IJAR.2019.315

Type of Article:  Original Research

Volume 7; Issue 4.2 (November 2019)

Page No.: 7105-7112

DOI: https://dx.doi.org/10.16965/ijar.2019.315

A MORPHOMETRIC STUDY OF BODY, LAMINA, SPINOUS PROCESS AND VERTEBRAL FORAMEN OF VERTEBRA PROMINENS (C7) IN NORTH INDIAN POPULATION: A CLINICO-ANATOMICAL APPROACH

Monika Lalit 1, Sanjay Piplani 2, Jagdev S Kullar 3, Anupama Mahajan 4.

*1 Associate Prof, Dept. of Anatomy, Sri Guru Ram Das Institute Of Medical Sciences & Research (SGRDIMS&R), Amritsar, Punjab, India.

2 Professor, Dept. of Pathology, SGRDIMS&R, Amritsar, Punjab, India.

3 Professor, Dept. of Anatomy, Govt. Medical College, Amritsar, Punjab, India.

4 Professor & Head, Dept. of Anatomy, SGRDIMS&R, Amritsar, Punjab, India.

Corresponding Author: Dr Monika Lalit, House No.- 24, Lane 5, Gopal Nagar, Majitha Road, Amritsar 143001, Punjab, India. Ph No.- 9814325454 E-Mail: monika.lalit@yahoo.com

ABSTRACT:

Introduction: Anatomical and morphometric aspects of seventh cervical vertebra are important for consideration of ventro-lateral approach in cervical spine surgery. Therefore, a detailed anatomical information of the dimensions of the vertebral elements is very important for successful surgical management in the degenerative, traumatic and neoplastic diseases of the cervical spine. Ethnic variations have also been reported in these dimensions and there have been no morphometric studies performed in this area in the North Indian population.

Materials and Methods: 60 dry Vertebra prominens vertebrae (C7) were obtained by maceration of the cadavers, made available for the purpose of dissection. Dimensions of vertebral body, lamina, spinous process and vertebral foramen of vertebra prominens(C7) were quantified for each vertebra. Morphological features included macroscopic appearance of Shape of vertebral foramen of vertebra prominens.

Results: The length (VBL), superior width(VBSW), inferior width(VBIW), anterior height(VBAH) and posterior height(VBPH) of vertebral body of vertebra prominens (C7) was 14.21+2.95mm, 25.17+3.45, 24.89+3.25mm, 11.72+1.88mm and 12.61+1.87mm respectively. Height(LH), length(LL) and width(LW) of lamina of were measured as 14.47±1.72 mm, 22.23±2.46mm and 3.74±0.46mm. Length of the spine of vertebra prominens was found to be 28.59+3.72mm.  Maximum(widthmax) and minimum(widthmin) width of spine were 12.15+1.99mm and  6.22+1.53mm. Foramen diameter anteroposterior (FDAP) and transverse (FDT) was found to be 12.97+1.66mm and 22.85+2.46mm respectively.

Conclusion: Taking these measurements of vertebra prominens(C7) into consideration with combined effects of axial computed tomography, the diameters are valuable in correct estimation of spinal deformities and are of interest from anatomical, anthropological aspect and also from medicolegal point of view.

Key Words: Lamina, Morphometry, Seventh cervical vertebra, Spine, Vertebra Prominens.

REFERENCES

  1. Sahoo PK, Singh P, Bhatoe HS. Stabilization for sub axial cervical spine injury. IJNT 2004;1(1):43-47.
  2. Bryce TH. Osteology the skeleton – Vertebral calumn. In: Schaffer EA, Symington J, Bryce TH, Editors. Quains elements of anatomy. 11th London: Longmans Green and Co; 1915.Pp. 5-34.
  3. Spalteholz W. Bones of the spine. In: Hand atlas of human anatomy. 7th Philadelphia, London: Lippincott Co; 1943. Pp.72-85.
  4. William M, Newell RLM, Collin P. The back: cervical vertebrae. In: Standring S, Ellis H, Haely JC, Johson D, Williams A, Gray’s Anatomy. 39th Edinburg, London: Elsevier Churchill Livingstone; 2005:742-746
  5. Delbarre F, Ramadier JO, Laprusle J, Coste F, Paolaggi JB. Apophysomegaly of the 7th cervical vertebra with acroparesthalgia and amyotrophy of the hand. Rev Rhum Mal Osteoartic 1963;30:125-127.
  6. Mann CV, Russell The spine, vertebral calumn and spinal cord. In: Bailey and Love’s short practice of surgery. 21st edition. London: ELBS with Chapman and Hall; 1992:493-500.
  7. Maresova J. X-ray radiation of the 7th cervical vertebra in the treatment of psoriasis. Cesk Dermatol 1950;25(7-8):297-299.
  8. McCormack, Weinstein Cervical spondylosis – An update. West J Med 1996; 165(1-2):43-51.
  9. Abuzayed, B.; Tutunculer, B.; Kucukyuruk, B. & Tuzgen, S. Anatomic basis of anterior and posterior instrumentation of the spine: morphometric study. Surg. Radiol. Anat 2010;32:75-85.
  10. Batzdorff U, Batzdorff A. Analysis of cervical spine curvature in patients with cervical spondylosis. Neurosurg 1988;22(5):827- 836.
  11. Yusof MI, Ming LK, Abdullah MS. Computed tomographic measurement of cervical pedicles for transpedicular fixation in a Malay population. J. Orthop Surg 2007;15(2):187-90.
  12. Francis CC. Dimensions of cervical vertebrae. Anat Rec 1955;122:603-609.
  13. Gilad I, Nissan M. Sagittal evaluation of elemental geometrical dimensions of human vertebrae. J Anat 1985;143:115-120.
  14. Scoles PV, Linton AE, Latimer B, Levy ME, Digiovanni BF. Vertebral body and posterior element morphology: The normal spine in middle life. Spine 1988;13(1):1082-1086.
  15. Gupta S, Goel A. Quantitative anatomy of the lateral masses of the atlas and axis vertebrae. Neural India 2000;48:120-125.
  16. Mazzara JT, Fielding Effect of C1-C2 rotation on canal size. Clinical Orthopaedics 1988;237:115-119.
  17. Anderson RJ. Observations on the diameter of human vertebrae in different regions. J Anat and Physiol 1883;17:341-344.
  18. Bazaldúa CJJ, González LA, Gómez SA, Villarreal SEE, Velázquez GSE, Sánchez U A, Elizondo-omaña RE and Guzmán LS. Morphometric study of cervical vertebrae C3-C7 in a population from northeastern Mexico. Int. J. Morphol 2011;29(2):325-330.
  19. Prabavathy G, Philip X C, Arthi G, Sadeesh T. Morphometric study of cervical vertebrae C3-C7 in South Indian population –A clinico-anatomical Approach. IJAE 2017;122(1):49-57.
  20. Cyriax EF. On current absolute and relative measurements of human vertebrae. J Anat 1920; LIV: 305-308.
  21. Collins CU. Cervical ribs. Am J Surg 1930;14(2):449-451.
  22. Pal GP and Routal RV. A study of weight transmision through the cervical and upper thoracic regions of the vertebral columna in man. J. Anat 1986;148:245-61.
  23. Hosono N, Sakaura H, Mukai Y, Fuji R, Yoshikawa H. C3-6 laminoplasty takes over C3-7 laminoplasty with significantly lower incidence of axial neck pain. Eur Spine J 2006;15:1375-9.
  24. Wang JM, Roh K J, Kim DJ, Kim DW. A new method of stabilising the elevated laminae in open-door laminoplasty using an achor system. J. Bone Joint Surg 1998;80:1005-8.
  25. Parashar R., Saxena D., Chauhan S., Arora R., Joshi A. Morphometric study of pedicle, lamina and spinous process of C3-C7 vertebrae in Rajasthan population. Int J Res Med 2014;3:140-145.
  26. Enssaf A, El-Hameed A, Mansoor MA, Shawky KM, Reference morphometry of human typical cervical vertebrae; Anatomical and radiological study. ZUMJ 2013;19(3).
  27. Das S, Suri R, Kapur V. A duplicated spinous process of the C7 vertebra. Folia Morphol 2005;64(2):115-117.
  28. Borejko J. Fracture in the spinous process of the 7th cervical vertebra. Pol Przegl Radiol 1954;18(1):1-6.
  29. Fujiwara K, Yonenobu K, Ebara S, Yamashita K, Ono K. The prognosis of surgery for cervical compression myelopathy. J Bone and Joint Surg 1989;71-B(3):393-398.
  30. Bertram C, Madert J, Eggers C. Eosinophilic granuloma of the cervical spine. Spine 2002;27(13):1408-1413.
  31. Bhatoe HS. MRI prognostication in cervical spinal cord injury without discocorporeal injury. IJNT 2004;1(1):37-42.

Cite this article: Monika Lalit, Sanjay Piplani, Jagdev S Kullar, Anupama Mahajan. A MORPHOMETRIC STUDY OF BODY, LAMINA, SPINOUS PROCESS AND VERTEBRAL FORAMEN OF VERTEBRA PROMINENS (C7) IN NORTH INDIAN POPULATION: A CLINICO-ANATOMICAL APPROACH. Int J Anat Res 2019;7(4.2):7105-7112. DOI: 10.16965/ijar.2019.315