Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (5): 43-47.doi: 10.6040/j.issn.1671-7554.0.2019.130

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Anatomical classification and clinical significance of lumbar intervertebral space height in healthy adults

CHEN Chen, ZHANG Kai, ZHANG Feng, ZHAO Jie   

  1. Department of Orthopedics, Ninth Peoples Hospital, School of Medicine, Shanghai Jiao Tong University;
    Shanghai Key Laboratory of Orthopedic Implants, Shanghai 200011, China
  • Published:2022-09-27

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Abstract: Objective To observe the changes of lumbar intervertebral space heights in healthy adults and the anatomical classification of different heights. Methods A total of 169 volunteers who received full-length spine and lumbar magnetic resonance in our hospital were involved. The L1/2, L2/3, L3/4, L4/5, L5/S1 intervertebral space heights(H1-H5)and L1-L5 vertebral height were measured to analyze the absolute height and relative height of each intervertebral space in male and female volunteers(the height of the intervertebral space/upper vertebral height, H1/L1-H5/L5)and the distribution of various types of intervertebral space. Results Both of the height and relative height of intervertebral space increased gradually with the decrease of the structural position at L4/5, and the difference between the heights of adjacent intervertebral space was statistically significant (P<0.05). There was no significant difference between male and female in the same intervertebral space (P>0.05). In the L4/5 intervertebral space measurement, 11.83% volunteers(20/169)had high intervertebral space. In the H1/L1 intervertebral space measurement, 66.67% male volunteers had relatively low space(56/84). In the H2/L2-H5/L5 intervertebral space measurement, 75.15%(127/169), 73.96% 山 东 大 学 学 报 (医 学 版)57卷5期 -陈辰,等.健康成人腰椎椎间隙高度的解剖学分型及临床意义 \=-(125/169), 71.01%(120/169), 65.68%(111/169)volunteers had relative intervertebral space height ratio of 0.4-0.5. In the H3/L3, H4/L4, and H5/L5 intervertebral space measurement, 8.28%(17/169), 23.67%(40/169), 8.28%(17/169)volunteers had relatively high space. Conclusion The L4/5 intervertebral space height is the highest in the lumbar intervertebral space of healthy adults. There is significant difference in the height of lumbar intervertebral space among healthy adults. The anatomical classification of intervertebral space height has clinical significance.

Key words: Healthy adult, Intervertebral space height, High intervertebral space, Anatomical classification

CLC Number: 

  • R681.5
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