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Published on: May 31, 2017
Spinous process morphometry for interspinous device implantation in Korean patients
Eun Hyun Ihm1, In Bo Han, Dong Ah Shin
1Department of Neurosurgery, Yonsei University, Seoul, Republic of Korea.
World Neurosurgery
|November 29, 2011
Summary
The interspinous distance decreases with age in Korean adults, particularly in the lumbar spine. Careful selection of interspinous implants is recommended for younger patients due to this age-related trend.
Area of Science:
- Orthopedic Surgery
- Spinal Anatomy
- Biomedical Engineering
Background:
- Interspinous devices are used for spinal stenosis treatment.
- Accurate morphometric data is crucial for successful device implantation.
- Korean spinal anatomy may differ from other populations.
Purpose of the Study:
- To measure interspinous distance and spinous process dimensions in Korean patients.
- To analyze morphometric variations for interspinous device selection.
- To investigate age-related changes in lumbar interspinous distances.
Main Methods:
- Analysis of plain lumbar and sacral spine radiographs from 60 Korean patients.
- Measurement of interspinous distance and spinous process height, length, and thickness.
- Correlation analysis between age and interspinous distance.
Main Results:
- The largest interspinous distance was observed at L2-3 (mean 12 mm), and the smallest at L5-S1 (mean 8 mm).
- Interspinous distance decreased progressively from L1-2 to L5-S1.
- A significant negative correlation was found between age and interspinous distance at L1-5 levels.
Conclusions:
- Lumbar interspinous distance shows a decreasing trend with advancing age in Korean patients.
- Progressive reduction in interspinous distance necessitates careful consideration during interspinous implant selection, especially for younger individuals.
- These morphometric findings aid in optimizing device choice for Korean populations.