PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników

Czasopismo

2017 | 76 | 3 |

Tytuł artykułu

Morphometric analysis of the uncinate processes of the cervical vertebrae

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: Uncinate processes (UPs) are distinct features unique to cervical vertebrae. They are consistently found on posterolateral aspect of the superior end plate of 3rd to 7th cervical vertebrae. In this study, we investigated the morphology of the UPs with a particular emphasis on the regional anatomy and clinical significance. Materials and methods: The study included 63 vertebrae. The width, height and length of UPs were measured with a digital calliper. We also assessed inclination angle of UP relative to sagittal plane, angle between medial surface of UP and superior surface of vertebra, angle between long axis of the UP and frontal plane, angle between long axis of UP and sagittal plane. Results: Average width of the UPs ranged from 4.25 mm at C3 to 6.33 mm at T1; average height ranged from 4.88 mm at T1 to 7.54 mm at C4; and average length ranged from 6.88 mm at T1 to 11.46 mm at C4. We measured the inclination angle of UP relative to sagittal plane, and found it to be relatively constant with T1 having the largest value. The average angle was 41.39°, and the range was 17° to 85°. The angle between the long axis of the UP and the sagittal plane was increasing significantly from C5 to T1. The average angle was 20.74° and the range was 6° to 65°. Conclusions: Anatomy of UPs is significant for surgeon who operates on the cervical spine. Hopefully, the information presented herein would decrease complications during surgical approaches to the cervical spine. (Folia Morphol 2017; 76, 3: 440–445)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

76

Numer

3

Opis fizyczny

p.440-445,fig.,ref.

Twórcy

autor
  • Department of Anatomy, Gulhane Medical Faculty, Health Sciences University, Ankara, Turkey
autor
  • Gulhane Medical Faculty, Department of Anatomy, Health Sciences University, Ankara, Turkey
autor
  • TOBB University of Economics and Technology Faculty of Medicine, Sogutozu, Ankara, Turkey

Bibliografia

  • 1. Bland JH, Boushey DR. Anatomy and physiology of the cervical spine. Semin Arthritis Rheum. 1990; 20(1): 1–20, indexed in Pubmed: 2218549.
  • 2. Bozbuğa M, Oztürk A, Ari Z, et al. Surgical anatomic evaluation of cervical uncinate process for ventral and ventrolateral subaxial decompression. Okajimas Folia Anat Jpn. 1999; 76(4): 193–196, indexed in Pubmed: 10565202.
  • 3. Brismée JM, Sizer PS, Dedrick GS, et al. Immunohistochemical and histological study of human uncovertebral joints: a preliminary investigation. Spine. 2009; 34(12): 1257–1263, doi: 10.1097/BRS.0b013e31819b2b5d, indexed in Pubmed: 19455000.
  • 4. Browne KM. The anatomy, spatial relationships, and role of uncovertebral articulations as the source of posterolateral cervical cartilage sequestrations. J Neurosurg Spine. 2010; 12(3): 270–274, doi: 10.3171/2009.10.SPINE09367, indexed in Pubmed: 20192626.
  • 5. Cave AJ, Griffiths JD, Whiteley MM. Osteo-arthritis deformans of the Luschka jounts. Lancet. 1955; 268(6856): 176–179, indexed in Pubmed:13234316.
  • 6. Civelek E, Kiris T, Hepgul K, et al. Anterolateral approach to the cervical spine: major anatomical structures and landmarks. Technical note. J Neurosurg Spine. 2007; 7(6): 669–678, doi: 10.3171/SPI-07/12/669, indexed in Pubmed: 18074695.
  • 7. Clausen JD, Goel VK, Traynelis VC, et al. Uncinate processes and Luschka joints influence the biomechanics of the cervical spine: quantification using a finite element model of the C5-C6 segment. J Orthop Res. 1997; 15(3): 342–347, doi: 10.1002/jor.1100150305, indexed in Pubmed: 9246079.
  • 8. Del Sasso L, Mondini A, Brambilla S, et al. Operative treatment of cervicobrachialgia and vertigo due to uncovertebral joint arthritis. Ital J Orthop Traumatol. 1991; 17(4): 498–504, indexed in Pubmed: 1816155.
  • 9. Ebraheim NA, Lu J, Biyani A, et al. Anatomic considerations for uncovertebral involvement in cervical spondylosis. Clin Orthop Relat Res. 1997(334): 200–206, indexed in Pubmed: 9005914.
  • 10. Ebraheim NA, Lu J, Brown JA, et al. Vulnerability of vertebral artery in anterolateral decompression for cervical spondylosis. Clin Orthop Relat Res. 1996(322): 146–151, indexed in Pubmed: 8542690.
  • 11. Kotani Y, McNulty PS, Abumi K, et al. The role of anteromedial foraminotomy and the uncovertebral joints in the stability of the cervical spine. A biomechanical study. Spine. 1998; 23(14): 1559–1565, indexed in Pubmed: 9682312.
  • 12. Lee JY, Löhr M, Impekoven P, et al. Small keyhole transuncal foraminotomy for unilateral cervical radiculopathy. Acta Neurochir. 2006; 148(9): 951–958, doi: 10.1007/s00701-006-0812-7, indexed in Pubmed: 16804642.
  • 13. Lu J, Ebraheim NA, Haman SP, et al. Cervical uncinate process: an anatomic study for anterior decompression of the cervical spine. Surg Radiol Anat. 1998; 20(4): 249–252, indexed in Pubmed: 9787390.
  • 14. Lyon E. Uncovertebral osteophytes and osteochondrosis of the cervical spine. J Bone Joint Surg Am. 1945; 27: 248–253.
  • 15. Milne N. The role of zygapophysial joint orientation and uncinate processes in controlling motion in the cervical spine. J Anat. 1991; 178: 189–201, indexed in Pubmed: 1810926.
  • 16. Nourbakhsh A, Yang J, Gallagher S, et al. A safe approach to explore/identify the V(2) segment of the vertebral artery during anterior approaches to cervical spine and/or arterial repairs: anatomical study. J Neurosurg Spine. 2010; 12(1): 25–32, doi: 10.3171/2009.7.SPINE08504, indexed in Pubmed:20043760.
  • 17. Oh SH, Perin NI, Cooper PR. Quantitative three-dimensional anatomy of the subaxial cervical spine: implication for anterior spinal surgery. Neurosurgery. 1996; 38(6): 1139–1144, indexed in Pubmed: 8727144.
  • 18. Pait TG, Killefer JA, Arnautovic KI. Surgical anatomy of the anterior cervical spine: the disc space, vertebral artery, and associated bony structures. Neurosurgery. 1996; 39(4): 769–776, indexed in Pubmed: 8880772.
  • 19. Panjabi MM, Duranceau J, Goel V, et al. Cervical human vertebrae. Quantitative three-dimensional anatomy of the middle and lower regions. Spine. 1991; 16(8): 861–869, indexed in Pubmed: 1948369.
  • 20. Pesch HJ, Bischoff W, Becker T, et al. On the pathogenesis of spondylosis deformans and arthrosis uncovertebralis: comparative form-analytical radiological and statistical studies on lumbar and cervical vertebral bodies. Arch Orthop Trauma Surg. 1984; 103(3): 201–211, indexed in Pubmed:6497609.
  • 21. Raynor RB. Anterior or posterior approach to the cervical spine: An anatomical and radiographic evaluation and comparison. Neurosurgery. 1983; 12: 7–13.
  • 22. Russo VM, Graziano F, Peris-Celda M, et al. The V(2) segment of the vertebral artery: anatomical considerations and surgical implications. J Neurosurg Spine. 2011; 15(6): 610–619, doi: 10.3171/2011.7.SPINE1132, indexed in Pubmed: 21905775.
  • 23. Saringer WF, Reddy B, Nöbauer-Huhmann I, et al. Endoscopic anterior cervical foraminotomy for unilateral radiculopathy: anatomical morphometric analysis and preliminary clinical experience. J Neurosurg. 2003; 98(2 Suppl): 171–180, indexed in Pubmed: 12650402.
  • 24. Shen FH, Samartzis D, Khanna N, et al. Comparison of clinical and radiographic outcome in instrumented anterior cervical discectomy and fusion with or without direct uncovertebral joint decompression. Spine J. 2004; 4(6): 629–635, doi: 10.1016/j.spinee.2004.04.009, indexed in Pubmed: 15541694.
  • 25. Silberstein CE. The evolution of degenerative changes in the cervical spine and an investigation into the “joints of luschka”. Clin Orthop Relat Res. 1965; 40: 184–204, indexed in Pubmed: 14304709.
  • 26. Snyder JT, Tzermiadianos MN, Ghanayem AJ, et al. Effect of uncovertebral joint excision on the motion response of the cervical spine after total disc replacement. Spine. 2007; 32(26): 2965–2969, doi: 10.1097/BRS.0b013e31815cd482, indexed in Pubmed: 18091488.
  • 27. Tanaka N, Fujimoto Y, An HS, et al. The anatomic relation among the nerve roots, intervertebral foramina, and intervertebral discs of the cervical spine. Spine (Phila Pa 1976). 2000; 25(3): 286–291, indexed in Pubmed: 10703098.
  • 28. Taylor J, Twomey L, Levander B. Contrasts between cervical and lumbar motion segments. Crit Rev Phys Rehabil Med. 2000; 12: 345–371.
  • 29. Tubbs RS, Rompala OJ, Verma K, et al. Analysis of the uncinate processes of the cervical spine: an anatomical study. J Neurosurg Spine. 2012; 16(4): 402–407, doi: 10.3171/2011.12.SPINE11541, indexed in Pubmed: 22264177.
  • 30. Tulsi RS, Perrett LV. The anatomy and radiology of the cervical vertebrae and the tortuous vertebral artery. Aust Radiol. 1975; 19(3): 258–264, indexed in Pubmed: 1212130.
  • 31. Uğur HC, Uz A, Attar A, et al. Anatomical projection of the cervical uncinate process in ventral, ventrolateral, and posterior decompressive surgery. J Neurosurg. 2000; 93(2 Suppl): 248–251, indexed in Pubmed: 11012055.
  • 32. Yilmazlar S, Ikiz I, Kocaeli H, et al. Details of fibroligamentous structures in the cervical unco-vertebral region: an obscure corner. Surg Radiol Anat. 2003; 25(1): 50–53, doi: 10.1007/s00276-002-0087-5, indexed in Pubmed: 12819950.
  • 33. Yilmazlar S, Kocaeli H, Uz A, et al. Clinical importance of ligamentous and osseous structures in the cervical uncovertebral foraminal region. Clin Anat. 2003; 16(5): 404–410, doi: 10.1002/ca.10158, indexed in Pubmed: 12903062.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-4f6a32a8-5d36-4a09-97b4-ae9a07c059e3
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.