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使用计算机断层扫描对颈椎间盘间隙高度和椎弓根间距进行形态测量分析。

Morphometric analysis of cervical disc space height and interpedicular distance using computed tomography.

作者信息

Shin David, Shin Brandon, Brandt Zachary, Nguyen Kai, Battikha Adel, Carter Davis, Carter Mei, Razzouk Jacob, Wycliffe Nathaniel, Cheng Wayne, Danisa Olumide

机构信息

Loma Linda University School of Medicine, Loma Linda, California, United States.

Department of Radiology, Loma Linda University Medical Center, Loma Linda, California, United States.

出版信息

Surg Neurol Int. 2024 Jun 7;15:196. doi: 10.25259/SNI_279_2024. eCollection 2024.

DOI:10.25259/SNI_279_2024
PMID:38974566
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11225399/
Abstract

BACKGROUND

This study utilized computed tomography (CT) to establish normative radiographic morphometric measurements of cervical disc space height (DSH) and interpedicular distance (IPD) and document the influence of patient sex, race, ethnicity, and anthropometric characteristics.

METHODS

Cervical CTs of 1000 patients between 18 and 35 years of age without known spinal pathology were reviewed. Statistical analyses included the assessment of associations between patient height, weight, sex, race, and ethnicity regarding DSH and IPD.

RESULTS

Irrespective of disc level, average DSH measurements were as follows: anterior height of 2.6 ± 1.0 mm, middle height of 4.1 ± 1.2 mm, and posterior height of 1.8 ± 1.0 mm. IPD was only measured between C3 and C7 vertebrae, and irrespective of disc level, the mean IPD measurement was 21.1 ± 1.5 mm. Significant differences for anterior, middle, posterior DSH, and IPD were observed in all disc levels. Significant differences in DSH and IPD were observed for all anthropometric factors of sex, race, and ethnicity relative to vertebral level. Males had significantly larger DSH and IPD measurements across all vertebral levels compared to females. Caucasians had larger DSH and IPD at select vertebral levels compared to African Americans and Hispanics.

CONCLUSION

This study describes measurements of DSH and IPD between C2 and T1 levels in 1000 healthy 18-35-year-old subjects without known pathology. DSH and IPD measurements varied based on patient sex, race, ethnicity, and disc level.

摘要

背景

本研究利用计算机断层扫描(CT)建立颈椎间隙高度(DSH)和椎弓根间距(IPD)的规范性影像学形态测量标准,并记录患者性别、种族、民族和人体测量特征的影响。

方法

回顾了1000例年龄在18至35岁之间、无已知脊柱病变的患者的颈椎CT扫描结果。统计分析包括评估患者身高、体重、性别、种族和民族与DSH和IPD之间的相关性。

结果

无论椎间盘节段如何,平均DSH测量值如下:前部高度为2.6±1.0毫米,中部高度为4.1±1.2毫米,后部高度为1.8±1.0毫米。IPD仅在C3和C7椎体之间测量,无论椎间盘节段如何,平均IPD测量值为21.1±1.5毫米。在所有椎间盘节段均观察到前部、中部、后部DSH和IPD的显著差异。相对于椎体节段,在性别、种族和民族的所有人体测量因素方面,DSH和IPD均存在显著差异。与女性相比,男性在所有椎体节段的DSH和IPD测量值均显著更大。与非裔美国人和西班牙裔相比,高加索人在某些椎体节段的DSH和IPD更大。

结论

本研究描述了1000例无已知病变的健康18至35岁受试者C2至T1节段的DSH和IPD测量结果。DSH和IPD测量值因患者性别、种族、民族和椎间盘节段而异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06af/11225399/1070bb900312/SNI-15-196-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06af/11225399/7eb500b71b2a/SNI-15-196-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06af/11225399/1070bb900312/SNI-15-196-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06af/11225399/7eb500b71b2a/SNI-15-196-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06af/11225399/1070bb900312/SNI-15-196-g002.jpg

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