The Microscopic Imaging Anatomical Study on Measuring Chinese Adult Male Lumbar Isthmus Thickness by Micro CT 3D Reconstruction Technique_West China Medical Journal

Authors：

 LIUWei-hua ¹ , TANGXi ¹ , WANGZhi ¹ ,  LIXin ²

1. Department of Scientific Research, the First Affiliated Hospital;Chengdu Medical College, Chengdu, Sichuan 6l0500, P. R. China;
2. Administrative Office;Chengdu Medical College, Chengdu, Sichuan 6l0500, P. R. China;

Corresponding?author：

LIXin, Email: xinlijournal@live.com

Keywords：

Adult; Lumbar vertebrae; Isthmus; Micro CT

DOI：

10.7507/1002-0179.20140395

Video：

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Objective To measure L₁-L₅ lumbar isthmus thickness and to construct Chinese adult male lumbar (L₁-L₅) 3D model by Micro CT 3D reconstruction technique, in order to provide micro-anatomical data for clinical treatment of L₁-L₅ lumbar spondylolysis. Methods Dry, non-damaged specimens of L₁-L₅ lumbar isthmus from 60 Chinese adult males were randomly selected from September 2013 to January 2014. Micro CT scanning was carried out, followed by corresponding 3D model construction. The microscopic anatomical parameters such as superior, inferior, inner and outer edge thickness of left and right L₁-L₅ lumbar isthmus were measured. Results L₁-L₅ lumbar isthmus superior edge thickness was in the order of L₁> L₂> L₃> L₅> L₄, with the variation ranging from (4.31±0.95) mm to (4.88±0.75) mm. L₁-L₅ lumbar isthmus inferior edge thickness was in the order of L₁< L₂< L₃< L₄< L₅, gradually thickened with the variation ranging from (6.03±1.01) mm to (7.27±1.27) mm. L₁-L₅ lumbar isthmus inner edge thickness amplitude was not obvious, ranging from (6.33±1.21) mm to (6.57±1.27) mm. L₁-L₅ lumbar isthmus outer edge thickness was in the order of L₁< L₂< L₃< L₄< L₅, gradually thickened with the variation ranging from (8.44±1.21) mm to (10.27±1.28) mm. Conclusion There are certain rules within superior, inferior, inner and outer edge thickness of adult L₁-L₅ lumbar isthmus:the inferior and outer edge thickness of L₁-L₅ lumbar isthmus gradually becomes thicker, while superior edge gradually becomes thinner. From L₁ to L₅ lumbar isthmus, the outer edge of the lumbar isthmus is the thickest, followed by inner and inferior edge, and the upper edge is the thinnest.

Citation： LIUWei-hua, TANGXi, WANGZhi, LIXin. The Microscopic Imaging Anatomical Study on Measuring Chinese Adult Male Lumbar Isthmus Thickness by Micro CT 3D Reconstruction Technique. West China Medical Journal, 2014, 29(7): 1293-1296. doi: 10.7507/1002-0179.20140395 Copy

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3.	Klemencsics ZL, Kiss RM. Biomechanics in the pathogenesis of spondylosis and spondylolisthesis[J]. Orv Hetil, 2001, 142(5):227-233.
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6.	楊軍, 王星鐸, 李仁春, 等. 腰椎管上下緣矢徑的測量及腰椎管狹窄的診斷[J]. 中國醫科大學學報, 1996, 25(5):35-36.
7.	李筱賀, 李少華, 李志軍, 等. 青少年胸腰椎峽部及椎板解剖學研究及其臨床意義[J]. 中國臨床解剖學雜志, 2010, 28(1):14-16.
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10.	徐洪海, 鄒慶洋, 張越林, 等. 腰椎峽部四邊長度厚度的測量及臨床意義[J]. 中國臨床解剖學雜志, 2013, 31(3):261-264.
11.	郝毅, 趙大正, 鄭海潮, 等. 腰椎峽部的解剖學研究[J]. 中華骨科雜志, 2000, 20(9):48-51.
12.	郭世紱, 陳仲欣, 邱敬清, 等. 腰椎管骨性結構的測量與椎管狹窄[J]. 中華外科雜志, 1984, 10(2):623-625.
13.	劉廣杰, 林發雄, 吳南林, 等. 對腰椎管狹窄癥有關問題的研究探討[J]. 中華骨科雜志, 1982, 6(2):333-335.
14.	霍洪軍, 楊學軍, 李志軍, 等. 應用骨刀有限開窗治療腰椎間盤突出癥的解剖與臨床研究[J]. 中國脊柱脊髓雜志, 2003, 13(7):402-405.
15.	李志軍, 劉萬林, 溫樹正, 等. 椎弓根螺釘入點定位及雙側入點間距的應用測量[J]. 中國臨床解剖學雜志, 2001, 20(4):308-310.
16.	Gioia G, Mandelli D, Capaccioni B, et al. Surgical treatment of far lateral lumbar disc herniation. Identification of compressed root and discectomy by lateral approach[J]. Spine (Phila Pa 1976), 1999, 24(18):1952-1957.
17.	林海濱, 張發惠, 鄭曉暉, 等. 顯微椎間盤鏡手術的應用解剖學[J]. 骨與關節損傷雜志, 2003, 18(3):191-193.
18.	Jiang Y, Zhao J, Liao EY, et al. Application of micro-CT assessment of 3-D bone microstructure in preclinical and clinical studies[J]. J Bone Miner Metab, 2005, 23(Suppl):122-131.
19.	Tang SY, Vashishth D. A non-invasive in vitro technique for the three-dimensional quantification of microdamage in trabecular bone[J]. Bone, 2007, 40(5):1259-1264.

1. Arriaza BT. Spondylolysis in prehistoric human remains from Guam and its possible etiology[J]. Am J Phys Anthropol, 1997, 104(3):393-397.
2. Konz RJ, Goel VK, Grobler LJ, et al. The pathomechanism of spondylolytic spondylolisthesis in immature primate lumbar spines in vitro and finite element assessments[J]. Spine (Phila Pa 1976), 2001, 26(4):E38-E49.
3. Klemencsics ZL, Kiss RM. Biomechanics in the pathogenesis of spondylosis and spondylolisthesis[J]. Orv Hetil, 2001, 142(5):227-233.
4. Arnek, Hagen R. Spondylolysis and spondlolisthesis[J]. J Bone Joint Surg Am, 1988, 70(1):15.
5. 燕好軍. 腰椎椎弓峽部裂的病因[J]. 中國運動醫學雜志, 1996, 15(3):215-218.
6. 楊軍, 王星鐸, 李仁春, 等. 腰椎管上下緣矢徑的測量及腰椎管狹窄的診斷[J]. 中國醫科大學學報, 1996, 25(5):35-36.
7. 李筱賀, 李少華, 李志軍, 等. 青少年胸腰椎峽部及椎板解剖學研究及其臨床意義[J]. 中國臨床解剖學雜志, 2010, 28(1):14-16.
8. 李志軍, 王國強, 牛廣明, 等. 脊柱椎弓峽部厚度測量及臨床意義[J]. 中國運動醫學雜志, 2007, 26(1):60-62.
9. 李志軍, 王瑞, 郭文通, 等. 脊柱椎板厚度的測量及意義[J]. 中國臨床解剖學雜志, 1999, 17(2):155-156.
10. 徐洪海, 鄒慶洋, 張越林, 等. 腰椎峽部四邊長度厚度的測量及臨床意義[J]. 中國臨床解剖學雜志, 2013, 31(3):261-264.
11. 郝毅, 趙大正, 鄭海潮, 等. 腰椎峽部的解剖學研究[J]. 中華骨科雜志, 2000, 20(9):48-51.
12. 郭世紱, 陳仲欣, 邱敬清, 等. 腰椎管骨性結構的測量與椎管狹窄[J]. 中華外科雜志, 1984, 10(2):623-625.
13. 劉廣杰, 林發雄, 吳南林, 等. 對腰椎管狹窄癥有關問題的研究探討[J]. 中華骨科雜志, 1982, 6(2):333-335.
14. 霍洪軍, 楊學軍, 李志軍, 等. 應用骨刀有限開窗治療腰椎間盤突出癥的解剖與臨床研究[J]. 中國脊柱脊髓雜志, 2003, 13(7):402-405.
15. 李志軍, 劉萬林, 溫樹正, 等. 椎弓根螺釘入點定位及雙側入點間距的應用測量[J]. 中國臨床解剖學雜志, 2001, 20(4):308-310.
16. Gioia G, Mandelli D, Capaccioni B, et al. Surgical treatment of far lateral lumbar disc herniation. Identification of compressed root and discectomy by lateral approach[J]. Spine (Phila Pa 1976), 1999, 24(18):1952-1957.
17. 林海濱, 張發惠, 鄭曉暉, 等. 顯微椎間盤鏡手術的應用解剖學[J]. 骨與關節損傷雜志, 2003, 18(3):191-193.
18. Jiang Y, Zhao J, Liao EY, et al. Application of micro-CT assessment of 3-D bone microstructure in preclinical and clinical studies[J]. J Bone Miner Metab, 2005, 23(Suppl):122-131.
19. Tang SY, Vashishth D. A non-invasive in vitro technique for the three-dimensional quantification of microdamage in trabecular bone[J]. Bone, 2007, 40(5):1259-1264.

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The Microscopic Imaging Anatomical Study on Measuring Chinese Adult Male Lumbar Isthmus Thickness by Micro CT 3D Reconstruction Technique

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