This study focuses on anatomical variation of the thoracic spinal pedicle in adult Thai patients. The pedicle is a critical structure for transpedicular screw fixation, a common surgical technique used to treat spine conditions such as vertebral fractures, spinal stenosis, unstable spine injuries and spinal deformities including scoliosis and kyphosis. Incorrect understanding of pedicle dimensions can lead to screw misplacement and risk of neurological injury. This study aims to address the lack
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients who underwent Thoracic computed tomography with a slice thickness of 2 mm and had complete imaging data archived in the PACS (SYNAPSE5, version 5.7.000; FUJIFILM Worldwide) at the HRH Princess Maha Chakri Sirindhorn Medical Center between January 1, 2017, and January 1, 2022. 2. Thai patients aged over 18 years
Exclusion criteria
Exclusion criteria: 1. Patients with abnormalities of the thoracic spine: a. Spinal fracture b. Spinal tumor c. Spinal infection d. Spinal deformity, including scoliosis e. Congenital spinal abnormalities f. Patients with a history of thoracic spine surgery 2. Patients with pathological fractures caused by other underlying conditions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pedicle width, Pedicle axis length, Pedicle transverse angle, Pedicle height immediately evaluation, 1 months millimeter, degrees | — |
Secondary
| Measure | Time frame |
|---|---|
| Correlation between body height and pedicle width and pedicle height immediately evaluation, 1 months Measurements were performed on axial and sagittal CT views by trained evaluators following predefined anatomical landmarks. | — |
Countries
Thailand
Contacts
Faculty of Medicine, Srinakharinwirot University