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Thoracolumbar transitional vertebrae: Quantitative differentiation and associated numeric variation in the vertebral
Anneli M Poolman1,2, Quenton Wessels1, Albert Van Schoor2
1Division of Anatomy, School of Medicine, University of Namibia, Windhoek, Namibia.
Journal of Anatomy
|April 6, 2023
Summary
Thoracolumbar transitional vertebrae (TLTV) are found in 35% of individuals and often associate with spinal numeric variations. Quantitative analysis effectively distinguishes TLTV from typical T12 and L1 vertebrae.
Area of Science:
- Anatomy
- Anthropology
- Radiology
Background:
- Transitional vertebrae at the thoracolumbar region, known as thoracolumbar transitional vertebrae (TLTV), exhibit features of both thoracic and lumbar vertebrae.
- Discrepancies in TLTV classification, identification, and clinical relevance have persisted since their initial description 40 years ago.
- Vertebral body levels are critical anatomical references, and variations can lead to clinical errors, with previous studies suggesting a link between numeric variations and TLTV.
Purpose of the Study:
- To identify the types of TLTV and associated numeric variations in the vertebral column.
- To validate a quantitative morphometric technique for differentiating TLTV from T12 and L1 vertebrae.
- To assess TLTV prevalence and its association with spinal numeric variations in a South African population.
Main Methods:
- Analysis of skeletal remains (n=187) from the Pretoria bone collection.
- Quantitative measurement of the superior zygapophyseal process angles for T12, L1, and identified TLTV.
- Statistical analysis to determine confidence intervals for each vertebral type and assess associations with numeric variations.
Main Results:
- A prevalence of 35% (n=66/187) for TLTV was observed in the studied population.
- Distinct confidence intervals were established for T12 (187°-189.6°), L1 (109.2°-111.3°), and TLTV (130.4°-139.1°).
- Seventy percent of TLTV cases were associated with homeotic and meristic numeric variations in the spine.
Conclusions:
- Quantitative morphometric analysis, specifically measuring the superior zygapophyseal process angle, effectively differentiates TLTV from T12 and L1 vertebrae.
- The high prevalence of TLTV (35%) and its strong association with spinal numeric variations underscore its clinical significance.
- This validated technique aids in accurate identification of TLTV, crucial for avoiding errors in anatomical referencing and clinical practice.
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