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Year :2019
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Month :
March-April
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Volume :
8
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Issue :
2
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Page :
AO33 - AO37
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Vertebral Synostosis and its Clinical Importance: A Study in Dried Vertebrae of Gujarat Population
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Correspondence Address :
Sanjay K Vikani, Mayankkumar D Javia,
Dr. Mayankkumar D Javia,
Associate Professor, Department of Anatomy, Banas Medical College and Research Institute, General Hospital Campus,
Simlagate, Palanpur-385001, Gujarat, India.
E-mail: drjaviamd@gmail.com
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Introduction: Introduction: The vertebral column possess two basic functions: provide protection to spinal cord and support the trunk, transmit body weight to the lower extremities. Two or more vertebrae that are normally separate may be fused to each other. Such fusion may occur in cervical region (Klippel feil syndrome). The atlas vertebra may be fused to the occipital bone (occipitalization of atlas), 5th lumbar vertebra may be partially or completely fused to the sacrum (sacralization of 5th lumbar vertebra). Vertebral synostosis may produce restriction of spinal movement and compression or distortion of neural structure.
Aim: To study the vertebral synostosis at various vertebral levels and most common affected part of the vertebra.
Materials and Methods: This cross-sectional study was carried out in Department of Anatomy, Banas Medical College and Research Institute, Palanpur, Gujarat, India. We studied 259 cervical vertebrae, 444 thoracic, 185 lumbar vertebrae and 40 sacrum. We examined each vertebra macroscopically for the presence of fusion. Each fused vertebra was counted as single vertebra. Photographs of the fused vertebrae were taken for the record. The data were collected and statistically analysed by SPSS version 25.
Results: In the present study, we found fusion in 1 (0.38%) cervical vertebra, 4 (0.90%) thoracic vertebrae, 2 (1.08%) lumbar vertebrae and 4 (10%) sacral vertebrae. Body of vertebra is most commonly fused part of vertebra. After lumbo-sacral region, lumbar region is most commonly affected.
Conclusion: Vertebral synostosis due to degenerative changes like growth of osteophyte is common in lumbar vertebra. If this type of variation can be identified in early phase, morbidity and mortality can be minimized by early medical or surgical intervention.
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