Vertebral body shape variation in the thoracic and lumbar spine: Characterization of its asymmetry and wedging

2007 ◽  
Vol 21 (1) ◽  
pp. 46-54 ◽  
Author(s):  
Youssef Masharawi ◽  
Khalil Salame ◽  
Yigal Mirovsky ◽  
Smadar Peleg ◽  
Gali Dar ◽  
...  
Spine ◽  
1985 ◽  
Vol 10 (8) ◽  
pp. 748-756 ◽  
Author(s):  
HOWARD B. COTLER ◽  
JEROME M. COTLER ◽  
AMY STOLOFF ◽  
HERBERT E. COHN ◽  
BRUCE E. JERRELL ◽  
...  

2001 ◽  
Vol 14 (5) ◽  
pp. 393-398 ◽  
Author(s):  
Joji Mochida ◽  
Eiren Toh ◽  
Masahiro Chiba ◽  
Kazuhiro Nishimura

2021 ◽  
Vol 10 (15) ◽  
pp. 3217
Author(s):  
Lorenzo Costa ◽  
Steven de Reuver ◽  
Luc Kan ◽  
Peter Seevinck ◽  
Moyo C. Kruyt ◽  
...  

In scoliosis, most of the deformity is in the disc and occurs during the period of rapid growth. The ring apophyses form the insertion of the disc into the vertebral body, they then ossify and fuse to the vertebrae during that same crucial period. Although this must have important implications for the mechanical properties of the spine, relatively little is known of how this process takes place. This study describes the maturation pattern of the ring apophyses in the thoracic and lumbar spine during normal growth. High-resolution CT scans of the spine for indications not related to this study were included. Ossification and fusion of each ring apophysis from T1 to the sacrum was classified on midsagittal and midcoronal images (4 points per ring) by two observers. The ring apophysis maturation (RAM) was compared between different ages, sexes, and spinal levels. The RAM strongly correlated with age (R = 0.892, p < 0.001). Maturation differed in different regions of the spine and between sexes. High thoracic and low lumbar levels fused earlier in both groups, but, around the peak of the growth spurt, in girls the mid-thoracic levels were less mature than in boys, which may have implications for the development of scoliosis.


2016 ◽  
Vol 4 (2) ◽  
pp. 61-66 ◽  
Author(s):  
Vladimir V Zaretskov ◽  
Vladislav B Arsenievich ◽  
Sergey V Likhachev ◽  
Alexey E Shul’ga ◽  
Sergey V Stepukhovich ◽  
...  

Overestimation of the efficacy of conservative treatment of spine injuries children often leads to unsatisfactory long-term results. The effective correction of post-traumatic spinal column deformities occurs in patients who undergo the operation in the early post-traumatic period. While choosing treatment strategies for children, higher reparative opportunities, which provide early fracture consolidation, including those in faulty positions, should be considered. This study presents a case of surgical treatment for uncomplicated injury of the thoracic and lumbar spine, with long-term compression fragmental fracture of the L1 vertebra body in a 12-year-old child. Due to the long-standing character of the injury right thoraco-frenotomy was conducted with partial L1 vertebral body and resection of the adjacent discs, deformity correction of the thoracic and lumbar spine with a transpedicular system, and ventral spondylodesis with an autograft. This extensive intervention was justified by the peculiarities in the vertebral body damage and the post-traumatic segmental kyphotic deformity that resulted from delayed medical treatment. An anterior approach was chosen to achieve immobilization at the site of the damage before correction using the transpedicular system. Surgical correction of long-term spinal injuries in children, with the use of a combined approach, is usually laborious and traumatic. The prevention of rigid post-traumatic spine deformities with the help of timely diagnostics and appropriate treatment, including surgery, should be a priority to prevent such cases.


Spine ◽  
1997 ◽  
Vol 22 (3) ◽  
pp. 239-245 ◽  
Author(s):  
Hiroshi Taneichi ◽  
Kiyoshi Kaneda ◽  
Naoki Takeda ◽  
Kuniyoshi Abumi ◽  
Shigenobu Satoh

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