Title: A Comparative morphometric study of sacralised lumbar vertebra with the fifth lumbar and first sacral vertebra

Authors: Bindu Singh, Sajjad Jafar

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i6.175

Abstract

Introduction: Unilateral or bilateral fusion of fifth lumber vertebra with the sacrum producing partial or complete sacralisation. due to many changes at this level .person suffers from low back pain with advancing age.

Method: The present study was conducted on 30 dry human sacra and 30 dry fifth lumber vertebrae with the help of digital Varnier Caliper.

Result: The transverse diameter of vertebra foramen is maximum in sacralisation as compared to L5 and S1. While, the transverse as well as anteroposterior diameter of vertebral body was maximum in sacralisation.

Conclusion: Earlier diagnosis of sacralisation  with the measurements of vertebral body and vertebral canal by CT scan in patients suffering from low back pain can be advised with proper exercises and precautions to strengthen the joints ,ligaments and muscles so that the disabilities could be prevented.

Keywords: Saralisation, Fifth lumber vertebra, Sacrum, Low back pain.

References

  1. Moore BH, Illinois C. sacralization of the fifth lumbar vertebra. J Bone joint surg 1925;7:271-278.
  2. Eyo,M. U. Olofin, A. ; Noronha, C. & Okanlawon,A. Incidence of lumbosacral transitional vertebrae in low back pain patients . West African Journal of Radiology, 8(1):1-6, 2001.
  3. Elstar AD. Bertolotti’s syndrome revisited transitional vertebrae of the lumbar spine. Spine 1989;14(12):1373-7.
  4. Bertolotti M: Contribut oallaconoscenza-deivizi di differenzazione regional edel-rachide conspecialeriguardo all assimilazionesacraledella V. lombare. Radiol Med.,1917;4:113-144
  5. Dullerud R: Diagnostic imaging in lumbago and Sciatica. Ugeskr Laeger 1999,161:5299-303.
  6. Kubawat Dharati, Nagar SK, Malukar O., Trivedi D., Paras S., Patil S. A study of sacralisation of fifth lumbar vertebra in Gujarat. National Journal of Medical research. Vol.2 Issue 2, 2012 ,Apr-Jun.
  7. Chakraverthi KK; Venumadhav N.; Siddaraju KS; Pandey SN. Morphological study on lumbosacral transitional vertebra in adult Indian sacra and its clinical implications. International Journal of Applied biology and pharmaceutical technology. Vol.4,Issue-4,2013, 340-346.
  8. El Rakhawy M.; Abd El Rahman ES; Ibrahim L; Ehab A. Lumbar vertebral canal stenosis: concept of morphometric and radiometric study of the human lumbar vertebral canal. International journal of Experimental and Clinical Anatomy of the Human Lumbar Vertebral canal.2010; 4: 51-62.
  9. Aly T; Amin O. Geometrical dimensions and morphological study of the lumbar spinal canal in the normal Egyptian population. Orthopedics, 2013; 36(2): e229-e234.
  10. Kapoor Y; Anil R.Sherke; Krishnaiah M; Suseclamma D. morphometry of the lumbar vertebrae and its clinical significance .Sch. J. App. Med. Sci. 2014; 2(3C): 1045-1052.
  11. Sethi R; Singh V; Chauhan BKS; Thukral BB. A study of transverse diameter of lumbar vertebral canal in North Indian population . Int. J. Anat. Res. 2015, Vol.3(3):1371-75.
  12. Bron J; Barond J; Van Royen; Paul I. J. M.Wuisman. The clinical significance of Lumbosacral transitional anomalies. Journal of Orthopedics, Belgium. 2007, Vol. 73 , 687-695.
  13. Varol T; Iyem C; Cezayirli E; Erturk M; Kayalioglu G; Haryetday C. Comparative morphometry of the lower lumbar vertebrae: Osteometry in dry bones and computed tomography images of patients with and without low back pain . The Journal of International Medical research ,2006 ; 34: 316-330.
  14. Kanchan T; Shetty M; Nagesh KR; Menezes RG. Lumbosacral transitional vertebra: Clinical and forensic implica-tions. Singapore Med. J., 2009, 50(2):e85-7 .
  15. Castellvi AE; Goldstein LA; Chan DPK. Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects . Spine , 1984 ; 9:493-495.

Corresponding Author

Dr Bindu Singh

Associate Professor, Department of Anatomy

BRD, Medical College Gorakhpur-273013, India

Mob no-9451956438, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.