Morphometric analysis of the lumbar vertebrae in the Turkish population using three-dimensional computed tomography: correlation with sex, age, and height

• Autorzy: Gulec A. , Kacira B.K. , Kutahya H. , Ozbiner H. , Ozturk M. , Solbas C.S. , Gokmen I.E.
• Języki publikacji: EN

Abstrakty

EN

Background: Morphometric measurements of lumbar vertebrae are different in European and Asian populations. Transpedicular screws are candidates for the ideal method to treat instability of lumbar vertebrae and provide very strong stabilisation. Our study reflects the variation of morphometric measurements of lumbar vertebrae in the Turkish population according to sex, age, and height. The aim of our study was to measure the transverse pedicle diameter (TPD), vertical pedicle diameter (VPD), pedicle axis length (PAL), and transverse pedicle angle (TPA) of the lumbar vertebrae, using three-dimensional computed tomography (3D-CT), and assess variations according to sex, age, and height. Materials and methods: Prospective cohort, Therapeutic Level III, Urban Level III Trauma Centre. The study design adopted a morphometric analysis using 3D-CT of the lumbar vertebrae in the Turkish population, with variation in terms of sex, age, and height and comparison with previous studies. In 240 cases, measurements of TPC, VPD, PAL, and TPA with 3D-CT were performed on a total of 1200 lumbar vertebrae. The values at each lumbar level were compared in groups based on sex, age, and height. Results: The results of our study determined the normal values of TPD, VPD, PAL, and TPA of lumbar vertebrae in the Turkish population using 3D-CT. Additionally there were variations in TPD, VPD, and PAL according to sex, age, and height. TPA varied according to age, while no difference was found in terms of sex or height. Conclusions: The morphometric measurements of lumbar vertebrae in the Turkish population are similar to western populations. Sex, age, and height are factors affecting reliable screw choice. (Folia Morphol 2017; 76, 3: 433–439)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2017
• Tom: 76
• Numer: 3
• Opis fizyczny: p.433-439,fig.,ref.

Twórcy

autor

Gulec A.

• Necmettin Erbakan University Meram Medical Faculty, Department of Trauma and Orthopaedics, Konya, Turke

autor

Kacira B.K.

• Necmettin Erbakan University Meram Medical Faculty, Department of Trauma and Orthopaedics, Konya, Turke

autor

Kutahya H.

• Necmettin Erbakan University Meram Medical Faculty, Department of Trauma and Orthopaedics, Konya, Turke

autor

Ozbiner H.

• Necmettin Erbakan University Meram Medical Faculty, Department of Radiology, Konya, Turkey

autor

Ozturk M.

• Department of Radiology, Diyarbakır Children’s Hospital, Diyarbakır, Turkey

autor

Solbas C.S.

• Necmettin Erbakan University Meram Medical Faculty, Department of Radiology, Konya, Turkey

autor

Gokmen I.E.

• Necmettin Erbakan University Meram Medical Faculty, Department of Radiology, Konya, Turkey

Bibliografia

• 1. Acharya S, Dorje T, Srivastava A. Lower dorsal and lumbar pedicle morphometry in Indian population: a study of four hundred fifty vertebrae. Spine (Phila Pa 1976). 2010; 35(10): E378–E384, doi: 10.1097/BRS.0b013e3181cb7f2b, indexed in Pubmed: 20431473.
• 2. Alam MM, Waqas M, Shallwani H, et al. Lumbar morphometry: a study of lumbar vertebrae from a pakistani population using computed tomography scans. Asian Spine J. 2014; 8(4): 421–426, doi: 10.4184/asj.2014.8.4.421, indexed in Pubmed: 25187858.
• 3. Amonoo-Kuofi HS. Age-related variations in the horizontal and vertical diameters of the pedicles of the lumbar spine. J Anat. 1995; 186: 321–328, indexed in Pubmed: 7649830.
• 4. Azar N, Akman YE, Yalçınkaya M, et al. L5 vertebral morphometric characteristics of Turkish society. J Turk Spinal Surg. 2008; 19: 373–380.
• 5. Bing Li, Baoguo J, Zhongguo Fu, et al. Accurate determination of isthmus of lumbar pedicle: a morphometric study using reformatted computed tomographic images. Spine. 2004; 29(21): 2438–2444, doi: 10.1097/01.brs.0000144355.50660.65.
• 6. Çapar B, Karagüven D, Benli İT, et al. Morphometric analysis of thoracolumbar pedicle dimensions of the adolescent and adult age groups. J Turkish Spinal Surg. 2012; 23: 19–26.
• 7. Hou S, Hu R, Shi Y. Pedicle morphology of the lower thoracic and lumbar spine in a Chinese population. Spine (Phila Pa 1976). 1993; 18(13): 1850–1855, indexed in Pubmed: 8235871.
• 8. Kim NH, Lee HM, Chung IH, et al. Morphometric study of the pedicles of thoracic and lumbar vertebrae in Koreans. Spine. 1994; 19(12): 1390–1394, indexed in Pubmed: 8066521.
• 9. Lotfinia I, Haddadi K, Sayyahmelli S. Computed tomographic evaluation of pedicle dimension and lumbar spinal canal. Neurosurg Quar. 2010; 20(3): 194–198, doi: 10.1097/wnq.0b013e3181eb284a.
• 10. Mohamed A. M, Adel Saad B, Mohey EE. Morphological measurements of lumbar pedicles in Egyptian population using computerized tomography and cadaver direct caliber measurements. Egypt J Radiol Nucl Med. 2010; 41(4): 475–481, doi: 10.1016/j.ejrnm.2010.10.002.
• 11. Olsewski JM, Simmons EH, Kallen FC, et al. Morphometry of the lumbar spine: anatomical perspectives related to transpedicular fixation. J Bone Joint Surg Am. 1990; 72(4): 541–549, indexed in Pubmed: 2139030.
• 12. West JL, Ogilvie JW, Bradford DS. Complications of the variable screw plate pedicle screw fixation. Spine. 1991; 16(5): 576–579, indexed in Pubmed: 2053001.
• 13. Yu CC, Yuh RT, Bajwa NS, et al. Pedicle morphometry of lumbar vertebrae: male, taller, and heavier specimens have bigger pedicles. Spine. 2015; 40(21): 1639–1646, doi: 10.1097/BRS.0000000000001086, indexed in Pubmed: 26244405.
• 14. Zindrick MR, Wiltse LL, Doornik A, et al. Analysis of the morphometric characteristics of the thoracic and lumbar pedicles. Spine. 1987; 12(2): 160–166, indexed in Pubmed: 3589807.

Identyfikatory

DOI

10.5603/FM.a2017.0005