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Torokal ve Lumbal Vertebraların Morfometrik Olarak İncelenmesi

Yıl 2017, Cilt: 27 Sayı: 4, 115 - 120, 01.12.2017

Işık Tuncer

Öz

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

Anahtar Kelimeler

Omur morfometri erişkin

Kaynakça

  • 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.

Yıl 2017, Cilt: 27 Sayı: 4, 115 - 120, 01.12.2017

Işık Tuncer

Öz

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

Anahtar Kelimeler

Vertebrae morphometry adult

Kaynakça

  • 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.
Toplam 52 adet kaynakça vardır.

Ayrıntılar

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Bölüm Original Article
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Işık Tuncer Bu kişi benim

Yayımlanma Tarihi 1 Aralık 2017
Yayımlandığı Sayı Yıl 2017 Cilt: 27 Sayı: 4

Kaynak Göster

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

Genel Tıp Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.