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정상 한국인 요추 추간판 높이의 방사선학적 계측

Other Titles
 Radiographic Morphometry of Lumbar Intervertebral Disc Space in Normal Korean 
Authors
 문은수  ;  김남현  ;  문성환  ;  이환모  ;  김학선  ;  한창욱  ;  최우진  ;  김호중  ;  박시영  ;  박진오 
Citation
 Journal of Korean Society of Spine Surgery (대한척추외과학회지), Vol.14(3) : 129-136, 2007 
Journal Title
Journal of Korean Society of Spine Surgery(대한척추외과학회지)
ISSN
 1229-5701 
Issue Date
2007
Keywords
Intervertebral disc ; Radiography ; Dimension
Abstract
Study Design
Radiographic measurement of the lumbar disc height

Objectives
To measure the lumbar disc height on the radiographs in normal Koreans.

Summary of Literature Review:
Many reports show good results after many procedures, such as inter-vertebral body fusion using a cage or total disc replacement, which restores the adequate disc height. However, there are no references regarding the range of normal lumbar disc heights in Korean adults, which can be used as a standard for the implant size.

Materials and Methods
One hundred and thirty two subjects (age range 20 to 40 years), who had no previous history of low back pain and no significant findings on the physical examination, were enrolled in this study. The plain lateral lumbar spine radiograph was taken in the supine position. The intervertebral disc heights were measured at the anterior, middle and posterior portion of each lumbar disc. The average magnification rate was 115%, and the disc heights were corrected by the magnification rate in each segment.

Results
The lumbar disc height showed a cranio-caudal pattern in both the male and female groups. The L4-5 disc heights were highest at the anterior, middle and posterior portion in males. The L4-5 disc heights were highest at the middle and posterior portion in females. The L5-S1 disc height was highest at the anterior portion in females, but there was no significant difference between the L4-5 and L5-S1 disc height at the anterior portion. There was no significant difference in disc height between males and females except at the anterior portion of the L1-2 and L2-3 disc. There was no significant decrease in disc height in overweight people at all measured site in males and females except at the posterior portion of the L1-2 disc in males.

Conclusion
This study is meaningful in that it provides a reference value for the lumbar disc height in Korean adults. The measured values might also be useful for manufacturing a Korean model of an artificial lumbar disc prosthesis or surgical instruments for lumbar interbody fusion.
Files in This Item:
T200701161.pdf Download
DOI
10.4184/jkss.2007.14.3.129
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Hyun(김남현)
Kim, Hak Sun(김학선) ORCID logo https://orcid.org/0000-0002-8330-4688
Kim, Ho Joong(김호중)
Moon, Seong Hwan(문성환)
Moon, Eun Su(문은수)
Park, Jin Oh(박진오)
Lee, Hwan Mo(이환모) ORCID logo https://orcid.org/0000-0002-5405-3832
Choi, Woo Jin(최우진)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/96452
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