Email this article Lifetime morphological characteristics of the LIV-LV intervertebral disc in young and middle-aged adults
- Authors: Priymak M.A.1, Gaivoronsky A.I.2, Gaivoronsky I.V.2,3,4, Nichiporuk G.I.2,3, Gaivoronskaya M.G.3,4, Goriacheva I.A.2,3
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Affiliations:
- 1586th Military Clinical Hospital
- Military Medical Academy of S.M. Kirov
- Saint Petersburg State University
- Scientific Medical Research Center of V.A. Almazova
- Issue: Vol 24, No 4 (2022)
- Pages: 689-696
- Section: Research paper
- URL: https://journals.eco-vector.com/1682-7392/article/view/110717
- DOI: https://doi.org/10.17816/brmma110717
- ID: 110717
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Abstract
Morphoscopic and morphometric characteristics of the LIV–LV intervertebral disc were assessed according to magnetic resonance images of the lumbar spine of 90 patients (66 men, 24 women). The morphometric parameters of the LIV–LV intervertebral disc and nucleus pulposus were compared between young (18–44 years old) and middle-aged (45–60 years old) adults and in groups determined by sex and body type. In addition, morphoscopic characteristics, namely, the shape of the intervertebral disc and nucleus pulposus in the axial plane, were evaluated. Results. In normal intervertebral disc, LIV–LV on the axial section most often presents in a kidney-shaped (51%), elliptical (45%), and round (4%) form. The LIV–LV nucleus pulposus normally has an oval (50%), kidney (45%), and less often a lemniscate (5%) shape. The shape and individual morphometric parameters of the intervertebral disc and nucleus pulposus of the LIV–LV segment have significant sex differences. Thus, the most lateral height of the intervertebral disc on the right and left, anteroposterior size and area of the intervertebral disc, and anteroposterior size, width, and area of the nucleus pulposus are significantly larger in men than in women. When assessing the influence of body type on intervertebral disc structural features, no significant differences in its shape were found between asthenics, normo- and hypersthenics, while individual dimensions (intervertebral disc height in the center and its dorsal height) were significantly larger in hypersthenics. The kidney-shaped form of the nucleus pulposus was significantly more common in asthenics and the oval form in hypersthenics, whereas the morphometric parameters of the nucleus pulposus did not significantly differ between extreme body types. Statistically significant differences in the shape of the nucleus pulposus were found between age groups. The results of the analysis of morphometric characteristics revealed the intervertebral disc height tended to decrease in middle-aged people compared with young people. The results can be used in planning spine surgery and designing artificial intervertebral discs.
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About the authors
Maxim A. Priymak
1586th Military Clinical Hospital
Email: boec.87@inbox.ru
ORCID iD: 0000-0003-4984-9526
SPIN-code: 6826-2947
senior resident
Russian Federation, PodolskAlexei I. Gaivoronsky
Military Medical Academy of S.M. Kirov
Email: solnushko12@mail.ru
ORCID iD: 0000-0003-1886-5486
SPIN-code: 7011-6279
doctor of medical sciences, professor
Russian Federation, Saint PetersburgIvan V. Gaivoronsky
Military Medical Academy of S.M. Kirov; Saint Petersburg State University; Scientific Medical Research Center of V.A. Almazova
Email: i.v.gaivoronsky@mail.ru
ORCID iD: 0000-0002-7232-6419
SPIN-code: 1898-3355
doctor of medical sciences, professor
Russian Federation, Saint Petersburg; Saint Petersburg; Saint PetersburgGennadii I. Nichiporuk
Military Medical Academy of S.M. Kirov; Saint Petersburg State University
Email: nichiporuki120@mail.ru
ORCID iD: 0000-0001-5569-7325
SPIN-code: 3532-1203
candidate of medical sciences, associate professor
Russian Federation, Saint Petersburg; Saint PetersburgMaria G. Gaivoronskaya
Saint Petersburg State University; Scientific Medical Research Center of V.A. Almazova
Author for correspondence.
Email: solnushko12@mail.ru
ORCID iD: 0000-0003-4992-9702
SPIN-code: 2357-5440
doctor of medical sciences, associate professor
Russian Federation, Saint Petersburg; Saint PetersburgInga A. Goriacheva
Military Medical Academy of S.M. Kirov; Saint Petersburg State University
Email: smoriarti@yandex.ru
ORCID iD: 0000-0003-3064-7596
SPIN-code: 6705-8553
candidate of medical sciences, associate professor
Russian Federation, Saint Petersburg; Saint PetersburgReferences
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