Abstract
Objectives: The lumbar spine plays a crucial role in weight bearing in human beings. This study focused on determination of different parameters in local Pakistani population to enhance the clinical diagnosis and spinal surgeries.
Methods: This cross-sectional observational study was done in the Anatomy Museum of King Edward Medical University during the year 2024 on a collection of 200 dry lumbar vertebrae. All the vertebrae with intact bony features were included in this study, while damaged or vertebrae with gross abnormality were excluded. All parameters were taken with the help of a Vernier calliper and expressed in millimetres. Vertebral body parameters recorded include anteroposterior length of upper and lower border on both right and left sides, and transverse length of body at superior border, at middle of body and inferior border was recorded. Height or vertebral body in midline anteriorly, along with anteroposterior and transverse dimensions of vertebral canal, was also recorded.
Results: Mean and standard deviation of all parameters were calculated, and a paired t-test was applied on paired dimensions, e.g anteroposterior diameters of the upper and lower borders of both right and left sides. That does not reveal any statistically significant difference. Significant difference was found in the transverse length of the vertebral body at the upper and lower borders with the middle of the vertebral body (p<0.01)
Conclusion: These findings will help precise diagnosis of various clinical conditions arising due to changes in morphology and in designing prostheses for surgical implications.
Key words: Lumbar vertebra, spinal canal, body of vertebra
References
Waxenbaum JA, Reddy V, Williams C, Futterman B. Anatomy, back, lumbar vertebrae.
Bonczar M, Koszewski J, Czarnota W, Dziedzic M, Ostrowski P, Możdżeń K, Murawska A, Hajdyła P, Walocha A, Walocha E, Walocha J. The morphology of the lumbar vertebrae: a systematic review with meta-analysis of 1481 individuals with implications for spine surgery. Surgical and Radiologic Anatomy. 2024 Dec;47(1):1-2.
https://doi.org/10.1007/s00276-024-03509-4
Hajilo P, Imani B, Zandi S, Mehrafshan A, Khazaei S. The comparison study of laminectomy with unilateral and bilateral pedicle screws fixation and laminectomy alone without fusion interbody in young patients with lumbar spinal stenosis: A randomized clinical trial. Heliyon. 2024 Aug 15;10(15).
https://doi.org/10.1016/j.heliyon.2024.e35435
Dhar UK, Menzer EL, Lin M, O’Connor T, Ghimire N, Dakwar E, Papanastassiou ID, Aghayev K, Tsai CT, Vrionis FD. Open laminectomy vs. minimally invasive laminectomy for lumbar spinal stenosis: a review. Frontiers in Surgery. 2024 Nov 7;11:1357897.
https://doi.org/10.3389/fsurg.2024.1357897
Guan W, Yu W, Lin Q, Zhang Z, Du G, Tian J, Xu Y, Hsieh E. Lumbar Vertebrae Morphological Analysis and an Additional Approach for Vertebrae Identification in Lumbar Spine DXA Images. Journal of Clinical Densitometry. 2020 Jul 1;23(3):395-402.
https://doi.org/10.1016/j.jocd.2018.09.004
Fujita N. Lumbar spinal canal stenosis from the perspective of locomotive syndrome and metabolic syndrome: a narrative review. Spine Surgery and Related Research. 2021 Mar 27;5(2):61-7.
https://doi.org/10.22603/ssrr.2020-0112
Katz JN, Zimmerman ZE, Mass H, Makhni MC. Diagnosis and management of lumbar spinal stenosis: a review. Jama. 2022 May 3;327(17):1688-99.
https://doi.org/10.1001/jama.2022.5921
Lenz M, Mohamud K, Bredow J, Oikonomidis S, Eysel P, Scheyerer MJ. Comparison of different approaches in lumbosacral spinal fusion surgery: a systematic review and meta-analysis. Asian Spine Journal. 2021 Jan 5;16(1):141.
https://doi.org/10.31616/asj.2020.0405
Ashish S, Kalluraya P, Pai MM, Murlimanju BV, Rao Y, Prabhu LV, Agrawal A. Morphometric study of the lumbar vertebrae in dried anatomical collections. F1000Research. 2023 Dec 28;11:1408.
https://doi.org/10.12688/f1000research.126879.4
Zhou SH, McCarthy ID, McGregor AH, Coombs RR, Hughes SP. Geometrical dimensions of the lower lumbar vertebrae–analysis of data from digitised CT images. European Spine Journal. 2000 Jun;9:242-8. https://doi.org/10.1007/s005860000140
Tobin MK, Gragnaniello C, Horwitz J, Sun FW, Schizas C, Neckrysh S. Generational changes in lumbar spinal canal dimensions: Findings from a sample US population. World neurosurgery. 2021 Feb 1;146:e902-16.

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