Distribution and orientation of bone in the human lumbar vertebral centrum

This article describes regional variations in cancellous bone morphology within the human lumbar spine of a 60-year-old woman. An automated imaging technique, based upon the method of directed secants, was used to quantify variations in bone porosity and trabecular size, distribution, and orientation within serial transverse histological sections of the L1 and L2 vertebral centrum. Several morphologically distinct levels of organization were observed along the axis of the centrum. The superior and inferior sections of the centrum were made up of an open-celled network of trabeculae, while the translational and middle sections consisted primarily of plate-like trabeculae forming a closed-cell structure. The densest and most oriented bone was found in the superior and inferior sections of the posterior-lateral centrum, whereas least dense and least oriented bone was found in the central third of the anterior centrum. Average trabecular thickness did not vary appreciably from level to level, but varied considerably within a given level, particularly in the inferior sections of the centrum. The number of trabeculae was lowest in the central sections of the centrum, where plate-like trabeculae were most prevalent. The topological architecture of different levels within the centrum exhibited a remarkable degree of organization, which suggests that the spine, like other skeletal structures, has adapted to functional stresses produced during daily activities. Detailed morphological data are tabulated and should be of use to investigators interested in modeling the three-dimensional structural and physical properties of the lumbar spine.