Comparative analysis of morphological and topometric parameters of lumbar spine in normal state and in degenerative-dystrophic changes
Year: 2015, volume 11 Issue: №4 Pages: 515-520
Heading: Macro- and Micromorphology Article type: Original article
Authors: Anisimova Е.А., Emkuzhev O.L., Anisimov D.l., Popryga D.V., Lukina G.A., Yakovlev N.M.
Organization: Saratov State Medical University
Heading: Macro- and Micromorphology Article type: Original article
Authors: Anisimova Е.А., Emkuzhev O.L., Anisimov D.l., Popryga D.V., Lukina G.A., Yakovlev N.M.
Organization: Saratov State Medical University
Summary:
Objective: to carry out comparative analysis and identify patterns of topographic variation patterns of lumbar spine in normal and degenerative changes. Material and methods. CT- and MRT-grams for men and women I (M1-22-35 years; W — 21-35 years) and II (M2-36-60 years; W2-36-55 years) periods of mature age with no signs of trauma, scoliosis and systemic diseases of the spine (n=140) and CT- and MRT-grams in patients with revealed degenerative changes in the lumbar spine degree II-III (n=120). The pictures with digital PACS system measure the height of the vertebral body, intervertebral disc height, vertical, horizontal diameter and the area of intervertebral foramen. Results. The height of the lumbar vertebral bodies normally increased from27,90±0,38mmatthe level of L, to 29,93±0,33 mm Lm, and then decreased to 24,35±0,27 mm at level L^, in osteochondrosis it is statistically significantly lower at all levels on average by 20%. The height of the intervertebral disc with osteochondrosis below at all levels by an average of 25% of its value in the range 5,27±0,19 to 6,13±0,17mm, while the normal disc height varies from 6,88±030 to 9,36±0,28mm. The area of intervertebral holes normally ranging from 103,29±5,78 to 127,99±5,92mm2, with osteochondrosis aperture area is reduced to a greater extent by decreasing the vertical diameter in comparison with the horizontal. Conclusion. For the studied parameters characteristic topographic variability has been determined. The maximum values parameters are marked at the top of the lumbar lordosis, at chest height, lumbar and lumbosacral junctions sizes are reduced. In osteochondrosis the intervertebral disc height and the height of lumbar vertebral bodies are reduced; intervertebral foramina area is also reduced to a greater extent by reducing the vertical diameter than the horizontal one.
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