CC BY 4.0 · Indian Journal of Neurosurgery
DOI: 10.1055/s-0044-1786173
Research Article

A Computerized Tomography-Based Analysis of Spinal Canal Diameter to Study Its Implication on Cervical Spine Stenosis in Western Indian Population: A Retrospective Study

1   Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India
,
2   Department of Radiology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India
,
Anjana Verma
3   Department of Community Medicine, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India
,
Kanishk Modi
1   Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India
,
Chelsi Purohit
1   Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India
› Author Affiliations

Abstract

Background The cervical spine is prone to various conditions necessitating early detection. Morphometric analysis through computed tomography (CT) scans plays a pivotal role in diagnosing and preventing severe diseases. This study focuses on understanding the morphometric details of the cervical canal in the West Indian population, addressing a geographical gap in existing literature. The primary objective of this study was to perform a morphometric analysis of the cervical spine to study the implications it can have on cervical canal stenosis in the West Indian population.

Materials and Methods This study utilizes imaging data from the CT database of 100 individuals (73 men and 27 women). Measurements such as transverse canal diameter, sagittal canal diameter, cross-sectional canal surface area (CSA), and vertebral body diameter (VBD) were collected and the Pavlov-Torg ratio (PTR) was calculated from C2 to C7.

Results Notable findings include significant differences in CSA and VBD between genders, while PTR indicated cervical damage in 40% of participants. Multinomial regression was applied which signified an association between weakness and PTR.

Conclusion This study can be used to highlight the CT scan's importance in studying bony structures and the call for more region-specific morphometric studies. The variations in morphometric parameters could provide insights into understanding the vulnerabilities of a population belonging to a particular geographic area, in our case, the West Indian population.



Publication History

Article published online:
16 September 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Kumar A, Sahu S, Sethi S. et al. Computerized tomography-based morphometric analysis of cervical spinal canal in Central Indian population. J Neurosci Rural Pract 2020; 11 (02) 274-277
  • 2 Lee MJ, Cassinelli EH, Riew KD. Prevalence of cervical spine stenosis. Anatomic study in cadavers. J Bone Joint Surg Am 2007; 89 (02) 376-380
  • 3 Fakhoury J, Dowling TJ. Cervical degenerative disc disease.
  • 4 Zhang L, Chen HB, Wang Y, Zhang LY, Liu JC, Wang ZG. Cervical spinal canal narrowing and cervical neurological injuries. Chin J Traumatol 2012; 15 (01) 36-41
  • 5 Hinck VC, Sachdev NS. Developmental stenosis of the cervical spinal canal. Brain 1966; 89 (01) 27-36
  • 6 Payne EE, Spillane JD. The cervical spine; an anatomico-pathological study of 70 specimens (using a special technique) with particular reference to the problem of cervical spondylosis. Brain 1957; 80 (04) 571-596
  • 7 Pavlov H, Torg JS, Robie B, Jahre C. Cervical spinal stenosis: determination with vertebral body ratio method. Radiology 1987; 164 (03) 771-775
  • 8 Torg JS, Pavlov H, Genuario SE. et al. Neurapraxia of the cervical spinal cord with transient quadriplegia. J Bone Joint Surg Am 1986; 68 (09) 1354-1370
  • 9 Torg JS. Pavlov's ratio: determining cervical spinal stenosis on routine lateral roentgenograms. Contemp Orthop 1989; 18: 153-160
  • 10 Chang PY, Chang HK, Wu JC. et al. Is cervical disc arthroplasty good for congenital cervical stenosis?. J Neurosurg Spine 2017; 26 (05) 577-585
  • 11 Herzog RJ, Wiens JJ, Dillingham MF, Sontag MJ. Normal cervical spine morphometry and cervical spinal stenosis in asymptomatic professional football players. Plain film radiography, multiplanar computed tomography, and magnetic resonance imaging. Spine 1991; 16 (6, Suppl): S178-S186
  • 12 Song KJ, Choi BW, Kim SJ, Kim GH, Kim YS, Song JH. The relationship between spinal stenosis and neurological outcome in traumatic cervical spine injury: an analysis using Pavlov's ratio, spinal cord area, and spinal canal area. Clin Orthop Surg 2009; 1 (01) 11-18
  • 13 Morishita Y, Naito M, Hymanson H, Miyazaki M, Wu G, Wang JC. The relationship between the cervical spinal canal diameter and the pathological changes in the cervical spine. Eur Spine J 2009; 18 (06) 877-883
  • 14 Matsuura P, Waters RL, Adkins RH, Rothman S, Gurbani N, Sie I. Comparison of computerized tomography parameters of the cervical spine in normal control subjects and spinal cord-injured patients. J Bone Joint Surg Am 1989; 71 (02) 183-188
  • 15 Moon MS, Choi WR, Lim HG, Lee SY, Wi SM. Pavlov's ratio of the cervical spine in a Korean population: a comparative study by age in patients with minor trauma without neurologic symptoms. Clin Orthop Surg 2021; 13 (01) 71-75
  • 16 Toki S, Higashino K, Manabe H. et al. Morphometric analysis of subaxial cervical spine with myelopathy: a comparison with the normal population. Spine Surg Relat Res 2020; 5 (01) 34-40
  • 17 Chaurasiya AK, Dawar A, Gour R, Vaidya K. Morphological study of cervical spinal body and vertebral body anatomy: CT scan based. Int Surg J 2021; 8 (05) 1540-1544
  • 18 Chazono M, Tanaka T, Kumagae Y, Sai T, Marumo K. Ethnic differences in pedicle and bony spinal canal dimensions calculated from computed tomography of the cervical spine: a review of the English-language literature. Eur Spine J 2012; 21 (08) 1451-1458
  • 19 Evangelopoulos D, Kontovazenitis P, Kouris S. et al. Computerized tomographic morphometric analysis of the cervical spine. Open Orthop J 2012; 6: 250-254
  • 20 Kar M, Bhaumik D, Ishore K, Saha PK. MRI study on spinal canal morphometry: an Indian study. J Clin Diagn Res 2017; 11 (05) AC08-AC11
  • 21 Singh S, Kumar D, Kumar S. Risk factors in cervical spondylosis. J Clin Orthop Trauma 2014; 5 (04) 221-226
  • 22 Pawar KA, Mishra AS, Bandagi G, Srivastava SK. Roentgenographic and computerized tomography based morphometric analysis of cervical spinal canal diameters to establish normative measurements in an Indian population. J Clin Orthop Trauma 2017; 8 (02) 185-190