COMPUTED TOMOGRAPHIC OSTEOMETRY OF ASIAN LUMBAR PEDICLES

被引：38

作者：

CHEUNG, KMC

RUAN, D

CHAN, FL

FANG, D

机构：

[1] Department of Diagnostic Radiology, Queen Mary Hospital, University of Hong Kong, Hong Kong

来源：

SPINE | 1994年 / 19卷 / 13期

关键词：

ASIAN PEDICLE DIMENSIONS; PEDICLE OSTEOTOMY; TRANSVERSE ANGLE;

D O I：

10.1097/00007632-199407000-00014

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study Design. The lumbar pedicles of 100 adult Chinese patients were studied with computed tomography to provide data on their dimensions and angular alignment. Date obtained were compared with published measurements of spines from white patients to determine similarities and differences between the lumbar spines. Summary of Background Data. The age range of the patients was 18 to 60 years. There were 63 men and 37 women. There was no demonstrable sex difference for dimensions or angular alignment of the pedicles. Methods. The method of scanning and measurement was standardized. Levels considered abnormal by the radiologist were excluded from the study, and a single observer was used to avoid inter-observer errors. The data obtained were statistically analyzed using Student's t test to determine differences between men and women and left and right sides. Age differences were analyzed using the F statistic test The pedicle inclination angle (transverse angle) and the pedicle dimensions were compared with published data of whites. Results. The pedicles of Asians, when compared with those of whites, showed a similar pattern of changes with vertebral level. However, Asian pedicles had a larger pedicle inclination angle (transverse angle) from L1 to L4 (L1 = 16-degrees, L2 = 16-degrees, L3 = 19-degrees, L4 = 23-degrees), whereas L5 (29-degrees) was similar to many series of whites. Conclusions. There are differences between the lumbar pedicles of Asians and whites. Such differences need to be considered when posterior pedicle screw fixation of the spine is performed.

引用

页码：1495 / 1498

页数：4

共 25 条

[1]

Beers G.J., Carter A.P., Leiter B.E., Tilak S.P., Shah R.R., Interobserver discrepancies in distance measurements from luriibar spine CT scans, AJR, 144, pp. 395-398, (1985)

[2]

Berry J.L., Moran J.M., Berg W.S., Steffee A.D., A morpho- metric study of human lumbar and selected thoracic vertebrae, Spine, 12, pp. 362-367, (1987)

[3]

Cheung K., Ruan D., Chan F.L., Fang D., CT Osteometry of the Asian Lumbar Spine, (1992)

[4]

Edwards W.C., Larocca S.H., The developmental segmental sagittal diameter in combined cervical and lumbar spondylosis, Spine, 10, pp. 42-49, (1985)

[5]

Eisenstein S., The morphometry and pathological anatomy of the lumbar spine in South African Negroes and Caucasoids with specific reference to spinal stenosis, J Bone Joint Surg [Br], 59, pp. 173-180, (1977)

[6]

Eisenstein S., Lumbar vertebral canal morphometry for computerised tomography in spinal stenosis, Spine, 8, pp. 187-191, (1983)

[7]

Ferree B.A., Morphometric characteristics of pedicles of the immature spine, Spine, 17, (1992)

[8]

Kostuik J.P., Errico T.J., Gleason T.F., Techniques of internal fixationfor degenerative conditions of the spine, Clin Orthop, 203, pp. 219-231, (1986)

[9]

Krag M.H., Beynnon B.D., Pope M.H., Frymoyer J.W., Haugh L.D., Weaver D.L., An internal fixator for posterior application to short segments for the thoracic, lumbar, or lumbosacral spine: Design and testing, Clin Orthop, 203, pp. 75-98, (1986)

[10]

Krag M.H., Weaver D.L., Beynnon B.D., Haugh L.D., Morphometry of the Thoracic and Lumbar Spine Related to Trans- Pedicular Screw Placement for Surgical Spinal Fixation: Spine, 13, pp. 27-32, (1988)

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