All Title Author
Keywords Abstract

Publish in OALib Journal
ISSN: 2333-9721
APC: Only $99

ViewsDownloads

Relative Articles

More...

Computed Tomography Morphometry of the Lumbar Spine in Adults in Brazzaville

DOI: 10.4236/nm.2024.154011, PP. 129-140

Keywords: Vertebral Body, Intervertebral Disc, Pedicle, Computed Tomography, Morphometry

Full-Text   Cite this paper   Add to My Lib

Abstract:

Context and Justification: Reconstructive spine surgery and the design of implants depend on disc and vertebral measurements, which vary according to racial groups and geographic areas. This variability underscores the importance of studying the morphometric characteristics specific to each population. Research Objective: The primary aim of this research was to determine the measurements of spinal components in the Congolese population in order to establish references suitable for local clinical practice. Materials and Methods: Congolese individuals, free from any spinal disorders, participated in a study on vertebral and disc morphology of the lumbar spine after providing informed consent. They underwent computed tomography examinations at medical imaging centers in Brazzaville. The parameters studied included: in axial sections, the transverse diameter (TDb) and sagittal diameter (SDb) of the vertebral bodies, the pedicular transverse diameter (TDp), and in sagittal reconstructions: the height of the vertebral bodies (Hb) and intervertebral discs (Hd). Results: The sample size consisted of 100 subjects (70 men and 30 women), with an average age of 24.47 ± 3.72 years (18 - 30 years). Cranio-caudally, the TDb, DSb, TDp, and Hd showed increasing values, while Hb values were decreasing. In L1, values for both sexes were: TDb = 39.3 ± 3 mm; DSb = 27.3 ± 2.9 mm; Hb = 26.6 ± 2.1 mm; TDp = 8.2 ± 1.8 mm; in L5: TDb = 50.3 ± 4 mm; DSb = 33.6 ± 2.7 mm; Hb = 25.7 ± 2.2 mm; TDp = 14.8 ± 2.1 mm. The Hd values were 8.1 ± 2.1 mm for L1 - L2 and 11.1 ± 2 mm for L5 - S1. Conclusion: Reconstructive spine surgery and the design of implants depend on disc and vertebral measurements, which vary according to racial groups and geographic areas. This variability underscores the importance of studying the morphometric characteristics specific to each population.

References

[1]  Boukassa, L., Mavoungou Biati, K., Massamba Miabaou, D., et al. (2018) Mensurations du Canal Lombaire des Congolais: Etude Radiomorphologique de 109 Cas. Health Sciences and Diseases, 9, 32-35.
[2]  Azu, O.O., Komolafe, O.A., Ofusori, D.A., Ajayi, S.A., Naidu, E.C.S. and Abiodun, A.A. (2016) Morphometric Study of Lumbar Vertebrae in Adult South African Subjects. International Journal of Morphology, 34, 1345-1351.
https://doi.org/10.4067/s0717-95022016000400028
[3]  Maaly, M.A., Saad, A. and Houlel, M.E.E. (2010) Morphological Measurements of Lumbar Pedicles in Egyptian Population Using Computerized Tomography and Cadaver Direct Caliber Measurements. The Egyptian Journal of Radiology and Nuclear Medicine, 41, 475-481.
https://doi.org/10.1016/j.ejrnm.2010.10.002
[4]  Lee, H.M., Kim, N.H., Kim, H.J. and Chung, I.H. (1994) Mid-sagittal Canal Diameter and Vertebral Body/Canal Ratio of the Cervical Spine in Koreans. Yonsei Medical Journal, 35, 446-452.
https://doi.org/10.3349/ymj.1994.35.4.446
[5]  Singh, V., Prasad, S.N., Neyaz, Z., Bhargava, N., Yadav, U., Srivastav, A.K., et al. (2021) Computed Tomographic Morphometry of Lumbar Spine in Indian Population. Indian Journal of Neurotrauma, 19, 12-18.
https://doi.org/10.1055/s-0041-1725568
[6]  Coudert, P. (2018) Anatomie osseuse tomodensitométrique de la portion pédiculaire du foramen intervertébral du rachis cervical inférieur: Cartographie dans une population asymptomatique et comparaison aux foramens sténosés d’une population névralgique. Médecine humaine et pathologie.
[7]  Gocmen-Mas, N., Karabekir, H., Ertekin, T., Edizer, M., Canan, Y. and Duyar, I. (2010) Evaluation of Lumbar Vertebral Body and Disc: A Stereological Morphometric Study. International Journal of Morphology, 28, 841-847.
https://doi.org/10.4067/s0717-95022010000300028
[8]  Urrutia Vega, E., Elizondo Omaña, R.E., De la Garza Castro, O. and Guzmán López, S. (2009) Morphometry of Pedicle and Vertebral Body in a Mexican Population by CT and Fluroscopy. International Journal of Morphology, 27, 1299-1303.
https://doi.org/10.4067/s0717-95022009000400052
[9]  Kang, K.S., Song, K., Lee, J.S., Yang, J.J. and Song, I.S. (2010) Comparison of Radiographic and Computed Tomographic Measurement of Pedicle and Vertebral Body Dimensions in Koreans: The Ratio of Pedicle Transverse Diameter to Vertebral Body Transverse Diameter. European Spine Journal, 20, 414-421.
https://doi.org/10.1007/s00586-010-1560-1
[10]  Boukassa, L., Makosso, E., Ekouele Mbaki, H.B., et al. (2017) Radio-Morphométrie des corps vertébraux et disques intervertébraux de la région lombaire à Brazzaville. Journal Africain d Imagerie Médicale, 9, 44-49.
[11]  Mavoungou Biati, K. (2008) Etude morphométrique du canal lombaire chez l’adulte jeune bantou à Brazzaville. Thèse medecine, Université Marien Ngouabi Brazzaville.
[12]  Kehoua, G.T. (2010) Etude radiomorphométrique du canal lombaire chez l’adulte jeune Bantou de Kinshasa en République Démocratique du Congo. Master’s Thesis, Université Simon Kimbangou.
https://www.memoireonline.com/sommaires/biologie-medecine4.html
[13]  Alam, M.M., Waqas, M., Shallwani, H. and Javed, G. (2014) Lumbar Morphometry: A Study of Lumbar Vertebrae from a Pakistani Population Using Computed Tomography Scans. Asian Spine Journal, 8, 421-426.
https://doi.org/10.4184/asj.2014.8.4.421
[14]  Nicot, B. (2017) Biomecanique du rachis.
https://fr.slideshare.net/slideshow/biomecanique-du-rachis/80341214
[15]  Konan, M.L., Koffi, G.R., Meuga, M.W., Djondé, G.E., Diby, S.S., Fatoh, E. and Kakou, M. (2023) Morphometric Study of Lumbar Spine Pedicles in a West African Population and SURGICAL implication in Pedicule Screws. JAMO, 8, 8-17.
[16]  Cho, S.K., Skovrlj, B., Lu, Y., Caridi, J.M. and Lenke, L.G. (2014) The Effect of Increasing Pedicle Screw Size on Thoracic Spinal Canal Dimensions: An Anatomic Study. Spine, 39, E1195-E1200.
https://doi.org/10.1097/brs.0000000000000514
[17]  Yu, C.C., Bajwa, N.S., Toy, J.O., Ahn, U.M. and Ahn, N.U. (2014) Pedicle Morphometry of Upper Thoracic Vertebrae: An Anatomic Study of 503 Cadaveric Specimens. Spine, 39, E1201-E1209.
https://doi.org/10.1097/brs.0000000000000505
[18]  Rannou, F., Mayoux-Benhamou, M., Poiraudeau, S. and Revel, M. (2004) Disque intervertébral et structures voisines de la colonne lombaire : anatomie, biologie, physiologie et biomécanique. EMCRhumatologie-Orthopédie, 1, 487-507.
https://doi.org/10.1016/j.emcrho.2003.11.007
[19]  Champain, S.M. (2008) Corrélations entre les paramètres biomécaniques du rachis et les indices cliniques pour l’analyse quantitative des pathologies du rachis lombaire et de leur traitement chirurgical. Master’s Thesis, Arts et Métiers ParisTech.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133