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Vertebral Column: Regions and Curvature01:16

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The vertebral column or spine is a flexible column that supports the head, neck, and body and  allows for their movements. It also protects the spinal cord.
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In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
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Related Experiment Video

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The segment-dependent changes in lumbar intervertebral space height during flexion-extension motion.

M Fu1, Q Ye2, C Jiang1

  • 1Director of Department of Anatomy, Department of Anatomy, Guangdong Provincial Key Laboratory of Medical Biomechanics, Southern Medical University, Baiyun District, Guangzhou, Guangdong, China.

Bone & Joint Research
|April 29, 2017
PubMed
Summary

Lumbar spine motion causes segment-dependent changes in intervertebral space height. Flexion increases anterior disc height more at lower levels, while extension shows varied anterior-posterior height changes across segments.

Keywords:
Intervertebral space heightKinematicsSegment-dependent

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Area of Science:

  • Biomechanics
  • Spinal Anatomy
  • Surgical Innovation

Background:

  • Lumbar spine kinematics and disc morphology are studied, but segment-specific changes in intervertebral space height during flexion-extension are unclear.
  • Understanding these dynamic changes is crucial for lumbar spine research and surgical planning.

Purpose of the Study:

  • To investigate the segment-dependent immediate changes in lumbar intervertebral space height during flexion-extension motion.
  • To analyze how disc height and posterior approach parameters change at different lumbar levels.

Main Methods:

  • Validated custom mechanical loading equipment for lumbar specimen testing.
  • Performed CT scans on eight lumbar specimens in neutral, flexion, and extension positions.
  • Reconstructed 3D lumbar models to measure changes in disc height and distance between pedicle screw entry points (DASEP) at L3/4, L4/5, and L5/S1.

Main Results:

  • All motion segments showed greater disc height and DASEP changes from neutral to flexion compared to neutral to extension.
  • Anterior disc height changes increased progressively from upper to lower lumbar levels during flexion.
  • From neutral to extension, anterior and posterior disc height changes were similar at L4/5, but anterior changes were significantly greater at L3/4 and L5/S1.

Conclusions:

  • Lumbar motion segments exhibit distinct, level-specific alterations in disc height and DASEP.
  • Findings contribute to understanding the physiological dynamics of the lumbar spine.
  • Data may aid in optimizing parameters for lumbar surgical instruments.