Alam Muhammad M, Waqas Muhammad, Shallwani Hussain, Javed Gohar
Department of Neurosurgery, Aga Khan University Hospital, Karachi, Pakistan.
Aga Khan University Hospital and Medical College, Karachi, Pakistan.
Asian Spine J. 2014 Aug;8(4):421-6. doi: 10.4184/asj.2014.8.4.421. Epub 2014 Aug 19.
A cross-sectional study.
To describe the characteristics of lumbar vertebrae of Pakistani patients reporting at a tertiary care hospital and compare with studies from other populations.
Several studies have been conducted to determine morphometry of lumbar vertebrae. Most of the studies involve Caucasian populations, still data on other populations still sparse. This is the first study describing lumbar morphometry of a Pakistani population.
An observational study was conducted based on a review of thin-cut (3 mm) computed topographic images of lumbar vertebrae. Two-hundred and twenty vertebrae from forty-nine patients were studied, and various dimensions were analyzed.
Generally, the size of the vertebrae, vertebral canals and recesses were found to be greater in male patients. The difference was statistically significant for transverse and anteroposterior diameters of the vertebral bodies and sagittal diameter of pedicles on the left side (p<0.05). Comparison of populations revealed statistically significant differences in pedicle dimensions between Pakistani population and others.
This study provides anatomical knowledge of the lumbar region in a sample population of Pakistan. There were significant differences in various dimensions of lumbar vertebrae between female and male patients. This would prove to be critical for performing a safe operation.
横断面研究。
描述在一家三级护理医院就诊的巴基斯坦患者腰椎的特征,并与其他人群的研究进行比较。
已经进行了多项研究以确定腰椎的形态测量学。大多数研究涉及白种人群体,关于其他人群的数据仍然稀少。这是第一项描述巴基斯坦人群腰椎形态测量学的研究。
基于对腰椎的薄层(3毫米)计算机断层扫描图像的回顾进行了一项观察性研究。对49名患者的220个椎体进行了研究,并分析了各种尺寸。
一般来说,男性患者的椎体、椎管和隐窝尺寸更大。椎体的横径和前后径以及左侧椎弓根的矢状径差异具有统计学意义(p<0.05)。人群比较显示,巴基斯坦人群与其他人群在椎弓根尺寸上存在统计学显著差异。
本研究提供了巴基斯坦样本人群腰椎区域的解剖学知识。女性和男性患者腰椎的各种尺寸存在显著差异。这对于进行安全手术至关重要。