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Anatomical variations of lumbar arteries and their clinical implications: a cadaveric study
Aranjan Lionel Karunanayake1, Arunasalam Pathmeswaran2
1Department of Anatomy, Faculty of Medicine, University of Kelaniya, 0094 11 Ragama, Sri Lanka.
Insights
This study reveals significant variations in lumbar artery anatomy, with numbers ranging from 3 to 5 pairs. Understanding these lumbar vasculature variations is crucial for preventing surgical complications.
Area of Science:
- Anatomy
- Vascular Surgery
Background:
- Lumbar arteries originate from the abdominal aorta.
- Damage to lumbar arteries during abdominal or spinal surgery can have severe outcomes.
Purpose of the Study:
- To investigate the types and frequencies of variations in human lumbar vasculature.
- To provide anatomical data relevant to surgical safety.
Main Methods:
- Dissection of lumbar vasculature in 109 adult human cadavers (43-90 years old).
- Analysis of variations in the number, origin, and pathway of lumbar arteries.
Main Results:
- The number of lumbar arteries per side varied from 3 to 5 pairs.
- Common origins from a single stem were observed in 12% of cases.
- Specific variations in the origin and pathway of the first, second, third, and fourth lumbar artery pairs were documented.
Conclusions:
- Significant anatomical variations in lumbar arteries exist.
- These findings highlight the importance of detailed anatomical knowledge for surgeons.
- Awareness of these variations can help mitigate risks during abdominal and spinal procedures.
Abstract:
Lumbar arteries arise from the abdominal aorta. Some abdominal and spinal surgeries can damage these arteries, and that can lead to serious consequences. This study aimed at studying the types and frequencies of variations of lumbar vasculature. We dissected both sides of 109 adult human cadavers and studied the variations of lumbar vasculature. Age range was 43-90 years. Fifty-seven percent were males and 43% were females. The number of lumbar arteries arising from either side of the abdominal aorta varied between 3 and 5 pairs. The lumbar arteries arose from a common single stem in 12% of the cadavers. The third and fourth pairs of lumbar arteries arose from a common single stem in 3% and 11% of cadavers, respectively, and the first and second pairs of lumbar arteries arose from a common single stem in 1% and 2% of cadavers, respectively. The first and second lumbar arteries on the right side traveled anterior to the right crus of the diaphragm in 7% and 8% of cadavers, respectively. There were several variations with regard to the number, origin from the abdominal aorta, and pathway of lumbar arteries from what is described in the literature.
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