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Sella turcica bridging: a systematic review
Andrea Cuschieri1, Sarah Cuschieri2, Christian Zammit2
1Faculty of Medicine and Surgery, University of Malta, Msida, 2080, MSD, Malta. andrea.cuschieri.19@um.edu.mt.
Surgical and Radiologic Anatomy : SRA
|January 29, 2022
Summary
Sella turcica bridging (STB) affects neurosurgery anatomy. This review found STB prevalence is 26.54% globally, higher than previously thought, and more common in those with comorbidities.
Area of Science:
- Neurosurgery
- Anatomy
- Radiology
Background:
- Sella turcica bridging (STB) alters regional anatomy, impacting neurosurgery.
- Global prevalence data for STB is lacking.
Purpose of the Study:
- To systematically review and establish the global prevalence of Sella turcica bridging.
- To analyze STB prevalence across different populations (comorbidities, sex) and types (partial, complete, unilateral, bilateral).
Main Methods:
- A comprehensive literature search was performed across MEDLINE/PubMed, ScienceDirect, and Google Scholar.
- Quantitative data from 82 eligible studies were extracted and statistically analyzed.
Main Results:
- The overall global prevalence of STB was found to be 26.54%, with higher rates in Europe.
- STB was more prevalent in individuals with comorbidities (33.31%) than in healthy individuals (21.12%).
- Partial STB was more common than complete STB, and unilateral STB was more prevalent than bilateral STB in healthy individuals.
Conclusions:
- The global prevalence of Sella turcica bridging is higher than previously recognized.
- STB's significant prevalence warrants its inclusion in anatomical and embryological educational materials.

