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3644

An Anatomical Study of The Lumbar Epidural Space in Egyptians using Computerized Axial Scans

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Last updated: 01 Jan 2025

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Abstract

Background: Racial differences have been proven to exist in different morphometric measurements. Therefore, each population should have its own measurements to provide a complete and accurate data base. The precise dimensions of the lumbar epidural space are critical for many spinal surgeries. However, the existed data-base is limited in accuracy as well as in the parameters recorded. Aim of the Work: This study was performed to provide a large and accurate data base of lumbar epidural spinal morphometric measurements in a segmental manner in normal Egyptian population and to clarify the influence of age and sex on these measurements. Subjects and Methods: Morphometric characteristics of the lumbar epidural space were studied in 160 Egyptians aged 27- 74 years using computerized axial scans. Results: The study revealed sex- and age-dependent differences in some of the measurements of the lumbar epidural space. The ligamenta flava thickness increased significantly with advancing age, while the length decreased significantly. The presence of fat in the antero-lateral recesses was more by age increase. On the other hand, the distance from the skin to the posterior epidural space and the distance from the posterior wall of the spinal canal to the dural sac decreased significantly with age. Moreover, the transverse and the anteroposterior diameters of the spinal canal, the facet joint space and the depth of the lateral recess decreased significantly with advancing age. Regarding gender, the distance from the skin to the posterior epidural space was significantly longer in females than in males. While length and thickness of ligamenta flava, the facet joint space and the depth of the lateral recess were significantly more in males. Conclusion: Computerized axial scan clearly may reveal the anatomy of the epidural space, and this work may be a useful guideline to the anatomy of the lumbar spine among Egyptians. Data obtained should be considered during evaluation of the state of the lumbar epidural space before and during spinal surgery and in the diagnosis of the pathological processes in the lumbar region

DOI

10.21608/ejana.2010.3644

Keywords

lumbar epidural space, anatomy, Morphometry, CT scan, Egyptians

Authors

First Name

Mona

Last Name

Ali

MiddleName

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Affiliation

Anatomy Department, Faculty of Medicine, Suez Canal University

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City

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Orcid

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First Name

Nermine

Last Name

Nosseir

MiddleName

-

Affiliation

Anatomy Department, Faculty of Medicine, Suez Canal University

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City

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Orcid

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Volume

33

Article Issue

1

Related Issue

619

Issue Date

2010-01-01

Receive Date

2017-08-07

Publish Date

2010-01-01

Page Start

107

Page End

122

Print ISSN

1110-2144

Online ISSN

2090-259X

Link

https://ejana.journals.ekb.eg/article_3644.html

Detail API

https://ejana.journals.ekb.eg/service?article_code=3644

Order

7

Type

Original Article

Type Code

231

Publication Type

Journal

Publication Title

The Egyptian Journal of Anatomy

Publication Link

https://ejana.journals.ekb.eg/

MainTitle

An Anatomical Study of The Lumbar Epidural Space in Egyptians using Computerized Axial Scans

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Article

Created At

22 Jan 2023