SPINAL INDEX AS A GUIDE TO SPINAL STENOSIS : A CADAVERIC STUDY IN GWALIOR REGION.

Dr. Sudhir Saxena, Dr. Akhilesh Trivedi

Abstract


Introduction: The lumbar vertebrae are five vertebrae between the rib cage and the pelvis. They are characterized by the absence of the foramen
transversarium. This study conducted to measures the bony vertebral dimensions and to set the normal limits in assessing the lumber stenosis.
Aim: study of lumbar vertebrae in population Of Gwalior region. Material and Methods: 250 lumbar vertebrae from L1 to L5 were taken for the
measurement of different dimensions from the Anatomy department of GR Medical College Gwalior. Result and discussion: the mean transverse
and anteroposterior diameter of vertebral body and the spinal canal were minimum in the L1 and gradually increases to L5 in both the sexes. The
parameters are used for the measurement of spinal index of Jones and canal body ratio and hence it serves as a guide to spinal stenosis.
Conclusion: present study calculated spinal index which can aid in diagnosis of lumbar spinal stenosis.


Full Text:

PDF

References


Davis PR. Human lower lumbar vertebrae: some mechani¬cal and osteological considerations. J Anat Physiol 1962;95: 337-344.

Eisenstein S. The morphometry and the pathological anatomy of the lumbar spine in the South African Negroes and Causasoids with specific reference to spinal stenosis. J Bone Joint Surg (Br) 1977; 59 B: 173-180.

Elsberg CA, Dyke CG. The diagnosis and location of tu¬mors of the spinal cord by means of measurement made on the X-ray films of the vertebrae and the correlation of the clinical and X-ray findings. Bull Neurol Inst New York 1934; 3: 359-294.

Christenson PC. The radiological study of the normal spine. Radiol Clin North Am 1977: 15: 133 - 154.

Gupta M, BharihokeV,Bhargava SK et al. Size of the vertebral canal: a correlative study of measurements in radiographs and dried bones. J Anat Soc India 1998; 47: 1-6

Marek Szpalski and Robert Gunzburg. Lumbar spinal stenosis in the elderly: an overview Eur Spine J. 2003 Oct; 12(Suppl 2): S170–S175.Published online 2003 Sep 9. doi: 10.1007/s00586-003-0612-1

Qualitative grading of severity of lumbar spinal stenosis based on the morphology of the dural sac on magnetic resonance images. Schizas C, Theumann N, Burn A, Tansey R, Wardlaw D, Smith FW, Kulik G. Spine (Phila Pa 1976). 2010 Oct 1;35(21):1919-24. doi: 10.1097/BRS.0b013e3181d359bd.

[Surgery for lumbar narrow canal].Mizuno J, Nakagawa H.No Shinkei Geka. 2005 Apr;33(4):311- 24 . Review. Japanese. No abstract available.

Dural ectasia as presenting symptom of Marfan syndrome.

Altman A, Uliel L, Caspi L.

Isr Med Assoc J. 2008 Mar;10(3):194-5. Review. No abstract available.

Quantitative radiologic criteria for the diagnosis of lumbar spinal stenosis: a systematic literature review.

Steurer J, Roner S, Gnannt R, Hodler J; LumbSten Research Collaboration.

BMC Musculoskelet Disord. 2011 Jul 28;12:175. doi: 10.1186/1471-2474-12-175. Review.

[Lumbar spinal canal stenosis : A historical perspective].

Rahim T, Vinas Rios JM, Arabmotlagh M, Sellei R, Rauschmann M.Orthopade. 2019 Oct;48(10):810- 815. doi: 10.1007/s00132-019-03763-0. Review. German.

[The narrowed spinal canal].

Winter M, Jani L.Dtsch Med Wochenschr. 1989 May 12;114(19):756-8. Review. German. No abstract available.

[Stenosis of the vertebral canal in the lower spine].Nikitin AS, Asratyan SA, Kamchatnov PR.

Zh Nevrol Psikhiatr Im S S Korsakova. 2015;115(7):130-140. doi: 10.17116/jnevro201511571130-140. Review. Russian.

Degenerative lumbar spinal stenosis. Spivak JM.

J Bone Joint Surg Am. 1998 Jul;80(7):1053-66. Review. No abstract available.


Refbacks

  • There are currently no refbacks.