1.Response to: Incidence and Skeletal Features of Developmental Cervical and Lumbar Spinal Stenosis
Yuichi KASAI ; Permsak PAHOLPAK ; Taweechok WISANUYOTIN ; Nattharada SUKITTHANAKORNKUL ; Parika HANARWUT ; Arada CHAIYAMOON ; Sitthichai IAMSAARD ; Tetsutaro MIZUNO
Asian Spine Journal 2023;17(1):228-229
2.Exploring cortical trajectory of the lumbar vertebrae: a morphometric study in dry skeletons: a retrospective study in Thailand
Parika HANARWUT ; Sitthichai IAMSAARD ; Permsak PAHOLPAK ; Taweechok WISANUYOTIN ; Yuichi KASAI ; Laphatrada YURASAKPONG ; Athikhun SUWANNAKHAN ; Arada CHAIYAMOON
Asian Spine Journal 2024;18(5):654-662
Methods:
A total of 300 dried lumbar columns were used to measure the pedicle height (PH) and width (PW), length for cortical bone trajectory (LCT), cephalad screw angle (CSA), axial cortical bone trajectory angle (ACA), and possible cortical zones for the CBT.
Results:
The following average values were calculated: PH in L1, 15.09±1.44 mm; PW in L5, 16.96±2.42 mm; LCT in L3, 35.75±2.61 mm; CSA in L1, 20.85°±2.30°; and ACA in L5, 21.83°±2.49°. Women generally had shorter PH and PW than men, with significant differences across lumbar levels. The LCT was significantly shorter in women and was notably different between the left and right sides. The CSA and ACA varied significantly between sexes and sides, with specific lumbar levels showing wider angles in one sex over the other. The most common cortical zones for screw tips were Z3 and Z10, with high incidences across all lumbar levels.
Conclusions
This study presents detailed lumbar vertebral morphometry data specific to the Thai population. The results are essential for CBT application in screw fixation procedures. This information will contribute to the production of optimally designed screws for Thai patients in the future.
3.Exploring cortical trajectory of the lumbar vertebrae: a morphometric study in dry skeletons: a retrospective study in Thailand
Parika HANARWUT ; Sitthichai IAMSAARD ; Permsak PAHOLPAK ; Taweechok WISANUYOTIN ; Yuichi KASAI ; Laphatrada YURASAKPONG ; Athikhun SUWANNAKHAN ; Arada CHAIYAMOON
Asian Spine Journal 2024;18(5):654-662
Methods:
A total of 300 dried lumbar columns were used to measure the pedicle height (PH) and width (PW), length for cortical bone trajectory (LCT), cephalad screw angle (CSA), axial cortical bone trajectory angle (ACA), and possible cortical zones for the CBT.
Results:
The following average values were calculated: PH in L1, 15.09±1.44 mm; PW in L5, 16.96±2.42 mm; LCT in L3, 35.75±2.61 mm; CSA in L1, 20.85°±2.30°; and ACA in L5, 21.83°±2.49°. Women generally had shorter PH and PW than men, with significant differences across lumbar levels. The LCT was significantly shorter in women and was notably different between the left and right sides. The CSA and ACA varied significantly between sexes and sides, with specific lumbar levels showing wider angles in one sex over the other. The most common cortical zones for screw tips were Z3 and Z10, with high incidences across all lumbar levels.
Conclusions
This study presents detailed lumbar vertebral morphometry data specific to the Thai population. The results are essential for CBT application in screw fixation procedures. This information will contribute to the production of optimally designed screws for Thai patients in the future.
4.Incidence and Skeletal Features of Developmental Cervical and Lumbar Spinal Stenosis
Yuichi KASAI ; Permsak PAHOLPAK ; Taweechok WISANUYOTIN ; Nattharada SUKITTHANAKORNKUL ; Parika HANARWUT ; Arada CHAIYAMOON ; Sitthichai IAMSAARD ; Tetsutaro MIZUNO
Asian Spine Journal 2023;17(2):240-246
Methods:
A cross-sectional measurement study of 293 whole-body dried-bone samples was conducted. We measured the anteroposterior (AP) and transverse diameter of the fourth to sixth cervical vertebrae (C4–C6) and third to fifth lumbar vertebrae (L3–L5). Stenosis of the cervical spine and lumbar spine was defined as an AP diameter of <12 mm and <13 mm, respectively. We also measured the skull circumference, the AP and transverse diameters of the foramen magnum, the inner and outer inter distances between the left and right orbital bones, the humerus length, and the femoral length. Kruskal-Wallis and post hoc analyses were used in the statistical analyses.
Results:
The age was 22–93 years. DCSS was found in 59 (20.1%) and DLSS in 28 (9.6%). Twelve samples had both DCSS and DLSS (development spinal stenosis, DSS). When compared to the “no spinal stenosis sample,” DSS (−), DCSS and DSS had a significantly smaller skull circumference, the transverse diameter of the foramen magnum, and inner and outer distance between the orbital bone (p<0.05). There was no significant difference in humeral length, femoral length, or AP diameter of the foramen magnum.
Conclusions
DCSS was correlated with a small skull, a small transverse diameter of the foramen magnum, and a small orbital bone. A small skull was strongly associated with a small cervical canal. DLSS, on the other hand, was unrelated to either a small cervical canal or a small skull.
5.Exploring cortical trajectory of the lumbar vertebrae: a morphometric study in dry skeletons: a retrospective study in Thailand
Parika HANARWUT ; Sitthichai IAMSAARD ; Permsak PAHOLPAK ; Taweechok WISANUYOTIN ; Yuichi KASAI ; Laphatrada YURASAKPONG ; Athikhun SUWANNAKHAN ; Arada CHAIYAMOON
Asian Spine Journal 2024;18(5):654-662
Methods:
A total of 300 dried lumbar columns were used to measure the pedicle height (PH) and width (PW), length for cortical bone trajectory (LCT), cephalad screw angle (CSA), axial cortical bone trajectory angle (ACA), and possible cortical zones for the CBT.
Results:
The following average values were calculated: PH in L1, 15.09±1.44 mm; PW in L5, 16.96±2.42 mm; LCT in L3, 35.75±2.61 mm; CSA in L1, 20.85°±2.30°; and ACA in L5, 21.83°±2.49°. Women generally had shorter PH and PW than men, with significant differences across lumbar levels. The LCT was significantly shorter in women and was notably different between the left and right sides. The CSA and ACA varied significantly between sexes and sides, with specific lumbar levels showing wider angles in one sex over the other. The most common cortical zones for screw tips were Z3 and Z10, with high incidences across all lumbar levels.
Conclusions
This study presents detailed lumbar vertebral morphometry data specific to the Thai population. The results are essential for CBT application in screw fixation procedures. This information will contribute to the production of optimally designed screws for Thai patients in the future.
6.Exploring cortical trajectory of the lumbar vertebrae: a morphometric study in dry skeletons: a retrospective study in Thailand
Parika HANARWUT ; Sitthichai IAMSAARD ; Permsak PAHOLPAK ; Taweechok WISANUYOTIN ; Yuichi KASAI ; Laphatrada YURASAKPONG ; Athikhun SUWANNAKHAN ; Arada CHAIYAMOON
Asian Spine Journal 2024;18(5):654-662
Methods:
A total of 300 dried lumbar columns were used to measure the pedicle height (PH) and width (PW), length for cortical bone trajectory (LCT), cephalad screw angle (CSA), axial cortical bone trajectory angle (ACA), and possible cortical zones for the CBT.
Results:
The following average values were calculated: PH in L1, 15.09±1.44 mm; PW in L5, 16.96±2.42 mm; LCT in L3, 35.75±2.61 mm; CSA in L1, 20.85°±2.30°; and ACA in L5, 21.83°±2.49°. Women generally had shorter PH and PW than men, with significant differences across lumbar levels. The LCT was significantly shorter in women and was notably different between the left and right sides. The CSA and ACA varied significantly between sexes and sides, with specific lumbar levels showing wider angles in one sex over the other. The most common cortical zones for screw tips were Z3 and Z10, with high incidences across all lumbar levels.
Conclusions
This study presents detailed lumbar vertebral morphometry data specific to the Thai population. The results are essential for CBT application in screw fixation procedures. This information will contribute to the production of optimally designed screws for Thai patients in the future.