Morphological and Morphometric Variations in Foramen Transversarium: A Cross-sectional Study in Dried Cervical Vertebrae of Western Odisha Origin

Introduction: Foramen transversarium refers to bilateral foramina found lateral to the vertebral body in the transverse process of the cervical vertebrae. Many variations are observed in these foramina which may lead to vertebrobasilar insufficiency, labyrinthine or hearing disturbances along with n...

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Main Authors: Sarita Behera, Mamata Sar, Srikanta Kumar Mishra
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2023-06-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/18035/63927_CE[Ra1]_F(IS)_PF1(AG_SS)_PFA(OM)_PB(AG_KM)_PN(KM).pdf
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author Sarita Behera
Mamata Sar
Srikanta Kumar Mishra
author_facet Sarita Behera
Mamata Sar
Srikanta Kumar Mishra
author_sort Sarita Behera
collection DOAJ
description Introduction: Foramen transversarium refers to bilateral foramina found lateral to the vertebral body in the transverse process of the cervical vertebrae. Many variations are observed in these foramina which may lead to vertebrobasilar insufficiency, labyrinthine or hearing disturbances along with neurological symptoms due to compression or tortuosity of vertebral artery as it passes through the foramen. Aim: To study the morphological and morphometric variations of the foramen transversarium in cervical vertebrae. Materials and Methods: This cross-sectional study was conducted in Department of Anatomy, Veer Surendra Sai Institute of Medical Sciences and Research, Burla, Odisha, India, from June 2022 to August 2022. A total of 367 human cervical vertebrae were procured from the anthropology section of Department of Anatomy. Vertebrae with any damage to foramen transversarium were discarded. Each vertebra was observed for shape, size, symmetry, number of foramen transversarium and osteophytic encroachment. Distance of foramen transversarium from the medial margin of uncinate process was measured bilaterally in C3 to C7 vertebrae. Data collected was tabulated and analysed by Microsoft excel software 2019. Results: Mean anteroposterior diameter and transverse diameter in left-side were 5.45 mm and 5.42 mm respectively and in right-side the measurements were 5.29 mm and 5.23 mm respectively. Double foramen transversarium was observed in 40 (10.9%) vertebrae. Among them 18 (4.9%) was bilateral and 22 (6.0%) was unilateral. In 2 (0.54%) vertebrae there was triplication of foramen transversarium. In 34 vertebrae (9.26%) there was incomplete duplication of which 9 (2.45%) were bilateral and 25 (6.81%) were unilateral. Six different shapes of foramen transversarium were observed out of which round shape (62.1%) was the most common finding. In 261 (71.1%) of vertebrae the main foramen transversarium was symmetrical in both sides but in 106 (28.9%) it was asymmetrical. Osteophytic encroachment was found in 14 (3.81%) vertebrae. The mean distance of the foramen from medial margin of uncinate process was 5.32 mm on the left and 5.42 mm on the right-side. Conclusion: The morphological data like very narrow foramina and such a high number of accessory foramina produced through the present study definitely points towards the variations of vertebral vessels.
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spelling doaj.art-2b3f39447a6a42018ff57e4d745969882023-06-15T08:53:45ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-06-01176AC10AC1410.7860/JCDR/2023/63927.18035Morphological and Morphometric Variations in Foramen Transversarium: A Cross-sectional Study in Dried Cervical Vertebrae of Western Odisha OriginSarita Behera0Mamata Sar1Srikanta Kumar Mishra2Assistant Professor, Department of Anatomy, Veer Surendra Sai Institute of Medical Sciences and Research, Burla, Sambalpur, Odisha, India.Professor, Department of Anatomy, Veer Surendra Sai Institute of Medical Sciences and Research, Burla, Sambalpur, Odisha, India.Associate Professor, Department of Anatomy, Veer Surendra Sai Institute of Medical Sciences and Research, Burla, Sambalpur, Odisha, India.Introduction: Foramen transversarium refers to bilateral foramina found lateral to the vertebral body in the transverse process of the cervical vertebrae. Many variations are observed in these foramina which may lead to vertebrobasilar insufficiency, labyrinthine or hearing disturbances along with neurological symptoms due to compression or tortuosity of vertebral artery as it passes through the foramen. Aim: To study the morphological and morphometric variations of the foramen transversarium in cervical vertebrae. Materials and Methods: This cross-sectional study was conducted in Department of Anatomy, Veer Surendra Sai Institute of Medical Sciences and Research, Burla, Odisha, India, from June 2022 to August 2022. A total of 367 human cervical vertebrae were procured from the anthropology section of Department of Anatomy. Vertebrae with any damage to foramen transversarium were discarded. Each vertebra was observed for shape, size, symmetry, number of foramen transversarium and osteophytic encroachment. Distance of foramen transversarium from the medial margin of uncinate process was measured bilaterally in C3 to C7 vertebrae. Data collected was tabulated and analysed by Microsoft excel software 2019. Results: Mean anteroposterior diameter and transverse diameter in left-side were 5.45 mm and 5.42 mm respectively and in right-side the measurements were 5.29 mm and 5.23 mm respectively. Double foramen transversarium was observed in 40 (10.9%) vertebrae. Among them 18 (4.9%) was bilateral and 22 (6.0%) was unilateral. In 2 (0.54%) vertebrae there was triplication of foramen transversarium. In 34 vertebrae (9.26%) there was incomplete duplication of which 9 (2.45%) were bilateral and 25 (6.81%) were unilateral. Six different shapes of foramen transversarium were observed out of which round shape (62.1%) was the most common finding. In 261 (71.1%) of vertebrae the main foramen transversarium was symmetrical in both sides but in 106 (28.9%) it was asymmetrical. Osteophytic encroachment was found in 14 (3.81%) vertebrae. The mean distance of the foramen from medial margin of uncinate process was 5.32 mm on the left and 5.42 mm on the right-side. Conclusion: The morphological data like very narrow foramina and such a high number of accessory foramina produced through the present study definitely points towards the variations of vertebral vessels.https://jcdr.net/articles/PDF/18035/63927_CE[Ra1]_F(IS)_PF1(AG_SS)_PFA(OM)_PB(AG_KM)_PN(KM).pdfforaminamorphometryosteophytespinevertebrobasilar
spellingShingle Sarita Behera
Mamata Sar
Srikanta Kumar Mishra
Morphological and Morphometric Variations in Foramen Transversarium: A Cross-sectional Study in Dried Cervical Vertebrae of Western Odisha Origin
Journal of Clinical and Diagnostic Research
foramina
morphometry
osteophyte
spine
vertebrobasilar
title Morphological and Morphometric Variations in Foramen Transversarium: A Cross-sectional Study in Dried Cervical Vertebrae of Western Odisha Origin
title_full Morphological and Morphometric Variations in Foramen Transversarium: A Cross-sectional Study in Dried Cervical Vertebrae of Western Odisha Origin
title_fullStr Morphological and Morphometric Variations in Foramen Transversarium: A Cross-sectional Study in Dried Cervical Vertebrae of Western Odisha Origin
title_full_unstemmed Morphological and Morphometric Variations in Foramen Transversarium: A Cross-sectional Study in Dried Cervical Vertebrae of Western Odisha Origin
title_short Morphological and Morphometric Variations in Foramen Transversarium: A Cross-sectional Study in Dried Cervical Vertebrae of Western Odisha Origin
title_sort morphological and morphometric variations in foramen transversarium a cross sectional study in dried cervical vertebrae of western odisha origin
topic foramina
morphometry
osteophyte
spine
vertebrobasilar
url https://jcdr.net/articles/PDF/18035/63927_CE[Ra1]_F(IS)_PF1(AG_SS)_PFA(OM)_PB(AG_KM)_PN(KM).pdf
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AT srikantakumarmishra morphologicalandmorphometricvariationsinforamentransversariumacrosssectionalstudyindriedcervicalvertebraeofwesternodishaorigin