Magnetic resonance morphometry of the adult normal lumbar intervertebral space

Magnetic resonance morphometry of the adult normal lumbar intervertebral space Purpose This study aims to: (a) quantify and evaluate normal relationships between neighboring spinal units using MR imaging indices, (b) propose an easy-to-apply-and-reproduce method of estimating the correct amount of distraction when surgically restoring a collapsed intervertebral disc, based on individualized measurements. Methods This is a retrospective cross-sectional MR imaging study of 119 adult subjects, aged 18–54, asymptomatic for low back pain. Each of the examinees should demonstrate two or more consecutive intervertebral discs classified as Pfirrmann grade I or II to be included. We measured and studied the relationships of disc height index, Dabbs index, Farfan index, disc convexity index and mean and posterior disc height per spinal level using multiple regression analysis. All measurements were tested for intra- and interobserver agreement by two raters. Results DHI, Dabbs, Farfan, and mean disc height had a statistically significant correlation with the spinal level and age. Our results were highly reproducible, with excellent inter- and intraobserver agreement and reliability between two raters (ICC = 0.992 and 0.994, respectively). Furthermore, we expressed each intervertebral space as a percentage of its adjacent space, introducing the coefficient α factor for every intervertebral space. Conclusions Our results suggest that a normal values’ database to http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Surgical and Radiologic Anatomy Springer Journals

Magnetic resonance morphometry of the adult normal lumbar intervertebral space

Download PDF
7 pages
Read Article

Loading next page...
 
/lp/springer_journal/magnetic-resonance-morphometry-of-the-adult-normal-lumbar-0FZ0bQWkbl
Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer-Verlag France SAS, part of Springer Nature
Subject
Medicine & Public Health; Imaging / Radiology; Surgery; Anatomy; Orthopedics
ISSN
0930-1038
eISSN
1279-8517
DOI
10.1007/s00276-018-2048-7
Publisher site
See Article on Publisher Site

Abstract

Purpose This study aims to: (a) quantify and evaluate normal relationships between neighboring spinal units using MR imaging indices, (b) propose an easy-to-apply-and-reproduce method of estimating the correct amount of distraction when surgically restoring a collapsed intervertebral disc, based on individualized measurements. Methods This is a retrospective cross-sectional MR imaging study of 119 adult subjects, aged 18–54, asymptomatic for low back pain. Each of the examinees should demonstrate two or more consecutive intervertebral discs classified as Pfirrmann grade I or II to be included. We measured and studied the relationships of disc height index, Dabbs index, Farfan index, disc convexity index and mean and posterior disc height per spinal level using multiple regression analysis. All measurements were tested for intra- and interobserver agreement by two raters. Results DHI, Dabbs, Farfan, and mean disc height had a statistically significant correlation with the spinal level and age. Our results were highly reproducible, with excellent inter- and intraobserver agreement and reliability between two raters (ICC = 0.992 and 0.994, respectively). Furthermore, we expressed each intervertebral space as a percentage of its adjacent space, introducing the coefficient α factor for every intervertebral space. Conclusions Our results suggest that a normal values’ database to

Journal

Surgical and Radiologic Anatomy – Springer Journals

Published: Jun 6, 2018

References

  • Intervertebral disc degeneration: evidence for two distinct phenotypes
    Adams, MA; Dolan, P
  • Changes in lumbar disk morphology associated with prolonged sitting assessed by magnetic resonance imaging
    Billy, GG; Lemieux, SK; Chow, MX
  • Iatrogenic flatback and flatback syndrome: evaluation, management, and prevention
    Boody, BS; Rosenthal, BD; Jenkins, TJ; Patel, AA; Savage, JW; Hsu, WK
  • Correlation between disc height narrowing and low-back pain
    Dabbs, VM; Dabbs, LG
  • Biomechanics of the L5S1 motion segment after total disc replacement—influence of iatrogenic distraction, implant positioning and preoperative disc height on the range of motion and loading of facet joints
    Dreischarf, M; Schmidt, H; Putzier, M; Zander, T
  • The effects of torsion on the lumbar intervertebral joints: the role of torsion in the production of disc degeneration
    Farfan, HF; Cossette, JW; Robertson, GH; Wells, RV; Kraus, H
  • The design and analysis of clinical experiments
    Fleiss, J
  • Precision measurement of disc height, vertebral height and sagittal plane displacement from lateral radiographic views of the lumbar spine
    Frobin, W; Brinckmann, P; Biggemann, M; Tillotson, M; Burton, K
  • Disc height and sagittal alignment in operated and non-operated levels in the lumbar spine at long-term follow-up: a case-control study
    Froholdt, A; Brox, JI; Reikerås, O; Leivseth, G
  • The course of macroscopic degeneration in the human lumbar intervertebral disc
    Haefeli, M; Kalberer, F; Saegesser, D; Nerlich, AG; Boos, N; Paesold, G
  • Risk factors for progression of lumbar spine disc degeneration: the Chingford Study
    Hassett, G; Hart, DJ; Manek, NJ; Doyle, DV; Spector, TD
  • Intervertebral disc height loss demonstrates the threshold of major pathological changes during degeneration
    Jarman, JP; Arpinar, VE; Baruah, D; Klein, AP; Maiman, DJ; Tugan Muftuler, L
  • Induction of early degeneration of the adjacent segment after posterior lumbar interbody fusion by excessive distraction of lumbar disc space
    Kaito, T; Hosono, N; Mukai, Y; Makino, T; Fuji, T; Yonenobu, K
  • Cross-sectional magnetic resonance imaging study of lumbar disc degeneration in 200 healthy individuals
    Kanayama, M; Togawa, D; Takahashi, C; Terai, T; Hashimoto, T
  • Restoration of lordosis and disk height after single-level transforaminal lumbar interbody fusion
    Kepler, CK; Rihn, JA; Radcliff, KE; Patel, AA; Anderson, DG; Vaccaro, AR; Hilibrand, AS; Albert, TJ
  • Post-traumatic findings of the spine after earlier vertebral fracture in young patients: clinical and MRI study
    Kerttula, LI; Serlo, WS; Tervonen, OA; Pääkkö, EL; Vanharanta, HV
  • Adjacent segment pathology after lumbar spinal fusion
    Lee, JC; Choi, SW
  • Mobility of lumbar segments instrumented with a ProDisc II prosthesis: a two-year follow-up study
    Leivseth, G; Braaten, S; Frobin, W; Brinckmann, P
  • ISSLS Prize winner: Long-term follow-up suggests spinal fusion is associated with increased adjacent segment disc degeneration but without influence on clinical outcome: results of a combined follow-up from 4 randomized controlled trials
    Mannion, AF; Leivseth, G; Brox, JI; Fritzell, P; Hägg, O; Fairbank, JC
  • Influence of interpersonal geometrical variation on spinal motion segment stiffness: implications for patient-specific modeling
    Meijer, GJ; Homminga, J; Veldhuizen, AG; Verkerke, GJ
  • Effect of aging and degeneration on disc volume and shape: a quantitative study in asymptomatic volunteers
    Pfirrmann, CW; Metzdorf, A; Elfering, A; Hodler, J; Boos, N
  • Magnetic resonance classification of lumbar intervertebral disc degeneration
    Pfirrmann, CW; Metzdorf, A; Zanetti, M; Hodler, J; Boos, N
  • Adjacent segment disease in the lumbar spine following different treatment interventions
    Radcliff, KE; Kepler, CK; Jakoi, A; Sidhu, GS; Rihn, J; Vaccaro, AR; Albert, TJ; Hilibrand, AS
  • Interdependence between disc space height, range of motion and clinical outcome in total lumbar disc replacement
    Siepe, CJ; Hitzl, W; Meschede, P; Sharma, AK; Khattab, MF; Mayer, MH
  • Analysis of post-operative pain patterns following total lumbar disc replacement: results from fluoroscopically guided spine infiltrations
    Siepe, CJ; Korge, A; Grochulla, F; Mehren, C; Mayer, HM
  • Total lumbar disc replacement: different results for different levels
    Siepe, CJ; Mayer, HM; Heinz-Leisenheimer, M; Korge, A
  • Parameters influencing the outcome after total disc replacement at the lumbosacral junction. Part 2: distraction and posterior translation lead to clinical failure after a mean follow-up of 5 years
    Strube, P; Hoff, EK; Schürings, M; Schmidt, H; Dreischarf, M; Rohlmann, A; Putzier, M
  • Prevalence and distribution of intervertebral disc degeneration over the entire spine in a population-based cohort: the Wakayama Spine Study
    Teraguchi, M; Yoshimura, N; Hashizume, H; Muraki, S; Yamada, H; Minamide, A; Oka, H; Ishimoto, Y; Nagata, K; Kagotani, R; Takiguchi, N; Akune, T; Kawaguchi, H; Nakamura, K; Yoshida, M
  • Progression and determinants of quantitative magnetic resonance imaging measures of lumbar disc degeneration: a five-year follow-up of adult male monozygotic twins
    Videman, T; Battié, MC; Parent, E; Gibbons, LE; Vainio, P; Kaprio, J
  • Analysis of the correlative factors in the selection of interbody fusion cage height in transforaminal lumbar interbody fusion
    Wang, H; Chen, W; Jiang, J; Lu, F; Ma, X; Xia, X
  • In vivo morphological features of human lumbar discs
    Zhong, W; Driscoll, SJ; Wu, M; Wang, S; Liu, Z; Cha, TD; Wood, KB; Li, G

You’re reading a free preview. Subscribe to read the entire article.

Try 2 weeks free now

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

or browse the journals available

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off

Sign up
for free
Start 14 day
Free Trial