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- Title
The Spatial Characteristics of Intervertebral Foramina within the L4/L5 and L5/S1 Motor Segments of the Spine.
- Authors
Nowak, Piotr; Dąbrowski, Mikołaj; Druszcz, Adam; Kubaszewski, Łukasz
- Abstract
Simple Summary: Lumbar foraminal stenosis (LFS) is a common pathology accompanying diseases of the spine, such as osteoarthritis, scoliosis, and spondylolisthesis. It affects patients of all ages and can cause lumbar radiculopathy. Lumbar radiculopathy symptoms, such as sharp pain in the back or legs, which may worsen with certain activities, weakness or loss of reflexes in the legs, numbness of the skin, "pins and needles", or other abnormal sensations (paresthesia) in the legs, are particularly troublesome for patients and hinder their daily activities. It is important to constantly improve the methods of LFS imaging diagnostics. In this article, we analyzed the three-dimensional shape of the root canals in the lower part of the lumbar spine, based on CT scans. The obtained results made it possible to assess how the shape of the intervertebral foramina is related to factors such as age, sex, and motor neuron level. The research conducted is an introduction to a better understanding of the pathology of LFS, which will improve the conservative and surgical treatment of spinal diseases. The prevalence of lower back pain and radicular pain in the population requires more and more accurate diagnostic methods to more effectively prevent and treat patients with these ailments. In this paper, we focused on one of the causes of lower back pain and radicular pain—lumbar foraminal stenosis (LFS). The aim of the study is to assess the morphometry of the intervertebral canals in the lumbar spine at the levels of the L4/L5 and L5/S1 motor segments. The obtained results showed correlations between the circumference and the surface area on individual cross-sections of the intervertebral canals at the L4/L5 and L5/S1 levels and determined the approximate shape of the root canal and its variability. On this basis, we were able to determine the influences of the patient's age and sex on the morphometric parameters of the intervertebral canals at the L4/L5 and L5/S1 levels. Further research is needed in this area, taking into account additional factors influencing the shape of intervertebral canals.
- Subjects
LUMBAR pain; LUMBAR vertebrae; RADICULOPATHY; SURGICAL therapeutics; PATHOLOGY; SPINE; DENTAL pulp cavities
- Publication
Applied Sciences (2076-3417), 2024, Vol 14, Issue 6, p2263
- ISSN
2076-3417
- Publication type
Article
- DOI
10.3390/app14062263