Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-23T04:36:47.519Z Has data issue: false hasContentIssue false

Short Report The trabecular anatomy of thoracolumbar vertebrae: implications for burst fractures

Published online by Cambridge University Press:  01 August 1997

MICHAEL H. HEGGENESS
Affiliation:
Institute for Spinal Disorders, Baylor College of Medicine, Houston, Texas
BRIAN J. DOHERTY
Affiliation:
Veterans Administration Medical Center, California
Get access

Abstract

The gross osseous anatomy of the spine has been the subject of much study but the internal architecture and trabecular anatomy of thoracolumbar vertebrate has not previously been well described. This study is based on high resolution x-ray images of 56 isolated thoracolumbar vertebrae and thick sections obtained from them. A previously undescribed array of trabeculae was documented which originated from the medial corner of the base of the pedicles and extended in a radial array throughout the vertebral body. This trabecular array persisted even in severely osteoporotic specimens. The cortex of the vertebral canal thinned abruptly near the base of the pedicle creating what may be a stress concentration at this site. This corresponded to the site of origin of the trabecular array. The presence of this possible stress concentration, in proximity to the trabecular array, may provide an explanation for the trapezoidal shape of the bony fragments that are frequently retropulsed into the spinal canal in axial load type burst fractures, common in this area of the spine.

Type
Brief Report
Copyright
© Anatomical Society of Great Britain and Ireland 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)