Abstract
Many reports show good results following procedures, such as intervertebral body fusion using cage or total disc replacement, that restore adequate disc height. However, there have been no references regarding the range of normal lumbar disc height in Korean adults which can be used as a standard for the implant size. The purpose of our study is to measure the lumbar disc height on radiographs in normal Korean. 132 subjects (age range 20 to 40 years) who had no previous history of low back pain and no significant finding on physical examination were enrolled. Plain lateral lumbar spine radiograph in supine position were taken. Intervertebral disc heights were measured at anterior, middle and posterior portion of each lumbar disc. The average magnification rate was 115%, and the disc heights were corrected by the magnification rate in each segment.
Lumbar disc height showed cranio-caudal pattern in both male and female groups. L4–5 disc heights were highest at anterior, middle and posterior portion in male. L4–5 disc heights were highest at middle and posterior portion in female. L5-S1 disc height was highest at anterior portion in female, but there was no statistically significant difference between L4–5 and L5-S1 disc height at anterior portion. There was no significant difference in disc height between male and female except anterior portion of L1–2 and L2–3 disc. Statistically significant decrease in disc height was not presented in overweight person at all measured site in male and female except posterior portion of L1–2 disc in male.
This research is meaningful in that it is an attempt to provide a reference value of lumbar disc height in Korean adults, and the measured values may also be useful in manufacturing Korean modeled artificial lumbar disc prosthesis or surgical instruments for lumbar interbody fusion.
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