Comparative Morphometry of the Lower Lumbar Vertebrae: Osteometry in Dry Bones and Computed Tomography Images of Patients with and without Low Back Pain

Various factors affect the development of the vertebral canal. The dimensions of the vertebral canal and the intervertebral foramen can be altered by these factors before or after birth. Sex differences in dimensions have also been reported. When there is a stenosis of the vertebral canal or the intervertebral foramen, neural structures confined within them can be affected easily, resulting in symptoms. Using computed tomography images, we compared vertebral canal dimensions in 100 patients with low back pain and/or radiculopathy with those in 40 healthy, non-symptomatic controls. We also measured the dimensions of 275 dry bones. We found significant correlations among the variables in the live subjects. We found significant differences between patients and controls in the variables that were measured. Stenoses were more prevalent in females. Dry bone measurements showed some sex differences, and stenosis mainly in vertebrae L4, L5 and S1.

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Morphology of the intervertebral foramen: a direct relation with low back pain

ARS Medica Tomitana ◽

10.2478/v10307-012-0012-z ◽

2012 ◽

Vol 18 (2) ◽

pp. 62-65

Author(s):

Madalina Iliescu ◽

P. Bordei ◽

Sandica Albina ◽

C. Ionescu

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lumbar Vertebrae ◽

Developed Countries ◽

Easy Access ◽

Low Back ◽

Intervertebral Foramen ◽

Direct Relation ◽

Spinal Region ◽

Lumbar Spinal

AbstractLow back pain is today a remarkably serious problem, not only in terms of health, but also socially and populationally, and it is, in most developed countries, a leading cause of disability. By its morphological features, the intervertebral foramen turns out to be the key in trying to manage the pathology of lumbar spinal region. We evaluated morphometrically the lumbar intervertebral foramen on 70 isolated lumbar vertebrae and 11 spinal blocks; the latter were sectioned to obtain easy access to components and dimensional values able to provide additional results, considered statistically and compared with literature. The results, presented in tables and graphics, are discussed in relation with actual literature.

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91. Long-term follow-up of adolescent idiopathic scoliosis patients who had pedicle screw and fusion to the lower lumbar vertebrae: low back pain study

The Spine Journal ◽

10.1016/j.spinee.2020.05.194 ◽

2020 ◽

Vol 20 (9) ◽

pp. S44-S45

Author(s):

Xie En

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Adolescent Idiopathic Scoliosis ◽

Idiopathic Scoliosis ◽

Lumbar Vertebrae ◽

Low Back ◽

Long Term Follow Up ◽

Lower Lumbar

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Morphometry of the lower lumbar vertebrae in patients with and without low back pain

European Spine Journal ◽

10.1007/s005860100267 ◽

2001 ◽

Vol 10 (3) ◽

pp. 228-233 ◽

Cited By ~ 28

Author(s):

Fernando Santiago ◽

Genaro Milena ◽

Ricardo Herrera ◽

Pedro Romero ◽

Pilar Plazas

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lumbar Vertebrae ◽

Low Back ◽

Lower Lumbar

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MRI Findings of Non-Degenerative Pathoanatomical Changes in Low Back Pain

Nepal Journal of Neuroscience ◽

10.3126/njn.v12i2.15894 ◽

2016 ◽

Vol 12 (2) ◽

pp. 59-62 ◽

Cited By ~ 1

Author(s):

Dan B Karki ◽

Om B Panta ◽

Ghanshyam Gurung

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Multimodality Imaging ◽

Compression Fracture ◽

Degenerative Changes ◽

Lumbosacral Spine ◽

Low Back ◽

Neoplastic Lesion ◽

Lower Lumbar ◽

Meningeal Cysts

Non-degenerative pathoanatomical changes are far less common than degenerative changes but benefi ts most from imaging assessment. This study aimed to evaluate the non-degenerative pathoanatomical changes in patients undergoing MRI for low back pain.The study was a retrospective study conducted for the duration of 3 years in a multimodality-imaging center. All patients undergoing MRI of lumbosacral spine with complains of low back pain with or without radiculopathy were assessed for morphological changes and other abnormal fi ndings. After excluding patients with degenerative changes, non-degenerative pathologies were evaluated. Data was entered in predesigned proforma and analysis was done with SPSS 21.0.There were 183 patients who met the inclusion criteria and were included in the study. The mean age of the patients was 51.23 ±16.86 years. Compression fracture of the vertebra was the most common non-degenerative changes accounting for 34% cases followed by spinal meningeal cysts (26%) and infection (14%). Fractures were more common in upper lumbar level as compared to lower lumbar levels. Meningeal cysts were noted to involve the sacral spinal canal more frequently followed by lower lumbar levels. Infective lesions were equally distributed throughout the lumbar spine. Hemangioma was common lesion involving 16% of cases. Lumbosacral transitional vertebra was seen in 7(3.8%) patients.The common non-degenerative pathoanatomical changes associated with low back pain were traumatic lesion, infection, neoplastic lesion and lumbosacral transitional vertebra.Nepal Journal of Neuroscience 12:59-62, 2015

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Degenerative Disc Disease and Volume Raytracing: A new Sophisticated Way to High Accuracy Computed Tomography in Patients with Low Back Pain

Computer Assisted Radiology / Computergestützte Radiologie ◽

10.1007/978-3-662-00807-2_35 ◽

1991 ◽

pp. 207-208

Author(s):

A. Kern ◽

W. Krüger ◽

R. Felix

Keyword(s):

Computed Tomography ◽

Low Back Pain ◽

Back Pain ◽

Degenerative Disc Disease ◽

High Accuracy ◽

Low Back ◽

Disc Disease ◽

Degenerative Disc

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The Ability of Computed Tomography to Identify a Painful Zygapophysial Joint in Patients With Chronic Low Back Pain

Spine ◽

10.1097/00007632-199504150-00005 ◽

1995 ◽

Vol 20 (8) ◽

pp. 907-912 ◽

Cited By ~ 187

Author(s):

Anthony C. Schwarzer ◽

Shih-chang Wang ◽

Diarmuid OʼDriscoll ◽

Timothy Harrington ◽

Nikolai Bogduk ◽

...

Keyword(s):

Computed Tomography ◽

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Low Back ◽

Zygapophysial Joint

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Sex Differences in the Presentation of Chronic Low Back Pain

Psychology of Women Quarterly ◽

10.1111/1471-6402.00072 ◽

2002 ◽

Vol 26 (4) ◽

pp. 329-340 ◽

Cited By ~ 9

Author(s):

Christine E. Sheffer ◽

Jeffrey E. Cassisi ◽

Laurette M. Ferraresi ◽

Kenneth R. Lofland ◽

Lance M. McCracken

Keyword(s):

Sex Differences ◽

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Employment Status ◽

Adaptive Functioning ◽

Social Contexts ◽

Low Back ◽

Men And Women ◽

Traditional Gender Roles

Sex differences in 351 patients with chronic low back pain were examined. Biological, psychological, and psychosocial factors were considered. Sex differences in adaptive functioning were consistent with traditional gender roles. Significant interactions were found for sex and employment status, and sex and marital status. Retired women reported more pain and less activity than retired men. Retired men reported the least pain of any group. Outdoor work and social activities show opposite within-group patterns for men and women when stratifiedby employment status. Marriage was associated with more household work for women and less for men. The financial and social contexts of employment status and marriage are different for men and women. Results suggest the treatment of women with chronic low back pain requires attention to work in the home and the financial and social context of work outside the home.

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