Spinous Process Morphometry for Interspinous Device Implantation in Korean Patients
| Autor: | Dong Ah Shin, Eun Hyun Ihm, Tae-Gon Kim, Inbo Han, Ryoong Huh, Sang Sup Chung |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Aging medicine.medical_specialty Spinal stenosis Radiography Spinous process Intervertebral Disc Degeneration Lumbar vertebrae Young Adult Spinal Stenosis Lumbar Republic of Korea medicine Back pain Humans Outpatient clinic Arthrography Aged Retrospective Studies Orthodontics Lumbar Vertebrae business.industry Intervertebral disc Prostheses and Implants Middle Aged medicine.disease Surgery Spinal Fusion medicine.anatomical_structure Female Neurology (clinical) medicine.symptom business Intervertebral Disc Displacement |
| Zdroj: | World Neurosurgery. 79:172-176 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2011.04.027 |
| Popis: | Objective To analyze the interspinous distance and the height, length, and thickness of the lumbar spinous process for interspinous device implantation in Korean patients. Methods Morphometric data obtained from plain radiographs of the lumbar and sacral spine were analyzed. The study included 60 matched subjects who visited an outpatient clinic for back pain. Exclusion criteria included collapsed intervertebral disc, lumbarization, and sacralization. There were 34 men and 26 women; age range was the 20s to 70s, with 10 subjects in each decade. The interspinous distance and height, length, and thickness of the lumbar spinous process were obtained on lateral radiographs using an image analysis program (M-view 5.4; Marotech). Results The largest interspinous distance was at L2-3, with a mean of 12 mm (range 6–22 mm), and the smallest distance was at L5-S1, with a mean of 8 mm (range 3–16 mm). The interspinous distance became shorter from L1-2 to L5-S1. A negative correlation was noted between age and interspinous distance in the L1-5 levels (L1-2, y=−0.11x + 17.27, r 2 = 0.34, P r 2 = 0.12, P = 0.0058; L3-4, y=−0.08x + 14.39, r 2 = 0.27, P r 2 = 0.096, P = 0.0158; L5-S1, y=−0.02x + 9.25, r 2 = 0.028, P = 0.1982). Conclusions There is a decreasing trend in the interspinous distance in the L1-5 levels with advancing years. Taking progressive collapse of the interspinous distance with the aging process into consideration, interspinous implants should be carefully selected in younger patients. |
| Databáze: | OpenAIRE |
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