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2016 | 75 | 2 |

Tytuł artykułu

Morphologic characteristics of sacra associated with assimilation of the last lumbar vertebra

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: The impact of lumbosacral transitional states on biomechanics of load transmission between the spine and the legs has been sporadically reported. The aims of the study were to identify morphostructural alterations of sacra associated with assimilation of the last lumbar vertebra and to analyse them in the light of their biomechanical impact. Materials and methods: Linear dimensions of sacrum, its body and base and articular surfaces were measured in 31 normal and 41 transitory sacra. Nineteen sacra presented articular and 22 osseous fusion of the last lumbar vertebra. Measured parameters were compared between normal sacra and the two variations of transitory sacra. Results: Sacra with articular fusion of the last lumbar vertebra showed more pronounced concavity of the sacral curvature and wider than long sacral bodies. The first sacral segment was modified, broaden, ventrally wider and elevated. Almost the whole segment bore at its sides auricular surfaces. Very small portion of the segment was non-articular with less pronounced wedging. Sacra with osseous fusion of the last lumbar vertebra showed similar concavity of the sacral curvature as normal sacra, but longer than wide sacral bodies. The ventral sloping half of the newly formed first segment bore auricular surfaces. The non-articular part was enlarged with pronounced wedging. Conclusions: The term “sacralisation“ includes both types of transitory sacra with mutually different morphostructural characteristics in contrast to the normal sacra. Analysis of these morphologic variations may help in understanding the different biomechanical properties and patterns of load transmission. (Folia Morphol 2016; 75, 2: 196–203)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

75

Numer

2

Opis fizyczny

p.196-203,fig.,ref.

Twórcy

autor
  • Institute of Anatomy, University “Ss.Cyril and Methodius”, 50 Divizija 6, 1000 Skopje, R.Macedonia
autor
  • Institute of Anatomy, University “Ss.Cyril and Methodius”, Skopje, R.Macedonia
  • Institute of Anatomy, University “Ss.Cyril and Methodius”, Skopje, R.Macedonia
autor
  • Institute of Anatomy, University “Ss.Cyril and Methodius”, Skopje, R.Macedonia
autor
  • Institute of Anatomy, University “Ss.Cyril and Methodius”, Skopje, R.Macedonia
autor
  • Institute of Forensic Medicine and Criminology, University “Ss.Cyril and Methodius”, Skopje, R.Macedonia

Bibliografia

  • 1. Aihara T, Takahashi K, Ogasawara A, Itadera E, Ono Y, Moriya H (2005) Intervertebral disc degeneration associated with lumbosacral transitional vertebrae: a clinical and anatomical study. J Bone Joint Surg Br, 87: 687–691.
  • 2. Bezuidenhout AF, Lotz JW (2014) Lumbosacral transitional vertebra and S1 radiculopathy: the value of coronal MR imaging. Neuroradiology, 56: 453–457.
  • 3. Brault JS, Smith J, Currier BL (2001) Partial lumbosacral transitional vertebra resection for contralateral facetogenic pain. Spine (Phila Pa 1976), 26: 226–229.
  • 4. Bron JL, van Royen BJ, Wuisman PI (2007) The clinical significance of lumbosacral transitional anomalies. Acta Orthop Belg, 73: 687–695.
  • 5. Brown MF, Rockall AG, Hallam P, Hall-Craggs MA, Edgar MA (2000)Transitional lumbosacral vertebrae: incidence of disc degeneration above and below. J Bone Joint Surg Br, 82-B (Suppl II): 180.
  • 6. Delport EG, Cucuzzella TR, Kim N, Marley J, Pruitt C, Delport AG (2006) Lumbosacral transitional vertebrae: incidence in a consecutive patient series. Pain Physician, 9: 53–56.
  • 7. Dijkstra PF, Vleeming A, Stoeckart R (1989) Complex motion tomography of the sacroiliac joint. An anatomical and roentgenological study. Rofo, 150: 635–642.
  • 8. Ebraheim NA, Biyani A (2003) Percutaneous computed tomographic stabilization of the pathologic sacroiliac joint. Clin Orthop Relat Res, 408: 252–255.
  • 9. Konin GP, Walz DM (2010) Lumbosacral transitional vertebrae: classification, imaging findings, and clinical relevance. Am J Neuroradiol, 31: 1778–1786.
  • 10. Luoma K, Vehmas T, Raininko R, Luukkonen R, Riihimäki H (2004) Lumbosacral transitional vertebra : relation to disc degeneration and low back pain. Spine (Phila Pa 1976), 29: 200–205.
  • 11. Mahato NK (2010) Morphometric analysis and identification of characteristic features in sacra bearing accessory articulations with L5 vertebra. Spine J, 10: 616–621.
  • 12. Mahato NK (2011) Facet dimensions, orientation and symmetry at L5-S1 junction in lumbosacral transitional states. Spine (Phila Pa 1976), 36: E569–E573.
  • 13. Nardo L, Alizai H, Virayavanich W Liu F, Hernandez A, Lynch JA, Nevitt MC, McCulloch CE, Lane NE, Link TM (2012) Lumbosacral transitional vertebrae: association with low back pain. Radiology, 265: 497–503.
  • 14. Otani K, Konno S, Kikuchi S (2001) Lumbosacral transitional vertebrae and nerve-root symptoms. J Bone Joint Surg Br, 83: 1137–1140.
  • 15. Quinlan JF, Duke D, Eustace S (2006) Bertolotti’s syndrome. A cause of back pain in young people. J Bone Joint Surg Br, 88: 1183–1186.
  • 16. Taskaynatan MA, Izci Y, Ozgul A, Hazneci B, Dursun H, Kalyon TA (2005) Clinical significance of congenital lumbosacral malformations in young male population with prolonged low back pain. Spine, 30: E210–E213.
  • 17. Vergauwen S, Parizel PM, Van Breusegem L, Van Goethem JW, Nackaerts Y, Van den Hauwe L, De Schepper AM (1997) Distribution and incidence of degenerative spine changes in patients with a lumbosacral transitional vertebra. Eur Spine J, 6: 168–172.
  • 18. Vleeming A, Buyruk HM, Stoeckart R Karamursel S, Snijders CJ (1992a) An integrated therapy for peripartum pelvic instability: a study of the biomechanical effects of pelvic belts. Am J Obstet Gynecol, 166: 1243–1247.
  • 19. Vleeming A,Schuenke MD,Masi AT, Carreiro JE, Danneels L, Willard FH (2012) The sacroiliac joint: an overview of its anatomy, function and potential clinical implications. J Anat, 221: 537–567.
  • 20. Vleeming A, Stoeckart R (2007) The role of pelvic girdle in coupling the spine and the legs. In: Movement, stability and lumbopelvic pain: Integration and research. Churchill Livingstone, Edinburgh, pp. 113–137.
  • 21. Vleeming A, Stoeckart R, Volkers AC, Snijders CJ (1990a) Relation between form and function in the sacroiliac joint. Part I: clinical anatomical aspects. Spine (Phila Pa 1976), 15: 130–132.
  • 22. Vleeming A, Volkers AC, Snijders CJ, Stoeckart R, (1990b) Relation between form and function in the sacroiliac joint. Part II: biomechanical aspects. Spine (Phila Pa 1976), 15: 133–136.
  • 23. Vleeming A, Van Wingerden JP, Dijkstra PF, Stoeckart R, Snijders CJ, Stijnen T (1992b) Mobility in the sacroiliac joints in the elderly: a kinematic and radiological study. Clin Biomech, 7: 170–176.

Typ dokumentu

Bibliografia

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