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Affecting the spinal canal cross-section during mutual motion of the vertebrae

Iveta Pallová, František Lopot, Stanislav Otáhal

. 2015 ; 22 (1-2) : 42-52.

Language English Country Czech Republic

Document type Research Support, Non-U.S. Gov't, Clinical Study

In our study we focused on the axial rotation of vertebra in transversal plane, because of its important part in development of scoliosis. We have studied the mutual motion of two adjacent vertebrae. If the position of the lower vertebra in the transversal cross-section is regarded as the starting position, then the position of the upper vertebra is described as a result of rotation along the centre of rotation. We were interested in potential fulcrum positions of rotation with regard to the safety of spinal cord that can be endangered by change of spinal canal cross section. From transversal MRI cuts of idiopathic scoliosis we measured real dimensions of spinal cord and canal in thoracic and lumbar spine. Vertebrae rotation was verified by means of simple geometric 2D models with various positions of rotation centres. We applied real average parameters of thoracic and lumbar vertebra. Rotation angles in the models were selected with regard to the range of particular rotations during common movement of healthy spine – 6°/3° thoracic/lumbar vertebra. Further, rotation of thoracic vertebra by 15° was chosen, which is rotation characteristic of scoliosis. The results showed that usually used centre of rotation in the middle of vertebral body is not applicable.

Bibliography, etc.

Literatura

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$a In our study we focused on the axial rotation of vertebra in transversal plane, because of its important part in development of scoliosis. We have studied the mutual motion of two adjacent vertebrae. If the position of the lower vertebra in the transversal cross-section is regarded as the starting position, then the position of the upper vertebra is described as a result of rotation along the centre of rotation. We were interested in potential fulcrum positions of rotation with regard to the safety of spinal cord that can be endangered by change of spinal canal cross section. From transversal MRI cuts of idiopathic scoliosis we measured real dimensions of spinal cord and canal in thoracic and lumbar spine. Vertebrae rotation was verified by means of simple geometric 2D models with various positions of rotation centres. We applied real average parameters of thoracic and lumbar vertebra. Rotation angles in the models were selected with regard to the range of particular rotations during common movement of healthy spine – 6°/3° thoracic/lumbar vertebra. Further, rotation of thoracic vertebra by 15° was chosen, which is rotation characteristic of scoliosis. The results showed that usually used centre of rotation in the middle of vertebral body is not applicable.
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$a Lopot, František, $d 1950- $7 nlk20010095505 $u Department of Anatomy and Biomechanics, Faculty of Physical Education and Sport, Jose Martího 31, Charles University, Prague 6, Czech Republic
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