Journals / Turkish Neurosurgery / 2011 / Cilt: 21 - Sayı: 3

Servikal omurgada aksesuar transvers foramen: İnsidansı, embriyolojik temeli, morfoloji ve cerrahi önemi

Accessory transverse foramina in the cervical spine: Incidence, embryological basis, morphology and surgical importance

Pages
384–387
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Their morphological knowledge is clinically important since the course of the vertebral artery may be distorted in such situations.

📌 3 Key Takeaways

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Objective & Hypothesis:AIM: To study the incidence of accessory foramina transversaria in cervical spine and to analyze them morphologically with emphasize on their embryological and surgical importance.
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Key Findings & Data:MATERIAL and METHODS: The study included 363 human cervical vertebrae which were procured from the bone collections of the Department of Anatomy.
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Conclusion & Impact:Their morphological knowledge is clinically important since the course of the vertebral artery may be distorted in such situations.
🔬Design:Research Article
📍Scope:363 specimens
⚙️Variables:Domain Parameters

Abstract

AIM: To study the incidence of accessory foramina transversaria in cervical spine and to analyze them morphologically with emphasize on their embryological and surgical importance. MATERIAL and METHODS: The study included 363 human cervical vertebrae which were procured from the bone collections of the Department of Anatomy. The foramen transversarium was observed macroscopically on both sides of all the vertebras, the accessory foramina were noted. RESULTS: Out of 363 specimens, only 6 (1.6%) vertebrae showed the accessory foramina. Among them 5 (1.4%) vertebra had double foramina and only 1 (0.3%) vertebra showed three foramina. Only 1 (0.3%) vertebrae showed the foramen on both sides and the remaining 5 (1.4%) had unilateral foramina. Among the unilateral, 4 were present on the right side and only 1 was on the left side. No vertebrae showed the absence of foramen transversarium. CONCLUSION: The present study observed the accessory foramina transversarium in 1.6% of cases. The unilateral presence was more common than the bilateral. The surgical anatomy of these variations is important for the neurosurgeons and radiologists for interpreting the computed tomogram and magnetic resonance image scans. Their morphological knowledge is clinically important since the course of the vertebral artery may be distorted in such situations.

Özet

AMAÇ: Servikal omurgada aksesuar transvers foramen insidansını araştırmak ve, embriyolojik ve cerrahi önemini vurgulayarak morfolojik olarak bunları analiz etmek. YÖNTEM ve GEREÇ: Çalışmaya Anatomi Anabilim Dalı kemik koleksiyonlarından satın alınmış 363 insan servikal omuru dahil edilmiştir. Tüm omurların her iki tarafında transvers foramenler makroskopik olarak gözlendi ve aksesuar foramenler kaydedildi. BULGULAR: 363 spesimenin sadece 6’sında (%1,6) omurlar aksesuar foramen gösterdi. Bunların içinde 5 (%1,4) vertebrada çift foramen vardı ve sadece 1 (%0,3) vertebra üç foramen gösterdi. Sadece 1 (%0,3) omurda her iki foramen görünüyordu ve kalan 5 (% 1.4) tanesinde tek taraflı foramen vardı. Tek taraflı olanların, 4 tanesinde sağ tarafta ve sadece 1 tanesinde sol tarafta idi. Hiçbir omurga foramen transversarium yokluğu göstermedi. SONUÇ: Bu çalışmada, olguların %1,6’sında aksesuar foramina transversarium gözlendi. Tek taraflı varlığı iki taraflı olmasından daha sıktı. Bu varyasyonların cerrahi anatomisi beyin cerrahları ve radyologların bilgisayarlı tomografi ve manyetik rezonans görüntülerini yorumlamaları için önemlidir. Bunların morfolojik bilgileri klinik açıdan önemlidir çünkü bu durumlarda vertebral arterin gidişi değişebilir.

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Cite This Article

MURLIMANJU, B. V., PRABHU, L. V., SHILPA, K., RAI, R., DHANANJAYA, K., JIJI, P. J. (2011). Servikal omurgada aksesuar transvers foramen: İnsidansı, embriyolojik temeli, morfoloji ve cerrahi önemi. Turkish Neurosurgery, Cilt: 21 - Sayı: 3, 384–387. https://ajindex.com/articles/405554

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References (1)

  1. An HS, Gordin R, Renner K: Anatomic considerations for platescrew fixation of the cervical spine. Spine 16:548-551, 1991 2. Bergman RA, Thompson SA, Afifi AK, Saadeh FA: Compendium of Human Anatomic Variation. Germany: Urban & Schwarzenberg, 1988:197 3. Bridwell KH, Anderson PA, Boden SD, Vaccaro AR, Wang JC: What’s new in spine surgery. J Bone Joint Surg Am 90: 1609-1619, 2008 4. Caovilla HH, Gananca MM, Munhoz MS, Silva ML, Gananca FF, Silva ML, Munhoz MS, Gananca MM, Caovilla HH: Sindrome cervical. Quadros Clinicos Otoneurologicos Mais Comuns. Sao Paulo: Atheneu, 2000:95-100 5. Cooper PR, Cohen A, Rosiello A, Koslow M: Posterior stabilization of cervical spine fractures and subluxations using plates and screws. Neurosurgery 23:300-306, 1988 6. Das S, Suri R, Kapur V: Double foramen transversaria: An osteological study with clinical implications. Int Med J 12: 311-313, 2005 7. El Shaarawy EAA, Sabry SM, El Gammaroy T, Nasr LE: Morphology and morphometry of the foramina transversaria of cervical vertebrae: A correlation with the position of the vertebral artery. Kasr El Aini Medical Journal [serial online] June 2010. Accessed December 10, 2010 8. Ionete C, Omojola MF: MR angiographic demonstration of bilateral duplication of the extracranial vertebral artery: Unusual course and review of the literature. AJNR 27: 1304-1306, 2006 9. Jovanovic MS: A comparative study of the foramen transversarium of the sixth and seventh cervical vertebrae. Surg Radiol Anat 12:167-172, 1990 10. Kubikova E, Osvaldova M, Mizerakova P, El Falougy H, Benuska J: A variable origin of the vertebral artery. Bratisl Lek Listy 109:28-30, 2008 11. Riew K: Microscope-assisted anterior cervical decompression and plating techniques for multilevel cervical spondylosis. Operative Techniques in Orthopaedics 8:22-33, 1988 12. Romanov VA, Miller LG, Gaevyĭ MD: The effect of the vertebral nerve on circulation in the inner ear (cochlea). Biull Eksp Biol Med 75:10-12, 1973 13. Sim E, Vaccaro AR, Berzlanovich A, Thaler H, Ullrich CG: Fenestration of the extracranial vertebral artery: Review of the literature. Spine 26:139–142, 2001 14. Taitz C, Nathan H, Arensburg B: Anatomical observations of the foramina transversaria. J Neurol Neurosurg Psychiatry 41:170–176, 1978