. Lumbosacral transitional vertebrae: association with low back pain. Radiology 2012 ;265:497-503 https://doi.org/10.1148/radiol.12112747
  • [18] Hanhivaara J, Määttä JH, Niinimäki J, Nevalainen MT. Lumbosacral transitional vertebrae are associated with lumbar degeneration: retrospective evaluation of 3855 consecutive abdominal CT scans. Eur Radiol 2020 ;30:3409-16. https://doi.org/10.1007/s00330-020-06691-2

Year 2022, , 48 - 52, 31.01.2022

Erhan Bıyıklı Ibrahim Halil Sever Feyyaz Baltacıoglu

https://doi.org/10.5472/marumj.1030355

Abstract

References

  • [1] Konin GP, Walz DM. Lumbosacral transitional vertebrae: Classification, imaging findings, and clinical relevance. Am J Neuroradiol 2010 ;31:1778-86. https://doi.org/10.3174/ajnr.A2036
  • [2] Tini PG, Wieser C, Zinn WM. The transitional vertebra of the lumbosacral spine: its radiological classification, incidence, prevalence, and clinical significance. Rheumatology 1977 ;16:180-5. https://doi.org/10.1093/rheumatology/16.3.180
  • [3] Carrino JA, Campbell PD, Lin DC, et al. Effect of spinal segment variants on numbering vertebral levels at lumbar MR imaging. Radiology 2011 ;259:196-202. https://doi.org/10.1148/radiol.11081511
  • [4] Jancuska JM, Spivak JM, Bendo JA. A review of symptomatic lumbosacral transitional vertebrae: Bertolotti’s syndrome. Int J Spine Surg 2015 ;9:1-18. https://doi.org/10.14444/2042
  • [5] Lee CH, Seo BK, Choi YC, et al. Using MRI to evaluate anatomic significance of aortic bifurcation, right renal artery, and conus medullaris when locating lumbar vertebral segments. Am J Roentgenol 2004 ;182:1295-300. https://doi.org/10.2214/ajr.182.5.1821295
  • [6] Tureli D, Ekinci G, Baltacioglu F. Is any landmark reliable in vertebral enumeration? A study of 3.0-Tesla lumbar MRI comparing skeletal, neural, and vascular markers. Clin Imaging 2014 ;38:792-6. https://doi.org/10.1016/j.clinimag.2014.05.001
  • [7] Tang M, Yang XF, Yang SW, et al. Lumbosacral transitional vertebra in a population-based study of 5860 individuals: prevalence and relationship to low back pain. Eur J Radiol 2014 ;83:1679-82. https://doi.org/10.1016/j.ejrad.2014.05.036
  • [8] Erken E, Ozer HTE, Gulek B, Durgun B. The association between cervical rib and sacralization. Spine (Phila Pa 1976) 2002 ;27:1659-64. https://doi.org/10.1097/00007632-200208010-00013
  • [9] Apazidis A, Ricart PA, Diefenbach CM, Spivak JM. The prevalence of transitional vertebrae in the lumbar spine. Spine J 2011 ;11:858-62. https://doi.org/10.1016/j.spinee.2011.08.005
  • [10] French HD, Somasundaram AJ, Schaefer NR, Laherty RW. Lumbosacral transitional vertebrae and its prevalence in the Australian population. Glob Spine J 2014 ;4:229-32. https://doi.org/10.1055/s-0034-1387808
  • [11] Hsieh CYJ, Vanderford JD, Moreau SR, Prong T. Lumbosacral transitional segments: classification, prevalence, and effect on disk height. J Manipulative Physiol Ther. 2000 ;23:483-9. https://doi.org/10.1067/mmt.2000.108817
  • [12] Delport EG, Cucuzzella TR, Kim N, Marley JK, Pruitt C, Delport AG. Lumbosacral transitional vertebrae: incidence in a consecutive patient series. Pain Physician 2006 ;9:53-6.
  • [13] Luoma K, Vehmas T, Raininko R, Luukkonen R, Riihimӓki H. Lumbosacral transitional vertebra: relation to disc degeneration and low back pain. Spine (Phila Pa 1976) 2004 ;29:200-5. https://doi.org/10.1097/01.BRS.0000107223.02346.A8
  • [14] Chang HL, Park CM, Kyeong AK, et al. Identification and prediction of transitional vertebrae on imaging studies: anatomical significance of paraspinal structures. Clin Anat 2007 ;20:905-14. https://doi.org/10.1002/ca.20540
  • [15] Tokgoz N, Ucar M, Erdogan AB, Kilic K, Ozcan C. Are spinal or paraspinal anatomic markers helpful for vertebral numbering and diagnosing lumbosacral transitional vertebrae? Korean J Radiol 2014 ;15:258-66. https://doi.org/10.3348/kjr.2014.15.2.258
  • [16] Ucar D, Ucar BY, Cosar Y, et al. Retrospective cohort study of the prevalence of lumbosacral transitional vertebra in a wide and well-represented population. Arthritis 2013 ;2013:1-5. https://doi.org/10.1155/2013/461425
  • [17] Nardo L, Alizai H, Virayavanich W, et al. Lumbosacral transitional vertebrae: association with low back pain. Radiology 2012 ;265:497-503 https://doi.org/10.1148/radiol.12112747
  • [18] Hanhivaara J, Määttä JH, Niinimäki J, Nevalainen MT. Lumbosacral transitional vertebrae are associated with lumbar degeneration: retrospective evaluation of 3855 consecutive abdominal CT scans. Eur Radiol 2020 ;30:3409-16. https://doi.org/10.1007/s00330-020-06691-2
There are 18 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Research
Authors

Erhan Bıyıklı This is me 0000-0002-7530-731X

Ibrahim Halil Sever This is me 0000-0002-6549-7682

Feyyaz Baltacıoglu This is me 0000-0002-9090-6716

Publication Date January 31, 2022
Published in Issue Year 2022

Cite

APA Bıyıklı, E., Sever, I. H., & Baltacıoglu, F. (2022). Reliability of coeliac and superior mesenteric artery origin level in lumbosacral transitional vertebrae detection and vertebral numbering. Marmara Medical Journal, 35(1), 48-52. https://doi.org/10.5472/marumj.1030355
AMA Bıyıklı E, Sever IH, Baltacıoglu F. Reliability of coeliac and superior mesenteric artery origin level in lumbosacral transitional vertebrae detection and vertebral numbering. Marmara Med J. January 2022;35(1):48-52. doi:10.5472/marumj.1030355
Chicago Bıyıklı, Erhan, Ibrahim Halil Sever, and Feyyaz Baltacıoglu. “Reliability of Coeliac and Superior Mesenteric Artery Origin Level in Lumbosacral Transitional Vertebrae Detection and Vertebral Numbering”. Marmara Medical Journal 35, no. 1 (January 2022): 48-52. https://doi.org/10.5472/marumj.1030355.
EndNote Bıyıklı E, Sever IH, Baltacıoglu F (January 1, 2022) Reliability of coeliac and superior mesenteric artery origin level in lumbosacral transitional vertebrae detection and vertebral numbering. Marmara Medical Journal 35 1 48–52.
IEEE E. Bıyıklı, I. H. Sever, and F. Baltacıoglu, “Reliability of coeliac and superior mesenteric artery origin level in lumbosacral transitional vertebrae detection and vertebral numbering”, Marmara Med J, vol. 35, no. 1, pp. 48–52, 2022, doi: 10.5472/marumj.1030355.
ISNAD Bıyıklı, Erhan et al. “Reliability of Coeliac and Superior Mesenteric Artery Origin Level in Lumbosacral Transitional Vertebrae Detection and Vertebral Numbering”. Marmara Medical Journal 35/1 (January 2022), 48-52. https://doi.org/10.5472/marumj.1030355.
JAMA Bıyıklı E, Sever IH, Baltacıoglu F. Reliability of coeliac and superior mesenteric artery origin level in lumbosacral transitional vertebrae detection and vertebral numbering. Marmara Med J. 2022;35:48–52.
MLA Bıyıklı, Erhan et al. “Reliability of Coeliac and Superior Mesenteric Artery Origin Level in Lumbosacral Transitional Vertebrae Detection and Vertebral Numbering”. Marmara Medical Journal, vol. 35, no. 1, 2022, pp. 48-52, doi:10.5472/marumj.1030355.
Vancouver Bıyıklı E, Sever IH, Baltacıoglu F. Reliability of coeliac and superior mesenteric artery origin level in lumbosacral transitional vertebrae detection and vertebral numbering. Marmara Med J. 2022;35(1):48-52.