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Research ArticleOther & Special Categories

Variations in the Number of Thoracic and Lumbar Vertebrae in Patients With Adolescent Idiopathic Scoliosis: A Retrospective, Observational Study

Bhavuk Garg, Nishank Mehta, Archit Goyal, Namith Rangaswamy and Arpan Upadhayay
International Journal of Spine Surgery April 2021, 15 (2) 359-367; DOI: https://doi.org/10.14444/8047
Bhavuk Garg
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India
MS, MRCS
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Nishank Mehta
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India
MS
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Archit Goyal
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India
MS
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Namith Rangaswamy
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India
MBBS
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Arpan Upadhayay
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India
MBBS
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  • Figure 1
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    Figure 1

    Three-dimensional reconstructed computed tomography imaging (A) of whole spine of 18-year-old female patient with 11 thoracic vertebrae.

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    Figure 2

    Posteroanterior and lateral whole spine x-ray of 18-year-old female patient with 11 thoracic vertebrae.

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    Figure 3

    Three-dimensional reconstructed computed tomography imaging of 16-year-old female adolescent idiopathic scoliosis patient having 4 lumbar vertebrae.

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    Figure 4

    Posteroanterior and lateral whole spine radiograph of 16-year-old female adolescent idiopathic scoliosis patient having 4 lumbar vertebrae. Note the presence of a hypoplastic rib at D12; this was counted as a thoracic vertebra.

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    Figure 5

    Posteroanterior radiograph of a 13-year-old patient with 6 lumbar vertebrae.

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    Figure 6

    Three-dimensional reconstructed computed tomography imaging of a patient with 6 lumbar vertebrae.

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    Figure 7

    Three-dimensional reconstructed computed tomography imaging of a 13-year-old patient with a left-sided lumbosacral transitional vertebra.

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    Figure 8

    Three-dimensional reconstructed computed tomography imaging of a patient with both left-sided lumbosacral transitional vertebra and 6 lumbar vertebrae.

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    Figure 9

    (A) Preoperative posteroanterior radiograph of a 15-year-old female with a Lenke Type 5 curve with 4 lumbar vertebrae. However, in counting cephalad from L5, the surgeon has erroneously marked the D12 vertebra as L1 during preoperative planning. (B) Postoperative radiograph of the patient shown in (A). The fusion levels in the operation notes have been wrongly labeled as D12 to L4, when in fact, by conventional counting, the fusion levels would be D11 to L3.

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    Figure 10

    Example of a “stitched” view of whole spine. A left-sided lumbosacral transitional vertebra can also be seen.

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International Journal of Spine Surgery
Vol. 15, Issue 2
1 Apr 2021
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Variations in the Number of Thoracic and Lumbar Vertebrae in Patients With Adolescent Idiopathic Scoliosis: A Retrospective, Observational Study
Bhavuk Garg, Nishank Mehta, Archit Goyal, Namith Rangaswamy, Arpan Upadhayay
International Journal of Spine Surgery Apr 2021, 15 (2) 359-367; DOI: 10.14444/8047

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Variations in the Number of Thoracic and Lumbar Vertebrae in Patients With Adolescent Idiopathic Scoliosis: A Retrospective, Observational Study
Bhavuk Garg, Nishank Mehta, Archit Goyal, Namith Rangaswamy, Arpan Upadhayay
International Journal of Spine Surgery Apr 2021, 15 (2) 359-367; DOI: 10.14444/8047
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  • Hemivertebra Resection and Spinal Arthrodesis by Single-Stage Posterior Approach in Congenital Scoliosis and Kyphoscoliosis: Results at 9.6 Years Mean Follow-up
  • Prevalence and Significance of Vitamin D Deficiency in Patients Undergoing Corrective Surgery for Adolescent Idiopathic Scoliosis
  • Adult Congenital Spine Deformity: Clinical Features and Motivations for Surgical Treatment
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