Sacrum Kemiğinin Morfometrisi ve Varyasyonu

Yıl 2023, Cilt: 5 Sayı: 1, 176 - 82, 15.01.2023

Gökçe Bağcı Uzun , Merve Aydın , Burcu Kamaşak , Büşra Zencirci , Tufan Ulcay , Mehtap Nisari , Hıdır Pekmez

https://doi.org/10.37990/medr.1178662

Öz

Amaç: Beşinci bel omurunun birinci sacral omurla birleşmesine bel omurunun sakralizasyonu denir. Bu çalışmanın amacı sacralizasyon ile os sacrum da meydana gelen değişiklikler tespit edilerek morfometrik ölçümler yapılmıştır.
Material ve Metot: Çalışmamız; Malatya Turgut Özal Üniversitesi Anatomi Anabilim Dalı laboratuvarında toplam 30 adet sacrum kemiği üzerinde ölçümler, 0,01 milimetre (mm) hassasiyette dijital grafik kullanılarak yapıldı ve sacrum kemiğinde ölçümler alındı.
Bulgular: İncelenen sacrumların birinde tuberositas ossis sacri’nin çukur şeklinde olduğu ve bunun alt tarafında belirgin bir oluğun olduğu tespit edildi. Os sacrum ile kaynaşan son bel omurunun processus transversus’unun belirgin bir şekilde kaynaşmadığı görüldü. Os sacrum ile son bel omurunun ön taraftaki birleşme yerindeki linea transversada kısmi sacralizasyon tespit edildi. İncelenen sacrumlarda 21 tanesinde dörder adet foramına sacralia olduğu, 9 tanesinde varyasyonlu ve beşer adet foramina sacraliae olduğu tespit edildi ve bu kemikler varyasyonlu olarak tespit edildi. Sağlı sollu foramenlerin ölçümleri alındı ve varyasyonlu ve normal sacrumların ve MLU ve MTU değerleri istatistiksel olarak anlamlı bulunmadı (p<0.05).
Sonuç: Sacrum da yapısal değişikliklerin olabileceği ve foramina sacraliae sayısının farklı olabileceği belirlendi. Sacrumun morfometrik ölçümlerinin bilinmesinin sacrum kırıkları ve sacrum analizinde klinisyenlere yol göstereceğine inanıyoruz.

Anahtar Kelimeler

Sacrum, sacralization;, morphometri

Morphometry and Variation in Os Sacrum

Öz

Aim: The merger of the fifth lumbar vertebrae with the first sacral vertebrae is called the sacralisation of the lumbar vertebrae. The purpose of this study, changes in the os sacrum with sacralisation were detected, and morphometric measurements were made.
Materials and Methods: Measurements on 30 sacrum bones in the laboratory from the Department of Anatomy were performed using a digital caliper with a sensitivity of 0.01 millimeters (mm). Os sacrum measurements were taken.
Results: In one of the examined sacrums, it was found that tuberositas ossis sacri had the form of a pit, and on the underside of it, there was a pronounced groove. The processus transverse of the last lumbar vertebra fused with the os sacrum was not noticeably fused. Partial sacralisation was detected in the linea transversa at the anterior junction of the os sacrum and the last lumbar vertebra. It was determined that 21 of the sacrums had four foramina sacralia, and 9 of them had five variational foramina sacralia.
Conclusion: It was determined that structural changes might occur in the sacrum and that the number of foramina sacralia may be different. We believe that knowing the morphometric measurements of the sacrum will guide clinicians in the analysis of sacrum fractures and sacrum.  

Anahtar Kelimeler

sacrum, sacralization, morphometry

Kaynakça

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