Morphometrical study of pedicles in lumbar vertebrae and its clinical significance.

With the recent increased use of various pedicle screw instrumentation, there is concern about injuries to the pedicle cortex, nerve root, facet joint and adjacent vital structures by discordant pedicle screw size. A pedicle screw is a bone screw inserted in to the pedicles of the vertebrae in patie...

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Main Authors: Chandni G, Poonam K, Arvind KP, Antony SD
Format: Article
Language:English
Published: Department of Surgery, UKM Medical Centre 2014
Online Access:http://journalarticle.ukm.my/7693/
http://journalarticle.ukm.my/7693/1/08._MS1120_%2837-40%29.pdf
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author Chandni G,
Poonam K,
Arvind KP,
Antony SD,
author_facet Chandni G,
Poonam K,
Arvind KP,
Antony SD,
author_sort Chandni G,
building UKM Institutional Repository
collection Online Access
description With the recent increased use of various pedicle screw instrumentation, there is concern about injuries to the pedicle cortex, nerve root, facet joint and adjacent vital structures by discordant pedicle screw size. A pedicle screw is a bone screw inserted in to the pedicles of the vertebrae in patient‘s back bone for the purpose of immobilizations or fixations. Success depends upon accuracy of choice of screw & morphometry of the pedicle. Understanding the morphometry of pedicles may decrease the concerned risks. So, the present study was undertaken to obtain the width and height of the pedicles of 50 dry lumbar vertebrae. The lumbar vertebrae were divided into two groups typical (L1-4) and atypical (L5) depending on the atypical features of L5. Pedicles of lumbar vertebrae were measured using callipers. Statistical analysis was done and the mean and standard deviations for each side was calculated. The mean height, width on right and left side typical vertebrae was 13, 7 and 8, 12mm. The mean height, width on right and left side atypical vertebrae was 14, 14 and 13, 14 mm, respectively. There was significant correlation between height and width of right and left side of typical and atypical vertebrae as the value was <.01. This study may be a reference guide to the choice of the size of the pedicle screw for screw fixations.
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spelling oai:generic.eprints.org:76932016-12-14T06:44:54Z http://journalarticle.ukm.my/7693/ Morphometrical study of pedicles in lumbar vertebrae and its clinical significance. Chandni G, Poonam K, Arvind KP, Antony SD, With the recent increased use of various pedicle screw instrumentation, there is concern about injuries to the pedicle cortex, nerve root, facet joint and adjacent vital structures by discordant pedicle screw size. A pedicle screw is a bone screw inserted in to the pedicles of the vertebrae in patient‘s back bone for the purpose of immobilizations or fixations. Success depends upon accuracy of choice of screw & morphometry of the pedicle. Understanding the morphometry of pedicles may decrease the concerned risks. So, the present study was undertaken to obtain the width and height of the pedicles of 50 dry lumbar vertebrae. The lumbar vertebrae were divided into two groups typical (L1-4) and atypical (L5) depending on the atypical features of L5. Pedicles of lumbar vertebrae were measured using callipers. Statistical analysis was done and the mean and standard deviations for each side was calculated. The mean height, width on right and left side typical vertebrae was 13, 7 and 8, 12mm. The mean height, width on right and left side atypical vertebrae was 14, 14 and 13, 14 mm, respectively. There was significant correlation between height and width of right and left side of typical and atypical vertebrae as the value was <.01. This study may be a reference guide to the choice of the size of the pedicle screw for screw fixations. Department of Surgery, UKM Medical Centre 2014-01-01 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/7693/1/08._MS1120_%2837-40%29.pdf Chandni G, and Poonam K, and Arvind KP, and Antony SD, (2014) Morphometrical study of pedicles in lumbar vertebrae and its clinical significance. Journal of Surgical Academia, 4 (1). pp. 37-40. ISSN 2231-7481 http://jsurgacad.com/
spellingShingle Chandni G,
Poonam K,
Arvind KP,
Antony SD,
Morphometrical study of pedicles in lumbar vertebrae and its clinical significance.
title Morphometrical study of pedicles in lumbar vertebrae and its clinical significance.
title_full Morphometrical study of pedicles in lumbar vertebrae and its clinical significance.
title_fullStr Morphometrical study of pedicles in lumbar vertebrae and its clinical significance.
title_full_unstemmed Morphometrical study of pedicles in lumbar vertebrae and its clinical significance.
title_short Morphometrical study of pedicles in lumbar vertebrae and its clinical significance.
title_sort morphometrical study of pedicles in lumbar vertebrae and its clinical significance.
url http://journalarticle.ukm.my/7693/
http://journalarticle.ukm.my/7693/
http://journalarticle.ukm.my/7693/1/08._MS1120_%2837-40%29.pdf