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Kraniovertebral Bileşke Kemiklerinin Morfometrik Özellikleri

Year 2021, Volume: 2 Issue: 3, 67 - 75, 30.12.2021
https://doi.org/10.51261/yiu.2021.00036

Abstract

Giriş: Kraniovertebral bileşke oksipital kemik, atlas, axis ve destekleyici ligamentlerden oluşur. Instabilite tedavisine yönelik cerrahi müdahaleler, bu bölgenin morfometrik özelliklerinin bilinmesini gerektirir. Bu nedenle, çalışmanın amacı, kraniovertebral bileşkeye katılan kemiklerin morfometrik özelliklerini değerlendirmek ve analiz etmektir. Materyal ve Metod: Arkeolojik kazılarda bulunan kuru kemikler üzerinde morfometrik analiz yapılmıştır. Çalışmamızda 9 oksipital kemik, 18 atlas ve 16 axis ölçülmüştür. Ölçümler arasındaki farklar t-testleri kullanılarak belirlenmiş ve p

References

  • Lopez AJ, Scheer JK, Leibl KE, Smith ZA, Dlouhy BJ, Dahdaleh NS. Anatomy and biomechanics of the craniovertebral junction. Neurosurg Focus. 2015;38 4 :E2. Epub 2015/04/02. https://doi.org/10.3171/2015.1.FOCUS14807. PubMed PMID: 25828496.
  • Offiah CE, Day E. The craniocervical junction: embryology, anatomy, biomechanics and imaging in blunt trauma. Insights Imaging. 2017;8 1 :29-47. Epub 2016/11/07. https://doi.org/10.1007/s13244-016-0530-5 [pii]. PubMed PMID: 27815845; PubMed Central PMCID: PMC5265194.
  • Ovalioglu C. Kranioservikal Bileşkenin Morfometrik Özellikleri [Dissertation]. Istanbul2005.
  • Naderi S, Korman E, Citak G, Guvencer M, Arman C, Senoglu M, et al. Morphometric analysis of human occipital condyle. Clinical neurology and neurosurgery. 2005;107 3 :191-9. Epub 2005/04/13. https://doi.org/10.1016/j. clineuro.2004.07.014. PubMed PMID: 15823674.
  • de Oliveira E, Rhoton AL, Peace D. Microsurgical anatomy of the region of the foramen magnum. Surgical Neurology. 1985;24 3 :293-352. https://doi. org/10.1016/0090-3019 85 90042-4.
  • Gonzalez LF, Klopfenstein JD, Crawford NR, Dickman CA, V.K.H. S. Use of dual transarticular screws to fixate simultaneous occipitoatlantal and atlantoaxial dislocations. Journal of neurosurgery Spine. 2005;3 4 :318-23.
  • Uribe JS, Ramos E, Vale F. Feasibility of occipital condyle screw placement for occipitocervical fixation: a cadaveric study and description of a novel technique. J Spinal Disord Tech. 2008;21 8 :540-6. Epub 2008/12/06. https:// doi.org/10.1097/BSD.0b013e31816d655e. PubMed PMID: 19057245.
  • Gupta S, Goel A. Quantitative anatomy of the lateral masses of the atlas and axis vertebrae. Neurology India. 2000;48 2 :120-5. Epub 2000/07/06. PubMed PMID: 10878774.
  • Bosco A, Venugopal P, Shetty AP, Shanmuganathan R, Kanna RM. Morphometric Evaluation of Occipital Condyles: Defining Optimal Trajectories and Safe Screw Lengths for Occipital Condyle-Based Occipitocervical Fixation in Indian Population. Asian Spine J. 2018;12 2 :214-23. Epub 2018/04/13. https://doi.org/10.4184/asj.2018.12.2.214. PubMed PMID: 29713401.
  • llhan P, Kayhan B, Erturk M, Sengul G. Morphological analysis of occipital condyles and foramen magnum as a guide for lateral surgical approaches. MOJ Anat Physiol. 2017;3 6 :188–94.
  • Sengul G, Kadioglu H. Morphometric anatomy of the atlas and axis vertebrae. 2006;16:69-76.
  • Lopez AJ, Scheer JK, Leibl KE, Smith ZA, Dlouhy BJ, Dahdaleh NS. Anatomy and biomechanics of the craniovertebral junction. Neurosurgical Focus FOC. 2015;38 4 :E2. https://doi.org/10.3171/2015.1.Focus14807.
  • Gökce C, Cicekcibasi A, Yılmaz M, Kiresi D. The Morphometric Analysis of the Important Bone Structures on Skull Base in Living Individuals with Multidetector Computed Tomography. International Journal of Morphology. 2014;32 3 :812-21.
  • Kavitha S, Chandrasekaran S, Anand A, Shanthi KC. Morphometric study of Occipital Condyles in Adult Human Skulls. Int J Cur Res Rev. 2013;5 15 :31- 4.
  • Lyrtzis C, Piagkou M, Gkioka A, Anastasopoulos N, Apostolidis S, Natsis K. Foramen magnum, occipital condyles and hypoglossal canals morphometry: anatomical study with clinical implications. Folia Morphol Warsz . 2017;76 3 :446-57. Epub 2017/02/06. https://doi.org/VM/OJS/J/49106 [pii]. 10.5603/FM.a2017.0002. PubMed PMID: 28150268.
  • Ozer MA, Celik S, Govsa F, Ulusoy MO. Anatomical determination of a safe entry point for occipital condyle screw using three-dimensional landmarks. Eur Spine J. 2011;20 9 :1510-7. Epub 2011/03/19. https://doi.org/10.1007/ s00586-011-1765-y. PubMed PMID: 21416278; PubMed Central PMCID: PMC3175895.
  • SALUJA S, DAS SS, VASUDEVA N. Morphometric Analysis of the Occipital Condyle and Its Surgical Importance. Journal of Clinical and Diagnostic Research. 2016;10 11 :AC01-AC4.
  • Gosavi SN, Vatsalaswamy P. Morphometric Study of the Atlas Vertebra using Manual Method. Malays Orthop J. 2012;6 3 :18-20. https://doi.org/10.5704/ MOJ.1207.015. PubMed PMID: 25279050.
  • Ochoa G. Surgical management of odontoid fractures. Injury. 2005;36 Suppl 2:B54-64. Epub 2005/07/05. https://doi.org/10.1016/j.injury.2005.06.015. PubMed PMID: 15993118.
  • Alim E, Atalar K, Gülekon İ. A morphometric study of the odontoid process using three-dimensional computed tomography 3-D CT reconstruction. Anatomy. 2019;12 2 :80-6.
  • Bakirci S, Sendemir E, Kafa I. Morphometric analysis of C2 vertebra. Acta Medica Mediterranea. 2014;30 1 :269-72.
  • Gosavi S, Swamy V. Morphometric study of the Axis vertebra. Eur J Anat. 2012;16 2 :98-103.
  • Madawi AA, Casey AT, Solanki GA, Tuite G, Veres R, Crockard HA. Radiological and anatomical evaluation of the atlantoaxial transarticular screw fixation technique. Journal of neurosurgery. 1997;86 6 :961-8. Epub 1997/06/01. https://doi.org/10.3171/jns.1997.86.6.0961. PubMed PMID: 9171174.
  • Wright NM, Lauryssen C. Vertebral artery injury in C1-2 transarticular screw fixation: results of a survey of the AANS/CNS section on disorders of the spine and peripheral nerves. American Association of Neurological Surgeons/ Congress of Neurological Surgeons. Journal of neurosurgery. 1998;88 4 :634- 40. Epub 1998/04/03. https://doi.org/10.3171/jns.1998.88.4.0634. PubMed PMID: 9525707.
  • Singla M, Goel P, Ansari MS, Ravi KS, Khare S. Morphometric Analysis of Axis and Its Clinical Significance -An Anatomical Study of Indian Human Axis Vertebrae. 2015;9 5 :AC04-AC9. Epub May 1,2015. https://doi.org/10.7860/ jcdr/2015/.5931.
  • Marinkovic S, Milic I, Djoric I, Brigante L, Miljatovic A, Puskas L, et al. Morphometric multislice computed tomography examination of the craniovertebral junction in neck flexion and extension. Folia Morphol Warsz . 2017;76 1 :100-9. Epub 2016/11/11. https://doi.org/VM/OJS/J/45310 [pii]. 10.5603/FM.a2016.0037. PubMed PMID: 27830891.

Morphometric Features of Craniovertebral Junction Bones

Year 2021, Volume: 2 Issue: 3, 67 - 75, 30.12.2021
https://doi.org/10.51261/yiu.2021.00036

Abstract

Introduction: The craniovertebral junction comprises the occipital bone, atlas, axis and supporting ligaments. Surgical interventions for treatment of instability, require knowledge of morphometric properties of this area. Therefore, the aim of the present study was to evaluate adult dried human skulls to analyze morphometric features of the bones that joined the craniovertebral junction. Materials and Methods: Morphometric analysis was performed on dry bones which found in the excavations. 9 occipital bone, 18 atlas and 16 axis were measured. Differences between measurements were determined using t-tests and were considered significant at p

References

  • Lopez AJ, Scheer JK, Leibl KE, Smith ZA, Dlouhy BJ, Dahdaleh NS. Anatomy and biomechanics of the craniovertebral junction. Neurosurg Focus. 2015;38 4 :E2. Epub 2015/04/02. https://doi.org/10.3171/2015.1.FOCUS14807. PubMed PMID: 25828496.
  • Offiah CE, Day E. The craniocervical junction: embryology, anatomy, biomechanics and imaging in blunt trauma. Insights Imaging. 2017;8 1 :29-47. Epub 2016/11/07. https://doi.org/10.1007/s13244-016-0530-5 [pii]. PubMed PMID: 27815845; PubMed Central PMCID: PMC5265194.
  • Ovalioglu C. Kranioservikal Bileşkenin Morfometrik Özellikleri [Dissertation]. Istanbul2005.
  • Naderi S, Korman E, Citak G, Guvencer M, Arman C, Senoglu M, et al. Morphometric analysis of human occipital condyle. Clinical neurology and neurosurgery. 2005;107 3 :191-9. Epub 2005/04/13. https://doi.org/10.1016/j. clineuro.2004.07.014. PubMed PMID: 15823674.
  • de Oliveira E, Rhoton AL, Peace D. Microsurgical anatomy of the region of the foramen magnum. Surgical Neurology. 1985;24 3 :293-352. https://doi. org/10.1016/0090-3019 85 90042-4.
  • Gonzalez LF, Klopfenstein JD, Crawford NR, Dickman CA, V.K.H. S. Use of dual transarticular screws to fixate simultaneous occipitoatlantal and atlantoaxial dislocations. Journal of neurosurgery Spine. 2005;3 4 :318-23.
  • Uribe JS, Ramos E, Vale F. Feasibility of occipital condyle screw placement for occipitocervical fixation: a cadaveric study and description of a novel technique. J Spinal Disord Tech. 2008;21 8 :540-6. Epub 2008/12/06. https:// doi.org/10.1097/BSD.0b013e31816d655e. PubMed PMID: 19057245.
  • Gupta S, Goel A. Quantitative anatomy of the lateral masses of the atlas and axis vertebrae. Neurology India. 2000;48 2 :120-5. Epub 2000/07/06. PubMed PMID: 10878774.
  • Bosco A, Venugopal P, Shetty AP, Shanmuganathan R, Kanna RM. Morphometric Evaluation of Occipital Condyles: Defining Optimal Trajectories and Safe Screw Lengths for Occipital Condyle-Based Occipitocervical Fixation in Indian Population. Asian Spine J. 2018;12 2 :214-23. Epub 2018/04/13. https://doi.org/10.4184/asj.2018.12.2.214. PubMed PMID: 29713401.
  • llhan P, Kayhan B, Erturk M, Sengul G. Morphological analysis of occipital condyles and foramen magnum as a guide for lateral surgical approaches. MOJ Anat Physiol. 2017;3 6 :188–94.
  • Sengul G, Kadioglu H. Morphometric anatomy of the atlas and axis vertebrae. 2006;16:69-76.
  • Lopez AJ, Scheer JK, Leibl KE, Smith ZA, Dlouhy BJ, Dahdaleh NS. Anatomy and biomechanics of the craniovertebral junction. Neurosurgical Focus FOC. 2015;38 4 :E2. https://doi.org/10.3171/2015.1.Focus14807.
  • Gökce C, Cicekcibasi A, Yılmaz M, Kiresi D. The Morphometric Analysis of the Important Bone Structures on Skull Base in Living Individuals with Multidetector Computed Tomography. International Journal of Morphology. 2014;32 3 :812-21.
  • Kavitha S, Chandrasekaran S, Anand A, Shanthi KC. Morphometric study of Occipital Condyles in Adult Human Skulls. Int J Cur Res Rev. 2013;5 15 :31- 4.
  • Lyrtzis C, Piagkou M, Gkioka A, Anastasopoulos N, Apostolidis S, Natsis K. Foramen magnum, occipital condyles and hypoglossal canals morphometry: anatomical study with clinical implications. Folia Morphol Warsz . 2017;76 3 :446-57. Epub 2017/02/06. https://doi.org/VM/OJS/J/49106 [pii]. 10.5603/FM.a2017.0002. PubMed PMID: 28150268.
  • Ozer MA, Celik S, Govsa F, Ulusoy MO. Anatomical determination of a safe entry point for occipital condyle screw using three-dimensional landmarks. Eur Spine J. 2011;20 9 :1510-7. Epub 2011/03/19. https://doi.org/10.1007/ s00586-011-1765-y. PubMed PMID: 21416278; PubMed Central PMCID: PMC3175895.
  • SALUJA S, DAS SS, VASUDEVA N. Morphometric Analysis of the Occipital Condyle and Its Surgical Importance. Journal of Clinical and Diagnostic Research. 2016;10 11 :AC01-AC4.
  • Gosavi SN, Vatsalaswamy P. Morphometric Study of the Atlas Vertebra using Manual Method. Malays Orthop J. 2012;6 3 :18-20. https://doi.org/10.5704/ MOJ.1207.015. PubMed PMID: 25279050.
  • Ochoa G. Surgical management of odontoid fractures. Injury. 2005;36 Suppl 2:B54-64. Epub 2005/07/05. https://doi.org/10.1016/j.injury.2005.06.015. PubMed PMID: 15993118.
  • Alim E, Atalar K, Gülekon İ. A morphometric study of the odontoid process using three-dimensional computed tomography 3-D CT reconstruction. Anatomy. 2019;12 2 :80-6.
  • Bakirci S, Sendemir E, Kafa I. Morphometric analysis of C2 vertebra. Acta Medica Mediterranea. 2014;30 1 :269-72.
  • Gosavi S, Swamy V. Morphometric study of the Axis vertebra. Eur J Anat. 2012;16 2 :98-103.
  • Madawi AA, Casey AT, Solanki GA, Tuite G, Veres R, Crockard HA. Radiological and anatomical evaluation of the atlantoaxial transarticular screw fixation technique. Journal of neurosurgery. 1997;86 6 :961-8. Epub 1997/06/01. https://doi.org/10.3171/jns.1997.86.6.0961. PubMed PMID: 9171174.
  • Wright NM, Lauryssen C. Vertebral artery injury in C1-2 transarticular screw fixation: results of a survey of the AANS/CNS section on disorders of the spine and peripheral nerves. American Association of Neurological Surgeons/ Congress of Neurological Surgeons. Journal of neurosurgery. 1998;88 4 :634- 40. Epub 1998/04/03. https://doi.org/10.3171/jns.1998.88.4.0634. PubMed PMID: 9525707.
  • Singla M, Goel P, Ansari MS, Ravi KS, Khare S. Morphometric Analysis of Axis and Its Clinical Significance -An Anatomical Study of Indian Human Axis Vertebrae. 2015;9 5 :AC04-AC9. Epub May 1,2015. https://doi.org/10.7860/ jcdr/2015/.5931.
  • Marinkovic S, Milic I, Djoric I, Brigante L, Miljatovic A, Puskas L, et al. Morphometric multislice computed tomography examination of the craniovertebral junction in neck flexion and extension. Folia Morphol Warsz . 2017;76 1 :100-9. Epub 2016/11/11. https://doi.org/VM/OJS/J/45310 [pii]. 10.5603/FM.a2016.0037. PubMed PMID: 27830891.
There are 26 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Merve Sevgi İnce This is me

Güneş Aytaç This is me

Esma Deniz Barç This is me

Yener Bektaş This is me

Ahmet Cem Erkman This is me

Burcu Küçük Biçer This is me

Rabet Gözil This is me

Publication Date December 30, 2021
Published in Issue Year 2021 Volume: 2 Issue: 3

Cite

AMA İnce MS, Aytaç G, Barç ED, et al. Kraniovertebral Bileşke Kemiklerinin Morfometrik Özellikleri. Yüksek İhtisas Üniversitesi Sağlık Bilimleri Dergisi. December 2021;2(3):67-75. doi:10.51261/yiu.2021.00036