A Morphometric Study of Lumbar Spine in Nepalese Adult Population attending a Diagnostic Center
Keywords:
Lateral recess, lumbar spine, neural foramen, thecal sacAbstract
Background: Magnetic Resonance Imaging (MRI) is the modality of choice for the evaluation of the lumbar spine for the cause of backache and radiculopathy. The central spinal canal and neural foramen stenosis cause nerve root entrapment and radiculopathy and most of the spinal surgeries in adult patients are related to spinal stenosis. The development of a nomogram of the various morphological parameters of the central spinal canal, lateral recess, and neural foramina in the lumbar spine MRI is essential to determine the degree of acquired stenosis as well as a plan of intervention and instrumentation in surgeries.
Methods: A retrospective descriptive study of the lumbar spine MRI of 107 Nepalese population (59 male and 48 female) between 18 to 50 years with no central spinal canal or neural foramen narrowing and no history of congenital anomaly, trauma, or surgery were done for six months between 01 September 2020, and 28 February 2021. Thecal sac diameters, lateral recess depth/angle, and neural foramen dimensions were measured and tabulated. Calculation of the mean and standard deviation was done in Statistical Package for Social Sciences (SPSS) version 16.
Results: Nomogram of the thecal sac diameters, lateral recess depth/angle, and neural foramen dimensions were prepared for lumbar vertebra in a sample population. The mean lumbar anterior-posterior diameter and Transverse diameter of thecal sac in the study population were 11.38±1.27mm and 16.75±2.4mm respectively with no significant difference was found by gender (p>0.05).
Conclusions: Thecal sac diameters, lateral recess depth, and neural foramen anterior-posterior diameters show a gradual decrease in L1-L2 to L5-S1 level. A spinal morphometric nomogram of the Nepalese population is necessary for assessment of the canal and foraminal compromise as well as surgical approach, technique, instrumentation, and implant development.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Rajive Raj Shahi, Dosti Regmi, Lee Budhathoki, Anish Pokharel, Mani Raj Sapkota
This work is licensed under a Creative Commons Attribution 4.0 International License.
The author(s) retain the copyright and the full publishing right without restriction under the Creative Commons Attribution 4.0 International License (CC BY 4.0) which allows readers to share (copy and redistribute the material in any medium or format) and adapt (remix, transform, and build upon the material) for any purpose, even commercially, provided the work is properly attributed. (https://creativecommons.org/licenses/by/4.0/).
Author(s) grant the non-exclusive publishing right to the Journal of Karnali Academy of Health Sciences (JKAHS). The publishing rights include the rights to publish, reproduce, distribute, include in indexes or search databases or other media in print or online. The JKAHS may require revisions to the manuscript before acceptance for publication or may choose not to publish it based on the judgement of the editors. Further, JKAHS might retract, withdraw, or publish a correction or other notice after publication, if such publication would be inconsistent with the good publication practices and associated guidelines set forth by the COPE (Committee on Publication Ethics) (https://publicationethics.org/core-practices).
More information about the Creative Commons Attribution 4.0 International License can be found in the webpage of Creative Commons (CC) by following the link provided below: https://creativecommons.org/licenses/by/4.0/
