New anatomical data on the growing C4 vertebra and its three ossification centers in human fetuses
Identifieur interne : 000445 ( Main/Exploration ); précédent : 000444; suivant : 000446New anatomical data on the growing C4 vertebra and its three ossification centers in human fetuses
Auteurs : Mariusz Baumgart [Pologne] ; Michał Szpinda [Pologne] ; Anna Szpinda [Pologne]Source :
- Surgical and Radiologic Anatomy [ 0930-1038 ] ; 2012.
Abstract
Detailed knowledge on the normative growth of the spine is of great relevance in the prenatal diagnosis of its abnormalities. The present study was conducted to compile age-specific reference data for vertebra C4 and its three ossification centers in human fetuses.
With the use of CT (Biograph mCT), digital image analysis (Osirix 3.9) and statistical analysis (Wilcoxon signed-rank test, Kolmogorov–Smirnov test, Levene’s test, Student’s
Significant differences in neither sex nor laterality were found. The height and transverse and sagittal diameters of the C4 vertebral body increased logarithmically as:
The morphometric parameters of vertebra C4 and its three ossification centers show no sex differences. The C4 vertebral body increases logarithmically in height and both sagittal and transverse diameters, linearly in cross-sectional area, and four-degree polynomially in volume. The three ossification centers of vertebra C4 grow logarithmically in both transverse and sagittal diameters, and linearly in both cross-sectional area and volume. The age-specific reference intervals for evolving vertebra C4 may be useful in the prenatal diagnosis of congenital spinal defects.
Url:
DOI: 10.1007/s00276-012-1022-z
PubMed: 22986651
PubMed Central: 3604597
Affiliations:
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Szpinda</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Normal Anatomy, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń, Karłowicza 24 Street, 85-092 Bydgoszcz, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Normal Anatomy, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń, Karłowicza 24 Street, 85-092 Bydgoszcz</wicri:regionArea><wicri:noRegion>85-092 Bydgoszcz</wicri:noRegion></affiliation></author><author><name sortKey="Szpinda, Anna" sort="Szpinda, Anna" uniqKey="Szpinda A" first="Anna" last="Szpinda">Anna Szpinda</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Normal Anatomy, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń, Karłowicza 24 Street, 85-092 Bydgoszcz, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Normal Anatomy, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń, Karłowicza 24 Street, 85-092 Bydgoszcz</wicri:regionArea><wicri:noRegion>85-092 Bydgoszcz</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22986651</idno><idno type="pmc">3604597</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3604597</idno><idno type="RBID">PMC:3604597</idno><idno type="doi">10.1007/s00276-012-1022-z</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000071</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000071</idno><idno type="wicri:Area/Pmc/Curation">000071</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000071</idno><idno type="wicri:Area/Pmc/Checkpoint">000149</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000149</idno><idno 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xml:lang="fr">Pologne</country><wicri:regionArea>Department of Normal Anatomy, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń, Karłowicza 24 Street, 85-092 Bydgoszcz</wicri:regionArea><wicri:noRegion>85-092 Bydgoszcz</wicri:noRegion></affiliation></author><author><name sortKey="Szpinda, Michal" sort="Szpinda, Michal" uniqKey="Szpinda M" first="Michał" last="Szpinda">Michał Szpinda</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Normal Anatomy, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń, Karłowicza 24 Street, 85-092 Bydgoszcz, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Normal Anatomy, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń, Karłowicza 24 Street, 85-092 Bydgoszcz</wicri:regionArea><wicri:noRegion>85-092 Bydgoszcz</wicri:noRegion></affiliation></author><author><name sortKey="Szpinda, Anna" sort="Szpinda, Anna" uniqKey="Szpinda A" first="Anna" last="Szpinda">Anna Szpinda</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Normal Anatomy, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń, Karłowicza 24 Street, 85-092 Bydgoszcz, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Normal Anatomy, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń, Karłowicza 24 Street, 85-092 Bydgoszcz</wicri:regionArea><wicri:noRegion>85-092 Bydgoszcz</wicri:noRegion></affiliation></author></analytic><series><title level="j">Surgical and Radiologic Anatomy</title><idno type="ISSN">0930-1038</idno><idno type="eISSN">1279-8517</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>Detailed knowledge on the normative growth of the spine is of great relevance in the prenatal diagnosis of its abnormalities. The present study was conducted to compile age-specific reference data for vertebra C4 and its three ossification centers in human fetuses.</p></sec><sec><title>Materials and methods</title><p>With the use of CT (Biograph mCT), digital image analysis (Osirix 3.9) and statistical analysis (Wilcoxon signed-rank test, Kolmogorov–Smirnov test, Levene’s test, Student’s <italic>t</italic> test, one-way ANOVA, post hoc RIR Tukey test, linear and nonlinear regression analysis), the normative growth of vertebra C4 and its three ossification centers in 55 spontaneously aborted human fetuses (27 males, 28 females) aged 17–30 weeks was examined.</p></sec><sec><title>Results</title><p>Significant differences in neither sex nor laterality were found. The height and transverse and sagittal diameters of the C4 vertebral body increased logarithmically as: <italic>y</italic> = −3.866 + 2.225 × ln(Age) ± 0.238 (<italic>R</italic><sup>2</sup> = 0.69), <italic>y</italic> = −7.077 + 3.547 × ln(Age) ± 0.356 (<italic>R</italic><sup>2</sup> = 0.72) and <italic>y</italic> = −3.886 + 2.272 × ln(Age) ± 0.222 (<italic>R</italic><sup>2</sup> = 0.73), respectively. The C4 vertebral body grew linearly in cross-sectional area as <italic>y</italic> = −7.205 + 0.812 × Age ± 1.668 (<italic>R</italic><sup>2</sup> = 0.76) and four-degree polynomially in volume as <italic>y</italic> = 14.108 + 0.00007 × Age<sup>4</sup> ± 6.289 (<italic>R</italic><sup>2</sup> = 0.83). The transverse and sagittal diameters, cross-sectional area and volume of the ossification center of the C4 vertebral body generated the following functions: <italic>y</italic> = −8.836 + 3.708 × ln(Age) ± 0.334 (<italic>R</italic><sup>2</sup> = 0.76), <italic>y</italic> = −7.748 + 3.240 × ln(Age) ± 0.237 (<italic>R</italic><sup>2</sup> = 0.83), <italic>y</italic> = −4.690 + 0.437 × Age ± 1.172 (<italic>R</italic><sup>2</sup> = 0.63) and <italic>y</italic> = −5.917 + 0.582 × Age ± 1.157 (<italic>R</italic><sup>2</sup> = 0.77), respectively. The ossification center-to-vertebral body volume ratio gradually declined with age. On the right and left, the neural ossification centers showed the following growth: <italic>y</italic> = −19.601 + 8.018 × ln(Age) ± 0.369 (<italic>R</italic><sup>2</sup> = 0.92) and <italic>y</italic> = −15.804 + 6.912 × ln(Age) ± 0.471 (<italic>R</italic><sup>2</sup> = 0.85) for length, <italic>y</italic> = −5.806 + 2.587 × ln(Age) ± 0.146 (<italic>R</italic><sup>2</sup> = 0.88) and <italic>y</italic> = −5.621 + 2.519 × ln(Age) ± 0.146 (<italic>R</italic><sup>2</sup> = 0.88) for width, <italic>y</italic> = −9.188 + 0.856 × Age ± 2.174 (<italic>R</italic><sup>2</sup> = 0.67) and <italic>y</italic> = −7.570 + 0.768 × Age ± 2.200 (<italic>R</italic><sup>2</sup> = 0.60) for cross-sectional area, and <italic>y</italic> = −13.802 + 1.222 × Age ± 1.872 (<italic>R</italic><sup>2</sup> = 0.84) and <italic>y</italic> = −11.038 + 1.061 × Age ± 1.964 (<italic>R</italic><sup>2</sup> = 0.80) for volume, respectively.</p></sec><sec><title>Conclusions</title><p>The morphometric parameters of vertebra C4 and its three ossification centers show no sex differences. The C4 vertebral body increases logarithmically in height and both sagittal and transverse diameters, linearly in cross-sectional area, and four-degree polynomially in volume. The three ossification centers of vertebra C4 grow logarithmically in both transverse and sagittal diameters, and linearly in both cross-sectional area and volume. The age-specific reference intervals for evolving vertebra C4 may be useful in the prenatal diagnosis of congenital spinal defects.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Abe, S" uniqKey="Abe S">S Abe</name></author><author><name sortKey="Suzuki, M" uniqKey="Suzuki M">M Suzuki</name></author><author><name sortKey="Cho, Kh" uniqKey="Cho K">KH Cho</name></author><author><name sortKey="Murakami, G" uniqKey="Murakami G">G Murakami</name></author><author><name sortKey="Cho, Bh" uniqKey="Cho B">BH Cho</name></author><author><name sortKey="Ide, Y" uniqKey="Ide Y">Y Ide</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bagnall, Km" uniqKey="Bagnall K">KM Bagnall</name></author><author><name sortKey="Harris, Pf" uniqKey="Harris P">PF Harris</name></author><author><name sortKey="Jones, Prm" uniqKey="Jones P">PRM Jones</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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M">MB Bober</name></author><author><name sortKey="Mcalister, Wh" uniqKey="Mcalister W">WH McAlister</name></author><author><name sortKey="Wenkert, D" uniqKey="Wenkert D">D Wenkert</name></author><author><name sortKey="Van Sickle, Bj" uniqKey="Van Sickle B">BJ Van Sickle</name></author><author><name sortKey="Simmons, Jh" uniqKey="Simmons J">JH Simmons</name></author><author><name sortKey="Edgar, Ts" uniqKey="Edgar T">TS Edgar</name></author><author><name sortKey="Bauer, Ml" uniqKey="Bauer M">ML Bauer</name></author><author><name sortKey="Hamdan, Ma" uniqKey="Hamdan M">MA Hamdan</name></author><author><name sortKey="Bishop, N" uniqKey="Bishop N">N Bishop</name></author><author><name sortKey="Lutz, Re" uniqKey="Lutz R">RE Lutz</name></author><author><name sortKey="Mcginn, M" uniqKey="Mcginn M">M McGinn</name></author><author><name sortKey="Craig, S" uniqKey="Craig S">S Craig</name></author><author><name sortKey="Moore, Jn" uniqKey="Moore J">JN Moore</name></author><author><name sortKey="Taylor, Jw" uniqKey="Taylor J">JW Taylor</name></author><author><name sortKey="Cleveland, Rh" uniqKey="Cleveland R">RH Cleveland</name></author><author><name sortKey="Chanley, Wr" uniqKey="Chanley W">WR Chanley</name></author><author><name sortKey="Lim, R" uniqKey="Lim R">R Lim</name></author><author><name sortKey="Thacher, Td" uniqKey="Thacher T">TD Thacher</name></author><author><name sortKey="Mayhew, Je" uniqKey="Mayhew J">JE Mayhew</name></author><author><name sortKey="Downs, M" uniqKey="Downs M">M Downs</name></author><author><name sortKey="Millan, Jl" uniqKey="Millan J">JL Millan</name></author><author><name sortKey="Skrinar, Am" uniqKey="Skrinar A">AM Skrinar</name></author><author><name sortKey="Crine, P" uniqKey="Crine P">P Crine</name></author><author><name sortKey="Landy, H" uniqKey="Landy H">H Landy</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pologne</li></country></list><tree><country name="Pologne"><noRegion><name sortKey="Baumgart, Mariusz" sort="Baumgart, Mariusz" uniqKey="Baumgart M" first="Mariusz" last="Baumgart">Mariusz Baumgart</name></noRegion><name sortKey="Szpinda, Anna" sort="Szpinda, Anna" uniqKey="Szpinda A" first="Anna" last="Szpinda">Anna Szpinda</name><name sortKey="Szpinda, Michal" sort="Szpinda, Michal" uniqKey="Szpinda M" first="Michał" last="Szpinda">Michał Szpinda</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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