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Batı Karadeniz Bölgesinde Yaşayan 21-60 Yaş Arasındaki Bireylerde Aksesuar Foramen Transversarium Varlığının Radyolojik İncelenmesi

Yıl 2025, Cilt: 15 Sayı: 2, 252 - 255, 22.05.2025

Ceyda Kahveci , İsmail Malkoç

https://doi.org/10.33631/sabd.1617913

Öz

Amaç: Bu çalışmanın amacı Batı Karadeniz Bölgesinde yaşayan 21-60 yaş aralığındaki bireylerde aksesuar foramen transversarium (ATF) olarak adlandırılan birden fazla for. transversarium görülme durumunu radyolojik olarak değerlendirmektir.
Gereç ve Yöntemler: Çalışmaya katılacak olan hastaların kişisel bilgileri (ad-soyad ve yaş) paylaşılmayarak gizlilik esas alındı. Çalışmada 21-60 yaş arasındaki 100 kadın ve 100 erkek toplam 200 sağlıklı bireyin servikal vertebraları Bilgisayarlı Tomografi (BT) ile Hastane Görüntüleme Arşivleme Sistemi (PACS) üzerinden geriye dönük elde edildi. Ortogonal plana getirilen coronal ve sagittal düzlem görüntüleri üzerinde C1’den C7’ye kadar bütün servikal vertebraların for. Transversarium’larına bakıldı. Varyasyonun bulunup bulunmadığı incelendi. ATF görülen vertebralar not edildi. ATF’nin bulunduğu vertebrada unilateral mi bilateral mi olduğu kaydedildi. Unilateral ise hangi tarafta olduğu not edildi. Bütün BT görüntüleri incelendikten sonra elde edilen veriler Microsoft Excel programına girildi. SPSS 24.0 programı ile analiz edildi.
Bulgular: Analiz sonuçlarına göre 49 erkek (%49), 46 kadın (%46) toplam 95 bireyde ATF gözlendi. 18 birey (%18,9) sağ, 46 birey (%48,4) sol ve 31 bireyde de (%32,6) çift taraflı ATF gözlendi. Cinsiyet ile ATF arasında istatistiksel olarak anlamlı bir fark bulunmadı (p>0,05). İncelenen 1400 vertebra içerisinde de toplam 121 vertebra’da ATF gözlendi. İki cinsiyette de en sık ATF görülen vertebra C6 olarak belirlendi.
Sonuç: Çalışmamızın foramen (for.) transversarium içerisinden geçen yapılardaki değişikliklerin tahmin edilmesinde, klinisyenler ve radyologlar için röntgen ve BT taramalarının yorumlanmasında ve cerrahi müdahale düşünüldüğünde daha uygun girişimin belirlenebilmesi için yol gösterici olacağını düşünüyoruz.

Anahtar Kelimeler

Cervical vertebra Foramen transversarium Aksesuar foramen transversarium Bilgisayarlı tomografi

Proje Numarası

1

Kaynakça

  • Nisari M, Ertekin T, Çınar Ş, Özçelik Ö, Al Ö, Ülger H, et al. Foramen Transversarium Varyasyonu. Sağlık Bilimleri Dergisi. 2016; 25 (2): 71-4.
  • Arıncı K, Elhan A. Anatomi 1. Cilt. 5. Baskı. Ankara: Güneş Tıp Kitabevi; 2014.
  • Foramen Soat. Accessory transverse foramina in the cervical spine: incidence, embryological basis, morphology and surgical importance. Turk Neurosurg. 2011; 21(3): 384-7.
  • Das S, Suri R, Kapur V. Double foramen transversaria: an osteological study with clinical implications. Int Med J. 2005; 12(4): 311-3.
  • Yonguç Gn. Aksesuar foramen transversarium. accessory transverse foramen. Pamukkale Med J. 2018; 11(3): 203-7.
  • Taitz C, Nathan H, Arensburg B. Anatomical observations of the foramina transversaria. J Neurol Neurosurg Psychiatry. 1978; 41(2): 170-6.
  • Agrawal D, Mohanty Bb, Sethy S, Parija B, Hazary Sk, Chinara Pk. variations in foramen transversarium: an osteological study in eastern india. Int J Cur Res. 2012; 4: 120-2.
  • Aggarwal B, Gupta M. Variations of foramen transversarium in seventh cervical vertebra. Int J Basic Appl Med Sci. 2014; 4(2): 258-62.
  • Aydınlıoğlu A, Kavaklı A, Yeşilyurt H, Erdem S, Eroğlu C. Foramen transversarium bipartita. Van Tıp Derg. 2001; 8(4): 110-2.
  • Serdar K, Yilmaz Nd, Pusat S, Kural C, Kirik A, Yusuf I. double foramen transversarium variation in ancient byzantine cervical vertebrae: preliminary report of an anthropological study. Turk Neurosurg. 2011; 21(4): 534-8.
  • Chaudhari Ml, Maheria Pb, Bachuwar Sp. Double foramen transversarium in cervical vertebra: morphology and clinical importance. Indian J Basic Appl Med Res. 2013; 8(2): 1084-8.
  • Rathnakar P, Swathi RK. Study of accessory foramen transversarıa in cervical vertebrae. J Health Allied Sci Nu. 2013; 3(4): 97-9.
  • Rekha Bs, Neginhal Dd. Variations in foramen transversarium of atlas vertebra: an osteological study in south indians. Int J Res Health Sci. 2014; 2(1): 224-8.
  • Riew Kd. microscope-assisted anterior cervical de compression and plating techniques for multilevel cervical spondylosis. Oper Tech Orthop. 1998; 8(1): 22-33.
  • Hardley La. Tortuosity and deflection of the vertebral artery. Ajr Am J Roentgenol. 1958; 80: 306-12.
  • Hyyppä Se, Laasonen Em, Halonen V. Erosion of cervical vertebrae caused by elongated and tortuous vertebral arteries. Neuroradiology. 1974; 7(1): 49-51.
  • Değirmenci B, Yılmaz Ö. Variations of transverse foramens of cervical vertebrae: a 3-dimensional multidetector ct study. Turk J Med Sci. 2013; 43(5): 711-7.
  • Guerra Mm, Fuentes Pr, Roa I, Molinet G, Robles F, Roa I. Anatomical variations of the foramen transversarium in cervical vertebrae. Int J Morphol. 2017; 35(2): 719-22.
  • Katikireddi Rs, Setty Sn. A study of double foramen transversarium in dried cervical vertebra. Int J Health Sci Res. 2014; 4(1): 59-61.
  • Akhtar Mj, Madhukar Pk, Rahman S, Kashyap N. A morphometric study of foramen transversarium of dried cervical vertebrae. Int J Res Med Sci. 2015; 3(4): 912-6.
  • Sharma A, Singh K, Gupta V, Stivastava S. Double foramen transversarium in cervical vertebra an osteological study. J Anat Soc India. 2010; 59(2): 229-31.
  • Tellioglu Am, Durum Y, Gok M, Polat Ag, Karaman Cz, Karakas S. Evaluation of morphologic and morphometric characteristic of foramen transversarium on 3-dimensional multidetector computed tomography angiography. Turk Neurosurg. 2018; 28(4): 557-62.

Radiologic Investigation of the Presence of Accessory Transverse Foramen in Individuals Aged 21-60 Years Living in the Western Black Sea Region

Yıl 2025, Cilt: 15 Sayı: 2, 252 - 255, 22.05.2025

Ceyda Kahveci , İsmail Malkoç

https://doi.org/10.33631/sabd.1617913

Öz

Aim: The aim of this study was to radiologically evaluate the occurrence of more than one for. transversarium, called accessory foramen transversarium (ATF), in individuals aged 21-60 years living in the Western Black Sea Region.
Material and Methods: Personal information (name, last name and age) of the patients who participated in the study were not shared and confidentiality was taken as a basis. In the study, cervical vertebrae of 200 healthy individuals, 100 females and 100 males aged 21-60 years, were obtained retrospectively by Computed Tomography (CT) through the Hospital Imaging Archiving System (PACS). The for. transversarium of all cervical vertebrae from C1 to C7 were examined on coronal and sagittal plane images brought to orthogonal plane. The presence or absence of variation was examined. The vertebrae with ATF were noted. It was noted whether the ATF was unilateral or bilateral in the vertebra where it was found. If it was unilateral, which side it was on was noted. After all CT images were examined, the data obtained were entered into the Microsoft Excel program. It was analyzed with SPSS 24.0 program.
Results: The according to the analysis results, ATF was observed in a total of 95 individuals, 49 males (49%) and 46 females (46%). 18 individuals (18.9%) had right-sided ATF, 46 individuals (48.4%) had left-sided ATF and 31 individuals (32.6%) had bilateral ATF. There was no statistically significant difference between gender and ATF (p>0.05). ATF was observed in a total of 121 vertebrae out of 1400 vertebrae examined. C6 was the most common vertebra with ATF in both sexes.
Conclusion: We believe that our study will provide guidance for clinicians and radiologists in predicting changes in the structures passing through the foramen (for.) transversarium, interpreting X-ray and CT scans, and determining the more appropriate intervention when surgical intervention is considered.

Anahtar Kelimeler

Cervical vertebra Transvers foramen Accessory transverse foramen Computed Tomography

Proje Numarası

1

Kaynakça

  • Nisari M, Ertekin T, Çınar Ş, Özçelik Ö, Al Ö, Ülger H, et al. Foramen Transversarium Varyasyonu. Sağlık Bilimleri Dergisi. 2016; 25 (2): 71-4.
  • Arıncı K, Elhan A. Anatomi 1. Cilt. 5. Baskı. Ankara: Güneş Tıp Kitabevi; 2014.
  • Foramen Soat. Accessory transverse foramina in the cervical spine: incidence, embryological basis, morphology and surgical importance. Turk Neurosurg. 2011; 21(3): 384-7.
  • Das S, Suri R, Kapur V. Double foramen transversaria: an osteological study with clinical implications. Int Med J. 2005; 12(4): 311-3.
  • Yonguç Gn. Aksesuar foramen transversarium. accessory transverse foramen. Pamukkale Med J. 2018; 11(3): 203-7.
  • Taitz C, Nathan H, Arensburg B. Anatomical observations of the foramina transversaria. J Neurol Neurosurg Psychiatry. 1978; 41(2): 170-6.
  • Agrawal D, Mohanty Bb, Sethy S, Parija B, Hazary Sk, Chinara Pk. variations in foramen transversarium: an osteological study in eastern india. Int J Cur Res. 2012; 4: 120-2.
  • Aggarwal B, Gupta M. Variations of foramen transversarium in seventh cervical vertebra. Int J Basic Appl Med Sci. 2014; 4(2): 258-62.
  • Aydınlıoğlu A, Kavaklı A, Yeşilyurt H, Erdem S, Eroğlu C. Foramen transversarium bipartita. Van Tıp Derg. 2001; 8(4): 110-2.
  • Serdar K, Yilmaz Nd, Pusat S, Kural C, Kirik A, Yusuf I. double foramen transversarium variation in ancient byzantine cervical vertebrae: preliminary report of an anthropological study. Turk Neurosurg. 2011; 21(4): 534-8.
  • Chaudhari Ml, Maheria Pb, Bachuwar Sp. Double foramen transversarium in cervical vertebra: morphology and clinical importance. Indian J Basic Appl Med Res. 2013; 8(2): 1084-8.
  • Rathnakar P, Swathi RK. Study of accessory foramen transversarıa in cervical vertebrae. J Health Allied Sci Nu. 2013; 3(4): 97-9.
  • Rekha Bs, Neginhal Dd. Variations in foramen transversarium of atlas vertebra: an osteological study in south indians. Int J Res Health Sci. 2014; 2(1): 224-8.
  • Riew Kd. microscope-assisted anterior cervical de compression and plating techniques for multilevel cervical spondylosis. Oper Tech Orthop. 1998; 8(1): 22-33.
  • Hardley La. Tortuosity and deflection of the vertebral artery. Ajr Am J Roentgenol. 1958; 80: 306-12.
  • Hyyppä Se, Laasonen Em, Halonen V. Erosion of cervical vertebrae caused by elongated and tortuous vertebral arteries. Neuroradiology. 1974; 7(1): 49-51.
  • Değirmenci B, Yılmaz Ö. Variations of transverse foramens of cervical vertebrae: a 3-dimensional multidetector ct study. Turk J Med Sci. 2013; 43(5): 711-7.
  • Guerra Mm, Fuentes Pr, Roa I, Molinet G, Robles F, Roa I. Anatomical variations of the foramen transversarium in cervical vertebrae. Int J Morphol. 2017; 35(2): 719-22.
  • Katikireddi Rs, Setty Sn. A study of double foramen transversarium in dried cervical vertebra. Int J Health Sci Res. 2014; 4(1): 59-61.
  • Akhtar Mj, Madhukar Pk, Rahman S, Kashyap N. A morphometric study of foramen transversarium of dried cervical vertebrae. Int J Res Med Sci. 2015; 3(4): 912-6.
  • Sharma A, Singh K, Gupta V, Stivastava S. Double foramen transversarium in cervical vertebra an osteological study. J Anat Soc India. 2010; 59(2): 229-31.
  • Tellioglu Am, Durum Y, Gok M, Polat Ag, Karaman Cz, Karakas S. Evaluation of morphologic and morphometric characteristic of foramen transversarium on 3-dimensional multidetector computed tomography angiography. Turk Neurosurg. 2018; 28(4): 557-62.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri (Diğer)
Bölüm Araştırma Makaleleri
Yazarlar

Ceyda Kahveci 0000-0003-2294-2990

İsmail Malkoç 0000-0002-9221-510X

Proje Numarası 1
Yayımlanma Tarihi 22 Mayıs 2025
Gönderilme Tarihi 11 Ocak 2025
Kabul Tarihi 13 Ocak 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 15 Sayı: 2

Kaynak Göster

Vancouver Kahveci C, Malkoç İ. Radiologic Investigation of the Presence of Accessory Transverse Foramen in Individuals Aged 21-60 Years Living in the Western Black Sea Region. SABD. 2025;15(2):252-5.
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