Skip to main content
Log in

Quantitative three-dimensional anatomy of cervical, thoracic and lumbar vertebrae of Chinese Singaporeans

  • Original Article
  • Published:
European Spine Journal Aims and scope Submit manuscript

Abstract

This paper details the quantitative three-dimensional anatomy of cervical, thoracic and lumbar vertebrae (C3–T12) of Chinese Singaporean subjects based on 220 vertebrae from 10 cadavers. The purpose of the study was to measure the linear dimensions, angulations and areas of individual vertebra, and to compare the data with similar studies performed on Caucasian specimens. Measurements were taken with the aid of a three-dimensional digitiser. The means and standard errors for linear, angular and area dimensions of the vertebral body, spinal canal, pedicle, and spinous and transverse processes were obtained for each vertebra. Compared to the Caucasian data, all the dimensions were found to be smaller. Of significance were the spinal canal area, and pedicle width and length, which were smaller by 31.7%, 25.7% and 22.1% on average, respectively. A slight divergence, instead of convergence, was found from T8 to T12. According to the findings, the use of a transpedicle screw may not be feasible. The results can also provide more accurate modelling for analysis and design of spinal implants and instrumentations, and also allow more precise clinical diagnosis and management of the spine in Chinese Singaporeans.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1a–c
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12

Similar content being viewed by others

References

  1. Daniel F, Jess K (1986) Anatomic location of spinal cord injury—relationship to the cause of injury. Spine 11:2–5

    PubMed  Google Scholar 

  2. Dommisse GF (1974) The blood supply of the spinal cord. J Bone Joint Surg 56B:225–235

    Google Scholar 

  3. Dresher BD, Asher MA (2002) Thoracic kyphoscoliosis resembling neurofibromatosis: a case report focusing on subfascial instrumentation. Spine 2(2):151–155

    Article  Google Scholar 

  4. Ebraheim NA, Rollins JR, Xu R, Yeasting RA (1996) Projection of the lumbar pedicles and its morphometric analysis. Spine 21:1296–1300

    CAS  PubMed  Google Scholar 

  5. George D, Picetti I, Janos P, Ertl H (2001) Endoscopic instrumentation, correction and fusion of idiopathic scoliosis. Spine 1(3):190–197

    Article  Google Scholar 

  6. Kovac V, Puljiz A, Smerdelj M, Pecina M (2001) Scoliosis curve correction, thoracic volume changes, and thoracic diameters in scoliotic patients after anterior and posterior instrumentation. Int Orthop (SICOT) 25:66–69

    Google Scholar 

  7. Laporte S, Mitton D, Ismael B, de Fouchecour M, Lasseau JP, Lavaste F, Skalli W (2000) Quantitative morphometric study of thoracic spine: a preliminary parameters statistical analysis. Eur J Orthop Surg Traumatol 10:85–91

    Google Scholar 

  8. Liljenqvist U, Lepsien U, Hackenberg L, Niemeyer T, Halm H (2002) Comparative analysis of pedicle screw and hook instrumentation in posterior correction and fusion of idiopathic thoracic scoliosis. Eur Spine J 11:336–343

    Article  CAS  PubMed  Google Scholar 

  9. Machleder G (1997) Diagnosis and management of arterial compression at the thoracic outlet. Ann Vasc Surg 11(4):359–366

    Article  PubMed  Google Scholar 

  10. McLain RF, Burkus JK, Benson DR (2001) Segmental instrumentation for thoracic and thoracolumbar fractures—Prospective analysis of construct survival and five-year follow-up. Spine 1(5):310–323

    Article  CAS  Google Scholar 

  11. McLain RF, Ferrera L, Kabins M (2002) Pedicle morphology in the upper thoracic spine. Spine 27:2467–2471

    Article  PubMed  Google Scholar 

  12. Muschik M, Schlenzka D, Robinson F, Kupferschmidt C (1999) Dorsal instrumentation for idiopathic adolescent thoracic scoliosis: rod rotation versus translation. Eur Spine J 8:93–99

    CAS  PubMed  Google Scholar 

  13. Panjabi MM, Duranceau J, Goel V, Oxland T, Takata K (1991) Cervical human vertebrae-quantitative three-dimensional anatomy of the middle and lower region. Spine 16:861–869

    CAS  PubMed  Google Scholar 

  14. Panjabi MM, Goel VK, Oxland T (1992) Human lumbar vertebrae - quantitative three-dimensional anatomy. Spine 17:299–306

    CAS  PubMed  Google Scholar 

  15. Panjabi MM, Takata K, Goel V, Federico D, Oxland T, Duranceau J, Krag M (1991) Thoracic human vertebrae—quantitative three-dimensional anatomy. Spine 16:888–901

    CAS  PubMed  Google Scholar 

  16. Zindrick MR, Wiltse LL, Doornik A et al (1987) Analysis of the morphometric characteristics of the thoracic and lumbar pedicles. Spine 12:160–166

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. H. Tan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tan, S.H., Teo, E.C. & Chua, H.C. Quantitative three-dimensional anatomy of cervical, thoracic and lumbar vertebrae of Chinese Singaporeans. Eur Spine J 13, 137–146 (2004). https://doi.org/10.1007/s00586-003-0586-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00586-003-0586-z

Keywords

Navigation