Os sacrum morfometrik analizi ve klinik anatomisi

Yıl 2023, Cilt: 4 Sayı: 3, 211 - 218, 28.06.2023

Ayşe Gül Kabakcı Gamze Taşkın Şenol

https://doi.org/10.47582/jompac.1276050

Öz

Amaç: Pelvik ve dorsal sinirler içeren os sacrum’un anatomisini ve klinik önemini değerlendirmek için bu çalışma yapılmıştır.
Gereç ve Yöntem: Bu çalışmada cinsiyeti belli olmayan yetişkin Anadolu insanına ait 32 adet os sacrum ölçülmüştür. Os sacrum’un maksimum uzunluğu, os sacrum’un maksimum genişliği, os sacrum I corpus vertebrae’nin transvers genişliği, os sacrum I corpus vertebrae’nin anterior posterior genişliği, sakral index, facies auricularis’in kısa kol uzunluğu, facies auricularis’in uzun kol uzunluğu, facies auricularis’in oblik kol uzunluğu, os sacrum facies pelvica’ya ait uzunluk ölçümleri (FSAAU1-4) ve facies dorsalis’e ait uzunluk ölçümleri (FSPAU1-4) ile dorsal os sacrum yüksekliği (DSY) ölçülmüştür.
Bulgular: Os sacrum’un maksimum uzunluğu 103.30±10.03 mm, os sacrum’un maksimum genişliği 108.40±6.10 mm, os sacrum I corpus vertebrae’nin transvers genişliği 47.00±5.00 mm, os sacrum I corpus vertebrae’nin anterior posterior genişliği 28.30±3.50 mm, sakral indeks 104.00±9.00, facies auricularis’in kısa kol uzunluğu 31.90±4.20 mm, facies auricularis’in uzun kol uzunluğu 39.40±4.80 mm, facies auricularis’in oblik kol uzunluğu 49.10±6.00 mm, FSPAU1-4 değerleri sırasıyla mm cinsinden; 36.72±0.37, 29.75±0.31, 26.53±0.33, 26.56±0.39, FSAAU1-4 değerleri sırasıyla mm cinsinden; 29.16±0.36, 27.16±0.33, 24.50±0.26, 24.38±0.24, ve DSY 103.4±9.70 mm olarak bulunmuştur.
Sonuç: Os sacrum’un anatomisinin bilinmesi ve morfometrik ölçümlerinin yapılması os sacrum’u ilgilendiren patolojilerde bu bölgeye uygulanacak cerrahi girişimlerde ve oluşabilecek klinik komplikasyonların önlenmesi açısından büyük öneme sahiptir.

Anahtar Kelimeler

Anatomi, morfometri, os sacrum

Morphometric analysis and clinical significance of the os sacrum

Öz

Aims: The purpose of this study is to assess the architecture and clinical importance of the sacrum, which features the dorsal and pelvic nerves.
Methods: 32 os sacrum of adult Anatolians of undetermined gender were measured for this investigation. Sacrum maximum length, os sacrum maximum width, sacrum I vertebral body antero-posterior width, sacrum I vertebral body transverse width, sacral index, Auricular surface short arm, auricular surface long arm and auricular surface oblique arm, the measurements of pelvic surface linea transverse length and, the measurements of dorsal surface linea transverse length and the sacrum height from the dorsal surface are evaluated.
Results: Sacrum maximum length 103.30±10.03 mm, sacrum maximum width 108.40±6.10 mm, sacrum I vertebral body transverse width 47.00±5.00 mm, sacrum I vertebral body antero-posterior width 28.30±3.50 mm, sacral index 104.00±9.00, Auricular surface short arm 31.90±4.20 mm, Auricular surface long arm 39.40±4.80 mm, Auricular surface oblique arm 49.10±6.00 mm, the length measurements of dorsal surface distance respectively as mm; 36.72±0.37, 29.75±0.31, 26.53±0.33, 26.56±0.39, the length measurements of dorsal surface distance respectively as mm; 29.16±0.36, 27.16±0.33, 24.50±0.26, 24.38±0.24 and the sacrum height from the dorsal surface as 103.4±9.70 mm were calculated.
Conclusion: Clinically stated, understanding the architecture of the sacrum and taking morphometric measures of it are crucial to avoiding difficulties and the surgical intervention that will be used to treat disorders associated to the sacrum.

Anahtar Kelimeler

Anatomy, morphometry, sacrum

Kaynakça

• Taner D. Fonksiyonel anatomi ekstremiteler ve sırt bölgesi, 4. Baskı. Ankara: HYB Basım Yayın; 2009.
• Simriti NS, Ashwani Sharma RM. Morphological and morphometric study of dry human sacra in Jammu region. JK Science. 2017;19:154-156.
• Arıncı K. Elhan A. Anatomi. 3. Baskı. Ankara: Güneş Kitabevi; 2001.
• Stranding S. Gray’s Anatomy. The anatomical basis of clinical practice. 41st Ed. London: Elsevier; 2016.
• Hansen JT. Netter’s clinical anatomy. 4th Ed. Newyork: Elsevier; 2018.
• Duman T. Yetişkinlerde os sacrum’un çok kesitli bilgisayarlı tomografi ile morfometrik incelenmesi. Yüksek Lisans Tezi. Selçuk Üniversitesi, Konya; 2009.
• Gövsa Gökmen F. Sistematik Anatomi. 1. Baskı. İzmir: Güven Kitabevi; 2003.
• Yıldırım M. Topografik anatomi. 1. Baskı. İstanbul: Nobel Tıp Kitabevi; 2000.
• Başaloğlu H, Turgut M, Taşer FA, Ceylan T, Başaloğlu HK, Ceylan AA. Morphometry of the sacrum for clinical use. Surg Radiol Anat. 2005;27(6):467-471. doi:10.1007/s00276-005-0036-1
• Peretz AM, Hipp JA, Heggeness MH. The internal bony architecture of the sacrum. Spine (Phila Pa 1976). 1998;23(9):971-974. doi:10.1097/00007632-199805010-00001
• Koç T, Ertekin T, Acer N, Cinar S. Os sacrum kemiğinin morfometrik değerlendirilmesi ve eklem yüzey alanlarının hesaplanması. Erciyes Üniv Sağ Bil Derg. 2014;23:67-73.
• Kothapalli J, Velichety SD, Desai V and Zameer MR. Morphometric study of sexual dimorphism in adult sacra of South Indian population. Int J of Biol Med Res. 2012;3:2076-81.
• Janipati P, Kothapalli J, Shamsunder RV. Study of sacral index: comparison between different regional populations of India and abroad. Int J Anat Res. 2014;2(4):640-644.
• Patel S, Nigam M, Mishra P and Waghmare CS. A study of sacral index and its interpretation in sex determination in Madhya Pradesh. J Indian Acad Forensic Med. 2014;36:146-149.
• Sachdeva K, Singla RK, Kalsey G and Sharma G. Role of sacrum in sexual dimorphisim A morphometric study. J Indian Acad Forensic Med. 2011;33:206-210.
• Singh SN, Sharma A, Magotra R. Morphological and morphometric study of dry human sacra in Jammu region. JK Sci. 2017;19:154-156.
• Kumar A, Wishwakarma N. An anthropometric analysis of dry human sacrum:gender discrimination. Int J Sci Res. 2015;4:1305-1310.
• Mustafa MS, Mahmoud OM, El Raouf HHA and Atef H. Morphometric study of sacral hiatus in adult human Egyptian sacra: Their significiance in caudal epidural anesthesia. Saudi J Anaesth. 2012;6:350-357.
• Mishra SR, Singh PJ, Agrawal AK. Identification of sex of sacrum of Agra region. J Anat Soc India. 2003;52:132-136.
• Sinha MB, Rathore M, Trivedi S and Siddiqui AU. Morphometry of first pedicle of sacrum and its clinical relevance. Int J Healthc Biomed Res. 2013;1:234-240.
• Vasuki AKM, Sundaram KK, Nirmaladevi, Jamuna M, Hebzibah DJ, Fenn TKA. Anatomical variations of sacrum and its clinical significance. Int J Anat Res. 2016;4:1859-1863
• Laishram D, Ghosh A, Shastri D. A study on the variations of sacrum and its clinical significance. J Dent Med Sci. 2016;15:8-14.
• Cheng JS, Song JK. Anatomy of the sacrum. Neurosurg Focus. 2003;15:1-4.
• Isaac UE, Ekanem TB, Igiri AO. Gender differentiation in the adult human sacrum and the subpubic angle among indigenes of cross river and Akwa Ibom States of Nigeria using radiographic films. Anatomy J Africa. 2014;3:294-307.
• Patel MM, Gupta BD, Singel TC. Sexing of sacrum by sacral index and kimura’s base-wing index. JIAFM. 2005;27:5-9.
• McGrath MC, Stringer MD. Bony landmarks in the sacral region:the posterior superior iliac spine and the second dorsal sacral foramina:a potential guide for sonography. Surg Radiol Anat. 2011;33:279–286.
• Dubory A, Bouloussa H, Riouallon G, et al. Wolff S. A computed tomographic anatomical study of the upper sacrum. Application for a user guide of pelvic fixation with iliosacral screws in adult spinal deformity. Int Orthop. 2017;41(12):2543-2553. doi:10.1007/s00264-017-3580-5.
• Banik S, Mohakud S, Sahoo S, Tripathy PR, Sidhu S, Gaikwad MR. Comparative morphometry of the sacrum and its clinical implications: a retrospective study of osteometry in dry bones and CT scan images in patients presenting with lumbosacral pathologies. Cureus. 2022;14(2):e22306. doi:10.7759/cureus.22306.