Morphometric Analysis of Lumbar Disc Space in the Turkish Population and Safe Discectomy Distance in Lumbar Disc Surgery

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dc.authorid0000-0002-8313-4092en_US
dc.contributor.authorAntar, Veysel
dc.contributor.authorBaran, Oguz
dc.contributor.authorKelten, Bilal
dc.contributor.authorAtci, Ibrahim Burak
dc.contributor.authorYilmaz, Hakan
dc.contributor.authorKatar, Salim
dc.contributor.authorYilmaz, Adem
dc.date.accessioned2024-07-12T21:56:41Z
dc.date.available2024-07-12T21:56:41Z
dc.date.issued2017en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractAIM: Lumbar discectomy is a common surgical intervention in neurosurgical practice. latrogenic vascular injury during this surgery is a rare, but serious complication. In this study, our aim was to review the average safe depth of discectomy for both sexes. MATERIAL and METHODS: This study involved a total of 56 patients between 21 and 79 years old (28 male and 28 female) who had no surgical pathology as documented by lumbar magnetic resonance imaging study. Measurements at L3-4, L4-5, and L5-S1 were performed for both sexes as follows: 1St measurement, from the furthest lateral part of the dura to the end of the disc (right-left); 2nd measurement, the anteroposterior length of the cross-section passing through the midline of the disc; 3rd measurement; from the furthest lateral part of the dura to the furthest lateral part of the disc (right-left); 4th measurement, the length from right to left of the cross-section passing through the midline of the disc. RESULTS: Measurement 1 at L3-4, L4-5, and L5-S1, this value was estimated to be 35.9 and 36.7 mm, 35.9 and 36.9, and 34 and 34.9 mm in the right and left sides respectively, for female subjects. The corresponding values for males were 41.4 and 42.1, 40.6 and 40.9, and 37.4 and 37.7 mm at L3-4, L4-5, and L5-S1, respectively. Measurement 3 in L3-4, L4-5, and L5 -S1 disc spaces on the right and left sides in female subjects were 14.8 and 16.3 mm, 15.7 and 17.2 mm, and 14.9 and 17.1 mm, respectively, with corresponding figures of 18.6 and 19.5, 19.7 and 20.6, and 18.2 and 18.6 mm among male participants. Measurement 2 and 4 in females for L3-4, L4-5, and L5 -S1 were 38.4 and 52.3 mm, 38.9 and 53.4 mm, and 37 and 51.8 mm, respectively. The corresponding figures for males were 43.2 and 57.6 mm, 43.2 and 58.9 mm, and 40.1 and 56.7 mm, respectively. CONCLUSION: Determination of the safe discectomy depth in both males and females, as well as the use of marking disc punches to indicate the safe margins may help clinicians to avoid this unwanted complication.en_US
dc.identifier.doi10.5137/1019-5149.JTN.16871-15.0
dc.identifier.endpage609en_US
dc.identifier.issn1019-5149
dc.identifier.issue4en_US
dc.identifier.pmid27593803en_US
dc.identifier.scopus2-s2.0-85021312837en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage603en_US
dc.identifier.trdizinid230733en_US
dc.identifier.urihttps://dx.doi.org/10.5137/1019-5149.JTN.16871-15.0
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8587
dc.identifier.volume27en_US
dc.identifier.wosWOS:000406170300015en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTURKISH NEUROSURGICAL SOCen_US
dc.relation.ispartofTURKISH NEUROSURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY03714
dc.subjectLumbar disc surgeryen_US
dc.subjectVascular injuryen_US
dc.subjectIntestinal injuryen_US
dc.subjectSafe discectomy distanceen_US
dc.titleMorphometric Analysis of Lumbar Disc Space in the Turkish Population and Safe Discectomy Distance in Lumbar Disc Surgeryen_US
dc.typeArticle
dspace.entity.typePublication

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