Lumbar canal volume is measured by the pedicle length and interpedicular distance on plain radiographs of the lumbar spine. Since the L4 level of the lumbar spine is the central level of the lumbar canal. This level is the most commonly affected level of the lumbar spine in various pathologies like a prolapsed intervertebral disk (PIVD), lumbar canal stenosis, including discogenic or degenerative spinal disorders. During our observations, we found various patterns of lumbar spine morphology based on pedicle length and interpedicular distance of the L4 vertebra on anteroposterior and lateral lumbar spine radiographs. This new approach to divide the lumbar spine morphology into these classes will help us in predicting the susceptibility of an individual to various types of LBP and neurological complications. This will also help the operating surgeon in planning the various surgical interventions for various lumbar pathologies based on the morphology of the lumbar spine.
Washburn SL. The evolution of man. Sci Am 1978;239:194–198. DOI: 10.1038/scientificamerican0978-194
Lippert H. Probleme der Statik und Dynamik von Wirbelsäule und Rückenmark. In: Trostdorf E, Stender H, editors. Wirbelsäule und Nervensystem. Stuttgart: Thieme; 1970.
Vernon-Roberts B, Fazzalari NL, Manthey BA. Pathogenesis of tears of the anulus investigated by multiple-level transaxial analysis of the T12–L1 disk. Spine (Phila Pa 1976) 1997;22(22):2641–2646. DOI: 10.1097/00007632-199711150-00012
Kim Y. Prediction of peripheral tears in the anulus of the intervertebral disk. Spine (Phila Pa 1976) 2000;25(14):1771–1774 DOI: 10.1097/00007632-200007150-00006
Wolf M, Kloth JK, Hähnel S, et al. Radiological di- agnostics of spinal tumors: part 2: special di- agnostics of intradural tumors and tumor-like lesions. Orthopade 2012; 41(8):608–617. DOI: 10.1007/s00132-012-1906-y
Gilad I, Nissan M. Sagittal evaluation of emental geometrical dimensions of human vertebrae. J Anat 1985;(143):115–120.
Gilad I, Nissan M. Sagittal radiographic measurements of the cervical and the lumbar ver- tebrae in normal adults. Br J Radiol 1985; 58(695):1031–1034.
Fang D, Cheung KM, Ruan D, et al. Computed tomographic osteometry of the Asian lumbar spine. J Spinal Disord 1994; 7(4):307–316.
Berry JL, Moran JM, Berg WS, et al. A morphometric study of human lumbar and selected thoracic vertebrae. Spine (Phila Pa 1976) 1987;12: 362–367. DOI: 10.1097/00007632-198705000-00010
Ebraheim NA, Rollins JR, Xu RM, et al. Projection of the lumbar pedicle and its morphometric analysis. Spine (Phila Pa 1976) 1996;21: 1296–300. DOI: 10.1097/00007632-199606010-00003
Hou S, Hu R, Shi Y. Pedicle morphology of the lower thoracic and lumbar spine in a Chinese population. Spine (Phila Pa 1976) 1993;18:1850–1855. DOI: 10.1097/00007632-199310000-00021
Kim N, Lee H, Chung I, et al. Morphometric study of the pedicles of thoracic and lumbar vertebrae in Koreans. Spine (Phila Pa 1976) 1994;19:1390–1394. DOI: 10.1097/00007632-199406000-00014
Panjabi MM, Goel VM, Oxland T, et al. Human lumbar vertebrae. Quantitative three-dimensional anatomy. Spine (Phila Pa 1976) 1992;17:299–306. DOI: 10.1097/00007632-199203000-00010
Bernard TN, Seibert CE. Pedicle diameter determined by computed tomography. Its relevance to pedicle screw fixation in the lumbar spine. Spine (Phila Pa 1976) 1992;17:s160–163. DOI: 10.1097/00007632-199206001-00017
Chadha M, Balain B, Maini L, et al. Pedicle morphology of the lower, thoracic, lumbar, and S1 vertebrae: an Indian perspective. Spine (Phila Pa 1976) 2003;28:744–749.
Cheung KMC, Ruan D, Chan FL, et al. Computed tomographic osteometry of Asian lumbar pedicles. Spine (Phila Pa 1976) 1994;19:1495–1498. DOI: 10.1097/00007632-199407000-00014
Krag MH, Weaver DL, Beynnon BD, et al. Morphometry of the thoracic and lumbar spine related to transpedicular screw placement for surgical spinal fixation. Spine (Phila Pa 1976) 1988;13(1):27–32. DOI: 10.1097/00007632-198801000-00007
Okuyama K, Sato K, Abe A, et al. Vertebral pedicle diameter as determined by computed tomography: inaccuracies observed by direct measurement of cadaveric lumbar spine. Skeletal Radiol 1994;23:551–553. DOI: 10.1007/bf00223089
Robertson PA, Stewart NR. The radiologic anatomy of the lumbar and lumbosacral pedicles. Spine (Phila Pa 1976) 2000;25:709–715. DOI: 10.1097/00007632-200003150-00010
Zindrick MR, Wiltse LL, Doornik A, et al. Analysis of the morphometric characteristics of the thoracic and lumbar pedicles. Spine (Phila Pa 1976) 1987;12: 160–166. DOI: 10.1097/00007632-198703000-00012
Olsewski J, Simmons E, Kallen F, et al. Morphometry of the lumbar spine: anatomical perspectives related to transpedicular fixation. J Bone Joint Surg 1990;72A:541–549.