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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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.
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6.	杨军, 王星铎, 李仁春, 等. 腰椎管上下缘矢径的测量及腰椎管狭窄的诊断[J]. 中国医科大学学报, 1996, 25(5):35-36.
7.	李筱贺, 李少华, 李志军, 等. 青少年胸腰椎峡部及椎板解剖学研究及其临床意义[J]. 中国临床解剖学杂志, 2010, 28(1):14-16.
8.	李志军, 王国强, 牛广明, 等. 脊柱椎弓峡部厚度测量及临床意义[J]. 中国运动医学杂志, 2007, 26(1):60-62.
9.	李志军, 王瑞, 郭文通, 等. 脊柱椎板厚度的测量及意义[J]. 中国临床解剖学杂志, 1999, 17(2):155-156.
10.	徐洪海, 邹庆洋, 张越林, 等. 腰椎峡部四边长度厚度的测量及临床意义[J]. 中国临床解剖学杂志, 2013, 31(3):261-264.
11.	郝毅, 赵大正, 郑海潮, 等. 腰椎峡部的解剖学研究[J]. 中华骨科杂志, 2000, 20(9):48-51.
12.	郭世绂, 陈仲欣, 邱敬清, 等. 腰椎管骨性结构的测量与椎管狭窄[J]. 中华外科杂志, 1984, 10(2):623-625.
13.	刘广杰, 林发雄, 吴南林, 等. 对腰椎管狭窄症有关问题的研究探讨[J]. 中华骨科杂志, 1982, 6(2):333-335.
14.	霍洪军, 杨学军, 李志军, 等. 应用骨刀有限开窗治疗腰椎间盘突出症的解剖与临床研究[J]. 中国脊柱脊髓杂志, 2003, 13(7):402-405.
15.	李志军, 刘万林, 温树正, 等. 椎弓根螺钉入点定位及双侧入点间距的应用测量[J]. 中国临床解剖学杂志, 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.	林海滨, 张发惠, 郑晓晖, 等. 显微椎间盘镜手术的应用解剖学[J]. 骨与关节损伤杂志, 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. 燕好军. 腰椎椎弓峡部裂的病因[J]. 中国运动医学杂志, 1996, 15(3):215-218.
6. 杨军, 王星铎, 李仁春, 等. 腰椎管上下缘矢径的测量及腰椎管狭窄的诊断[J]. 中国医科大学学报, 1996, 25(5):35-36.
7. 李筱贺, 李少华, 李志军, 等. 青少年胸腰椎峡部及椎板解剖学研究及其临床意义[J]. 中国临床解剖学杂志, 2010, 28(1):14-16.
8. 李志军, 王国强, 牛广明, 等. 脊柱椎弓峡部厚度测量及临床意义[J]. 中国运动医学杂志, 2007, 26(1):60-62.
9. 李志军, 王瑞, 郭文通, 等. 脊柱椎板厚度的测量及意义[J]. 中国临床解剖学杂志, 1999, 17(2):155-156.
10. 徐洪海, 邹庆洋, 张越林, 等. 腰椎峡部四边长度厚度的测量及临床意义[J]. 中国临床解剖学杂志, 2013, 31(3):261-264.
11. 郝毅, 赵大正, 郑海潮, 等. 腰椎峡部的解剖学研究[J]. 中华骨科杂志, 2000, 20(9):48-51.
12. 郭世绂, 陈仲欣, 邱敬清, 等. 腰椎管骨性结构的测量与椎管狭窄[J]. 中华外科杂志, 1984, 10(2):623-625.
13. 刘广杰, 林发雄, 吴南林, 等. 对腰椎管狭窄症有关问题的研究探讨[J]. 中华骨科杂志, 1982, 6(2):333-335.
14. 霍洪军, 杨学军, 李志军, 等. 应用骨刀有限开窗治疗腰椎间盘突出症的解剖与临床研究[J]. 中国脊柱脊髓杂志, 2003, 13(7):402-405.
15. 李志军, 刘万林, 温树正, 等. 椎弓根螺钉入点定位及双侧入点间距的应用测量[J]. 中国临床解剖学杂志, 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. 林海滨, 张发惠, 郑晓晖, 等. 显微椎间盘镜手术的应用解剖学[J]. 骨与关节损伤杂志, 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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