Lumbosacral Transitional Vertebrae- An Osteological Study In Dry Human Sacra Of North Indian Origin With Its Clinical And Forensic Implications

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dc.contributor.authorPatra, Apurbaen_US
dc.contributor.authorKaur, Harsimarjiten_US
dc.contributor.authorSingh, Manjeeten_US
dc.contributor.authorKaushal, Subhasen_US
dc.contributor.authorChhabra, Ushaen_US
dc.contributor.authorMalhotra, Vishalen_US
dc.date.accessioned2020-04-23T07:28:34Z
dc.date.available2020-04-23T07:28:34Z
dc.date.issued2018-01
dc.description.abstractContext: Lumbosacral transitional vertebrae (LSTV) are congenital anomalies that occur due to defect in normalsegmentation of the lumbosacral spine during development. This may be either in the form of assimilation offifth lumbar vertebra with the sacrum (sacralisation), or transition of the first piece of sacral vertebra into thelumbar configuration (lumbarisation).Aims and Objectives: Although presence of LSTV is common in general population but knowledge about its exactclinical implications is still lacking. The primary aim of the present study was to determine the rate of incidenceof transitional vertebra and their sex difference (if present) in dried human sacra. Secondary aim was to studythese transitional vertebra in detail and correlate these findings clinically.Materials and Methods: A total of fifty unbroken adult sacra were examined (male to female ratio of 3:2). Thepresence or absence of a lumbar transitional vertebra was noted and classified as incomplete or complete. Thesacral indices (SI) of all sacra were measured and values compared between typical and atypical sacra with LSTVas well as between male and female sacra.Results: Out of fifty sacra, six sacra (12%) showed presence of LSTV. Among them, four (8%) showed sacralisationof the fifth lumbar vertebra and two (4%) showed lumbarisation of first sacral vertebra. Among the four sacrashowing sacralisation, two showed incomplete fusion and two showed complete fusion of fifth lumber vertebrawith sacrum. LSTV was found to be more common in male than female. Sacralisation was seen only in male sacrawhile lumbarisation only in female sacra. The difference in the mean SI of typical sacra (97.76±4.08) and sacrawith LSTV (83.69±2.38 and 98.11±1.52 for sacralised and lumbarised sacra respectively) was found to bestatistically significant (p<0.05) and that between the male (94.55±5.70) and female (100.14±3.42) sacra wasfound to be highly significant (p<0.01).Conclusion: Presence of LSTV has many clinical and forensic implications and its knowledge is important fororthopaedic surgeons, neurosurgeons, forensic experts and also to radiologists.en_US
dc.identifier.affiliationsSenior Resident, Department Of Anatomy, Government Medical College, Patiala India.en_US
dc.identifier.affiliationsAssociate Professor, Department Of Anatomy, Government Medical College, Patiala, India.en_US
dc.identifier.affiliationsProfessor and HOD, Department Of Orthopaedics, MMIMSR, Mullana, Ambala India.en_US
dc.identifier.affiliationsProfessor, Department Of Anatomy, Government Medical College, Patiala, India.en_US
dc.identifier.affiliationsSenior Resident, Department Of SPM, Government Medical College, Patiala India.en_US
dc.identifier.citationPatra Apurba, Kaur Harsimarjit, Singh Manjeet, Kaushal Subhas, Chhabra Usha, Malhotra Vishal. Lumbosacral Transitional Vertebrae- An Osteological Study In Dry Human Sacra Of North Indian Origin With Its Clinical And Forensic Implications. International Journal of Anatomy and Research. 2018 Jan; 6(1): 4951-4958en_US
dc.identifier.issn2321-4287
dc.identifier.issn2321-8967
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/198276
dc.languageenen_US
dc.publisherIMED Research Publicationsen_US
dc.relation.issuenumber1en_US
dc.relation.volume6en_US
dc.source.urihttps://dx.doi.org/10.16965/ijar.2017.522en_US
dc.subjectlumbarisationen_US
dc.subjectsacralisationen_US
dc.subjectcongenital anomalyen_US
dc.subjectlow back painen_US
dc.subjectSacral indexen_US
dc.titleLumbosacral Transitional Vertebrae- An Osteological Study In Dry Human Sacra Of North Indian Origin With Its Clinical And Forensic Implicationsen_US
dc.typeJournal Articleen_US
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