Radilogic evaluation of pedicle lumbar and spinal canal dimensions in north-west of Iran using computed tomography

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Main Authors: Lotfinia I, Gavami M, Haddadi K, Vahedi P
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2010-05-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/15765.pdf&manuscript_id=15765
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author Lotfinia I
Gavami M
Haddadi K
Vahedi P
author_facet Lotfinia I
Gavami M
Haddadi K
Vahedi P
author_sort Lotfinia I
collection DOAJ
description "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Pedicular screws are currently the gold standard of internal fixation of spinal column. Pedicular screws have their own complications, however the surgeon should be aware of morphometery of pedicles, as well as the anatomy of surrounding neural structures to minimize these risks. No national study has ever examined the physical characteristics of lumbar pedicles and this study is unique for this purpose."n"nMethods: This study covers the patients undergoing lumbar spinal CT-scanning due to variable causes. 25 vertebrae were selected in either gender, 18 years or older and E-Film computer software was employed to measure different diameters of pedicle and the results were analyzed with p≤0.05 regarded as significant."n"nResults: L5 pedicle was the widest (16.8 mm), while L1 was the narrowest (8.25 mm). this figure was 8.82, 10.48 and 12.86 mm for L2, L3, L4 respectively. Longitudinal depth of pedicle was 47.98, 48.68, 50.42, 48.32 and 47.8 mm for L1, L2, L3, L4, L5 respectively. Statistically significant differences were found between some dimensions detected in our study and similar studies."n"nConclusions: The advantages of pedicular screws and rods to stabilize spinal column are well known. To avoid neurological complications, an understanding of anatomy and pedicle orientation is mandatory. The shape and diameters of pedicles are different base on races. Some differences were found in our study regarding pedicle dimensions.
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spelling doaj.art-ac57b1422ce9490dbf5c470e108b46852022-12-21T18:41:24ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222010-05-0168294102Radilogic evaluation of pedicle lumbar and spinal canal dimensions in north-west of Iran using computed tomographyLotfinia IGavami MHaddadi KVahedi P"n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Pedicular screws are currently the gold standard of internal fixation of spinal column. Pedicular screws have their own complications, however the surgeon should be aware of morphometery of pedicles, as well as the anatomy of surrounding neural structures to minimize these risks. No national study has ever examined the physical characteristics of lumbar pedicles and this study is unique for this purpose."n"nMethods: This study covers the patients undergoing lumbar spinal CT-scanning due to variable causes. 25 vertebrae were selected in either gender, 18 years or older and E-Film computer software was employed to measure different diameters of pedicle and the results were analyzed with p≤0.05 regarded as significant."n"nResults: L5 pedicle was the widest (16.8 mm), while L1 was the narrowest (8.25 mm). this figure was 8.82, 10.48 and 12.86 mm for L2, L3, L4 respectively. Longitudinal depth of pedicle was 47.98, 48.68, 50.42, 48.32 and 47.8 mm for L1, L2, L3, L4, L5 respectively. Statistically significant differences were found between some dimensions detected in our study and similar studies."n"nConclusions: The advantages of pedicular screws and rods to stabilize spinal column are well known. To avoid neurological complications, an understanding of anatomy and pedicle orientation is mandatory. The shape and diameters of pedicles are different base on races. Some differences were found in our study regarding pedicle dimensions.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/15765.pdf&manuscript_id=15765Lumbar pedicledimensioncomputed tomography
spellingShingle Lotfinia I
Gavami M
Haddadi K
Vahedi P
Radilogic evaluation of pedicle lumbar and spinal canal dimensions in north-west of Iran using computed tomography
Tehran University Medical Journal
Lumbar pedicle
dimension
computed tomography
title Radilogic evaluation of pedicle lumbar and spinal canal dimensions in north-west of Iran using computed tomography
title_full Radilogic evaluation of pedicle lumbar and spinal canal dimensions in north-west of Iran using computed tomography
title_fullStr Radilogic evaluation of pedicle lumbar and spinal canal dimensions in north-west of Iran using computed tomography
title_full_unstemmed Radilogic evaluation of pedicle lumbar and spinal canal dimensions in north-west of Iran using computed tomography
title_short Radilogic evaluation of pedicle lumbar and spinal canal dimensions in north-west of Iran using computed tomography
title_sort radilogic evaluation of pedicle lumbar and spinal canal dimensions in north west of iran using computed tomography
topic Lumbar pedicle
dimension
computed tomography
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/15765.pdf&manuscript_id=15765
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AT gavamim radilogicevaluationofpediclelumbarandspinalcanaldimensionsinnorthwestofiranusingcomputedtomography
AT haddadik radilogicevaluationofpediclelumbarandspinalcanaldimensionsinnorthwestofiranusingcomputedtomography
AT vahedip radilogicevaluationofpediclelumbarandspinalcanaldimensionsinnorthwestofiranusingcomputedtomography