Research Article


DOI :10.26650/IUITFD.435784   IUP :10.26650/IUITFD.435784    Full Text (PDF)

THE MOTION RANGE OF THE CONUS MEDULLARIS MOVEMENT WITH SERIAL MAGNETIC RESONANCE IMAGING IN SUPINE AND PRONE POSITIONS: RESULTS OF FOURTY HEALTHY SUBJECTS

Cengiz GömleksizHalil CanUmut YakaBurcu GökerAydın AydoseliMehmet BarburoğluAltay SencerUtku ÖzgenSerra SencerAli Güven YörükoğluTalat Kırış

Objective: In this study, using a series of supine and prone positions T1 and T2 with weighted axial and sagittal magnetic resonance imaging, the movement interval of the conus medullaris stimulated by the supine-prone position change was assessed in 40 healthy subjects. 

Method: We measured the distance between the conus medularis and the front dural surface and the width of the dural sac using electronic scales at the tip level of the conus medullaris in each subject. The data obtained was evaluated using SPSS 15. 

Results: It was determined that the spinal canal width was decreased by 30% (p:0.0001) as the average value when the conical tip was brought to the prone position from supine. Age (0-18 and >19 years) and gender diversity were not statistically significant factors in the movement of the conus medullaris. 

Conclusion: Our study offers a reliable diagnostic reference range in cases of normal extension conus with clinically tense spinal cord suspicion. 
DOI :10.26650/IUITFD.435784   IUP :10.26650/IUITFD.435784    Full Text (PDF)

SUPİN VE PRON POZİSYONLARDA SERİ MANYETİK REZONANS GÖRÜNTÜLEME İLE KONUS MEDULLARİS HAREKET ARALIĞININ ANALİZİ: 40 ARDIŞIK SAĞLIKLI İNSAN DENEKTE ELDE EDİLEN SONUÇLAR

Cengiz GömleksizHalil CanUmut YakaBurcu GökerAydın AydoseliMehmet BarburoğluAltay SencerUtku ÖzgenSerra SencerAli Güven YörükoğluTalat Kırış

Amaç: Bu çalışmada seri halde supin ve pron pozisyonlarda T1 ve T2 ağırlıklı aksiyal ve sagital manyetik rezonans görüntüleme yapılan 40 sağlıklı insanda meduller konusun supin-pron pozisyon değişikliği ile uyarılan hareket aralığı değerlendirildi. 

Yöntem: Her bir denekte konus medullarisin ucu seviyesinde elektronik ölçekler kullanılarak konus medullaris ve ön dural yüzey arasındaki mesafeyi ve dural kesenin genişliğini ölçtük. Elde edilen veriler SPSS 15 kullanılarak değerlendirildi. 

Bulgular: Konus ucunun, denekler supin pozisyondan pron pozisyona getirildiğinde ortalama değer olarak spinal kanal genişliğinin %30±14’ü oranında yer değiştirdiği saptandı (p:0,0001). Yaş (0-18 ve >19 yaş) ve cinsiyet farklılığı konus ucunun hareketliliğinde istatistiksel olarak anlamlı faktörler değildi. 

Sonuç: Çalışmamız klinik olarak gergin omurilik şüphesi bulunan normal uzanımlı konus vakalarında güvenilir bir diyagnostik referans aralığı sunmaktadır. 

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References

  • 1. Tubbs RS, Salter G, Grabb PA, Oakes WJ. The denticulate ligament: anatomy and functional significance. J Neurosurg 2001;94(2):271-5. google scholar
  • 2. Bauer DF, Tubbs RS, Chambers MR. Study of the effects of flexion on the position of the conus medullaris: follow-up study using MR imaging in non-human primates. Childs Nerv Syst 2009;25(8):977-9. google scholar
  • 3. Bauer DF, Shoja MM, Loukas M, Oakes WJ, Tubbs RS. Study of the effects of flexion on the position of the conus medullaris. Childs Nerv Syst 2008;24(9):1043-5. google scholar
  • 4. Fettes PD, Leslie K, McNabb S, Smith PJ. Effect of spinal flexion on the conus medullaris: a case series using magnetic resonance imaging. Anaesthesia 2006;61(6):521-3. google scholar
  • 5. Witkamp TD, Vandertop WP, Beek FJ, Notermans NC, Gooskens RH, van Waes PF. Medullary cone movement in subjects with a normal spinal cord and in patients with a tethered spinal cord. Radiology 2001;220(1):208-12. google scholar
  • 6. Naidich TP, Radkowski MA, Britton J. Real-time sonographic display of caudal spinal anomalies. Neuroradiology 1986;28(5-6):512-27. google scholar
  • 7. Schumacher R, Kroll B, Schwarz M, Ermert JA. M-mode sonography of the caudal spinal cord in patients with meningomyelocele. Work in progress. Radiology 1992;184(1):263-5. google scholar
  • 8. Yamamura A, Niwa J, Hashi K, Nakamura T. [Tethered cord syndrome of adult onset: report of a case and a review of the literature]. No Shinkei Geka 1989;17(1):69-73. (Article in Japanese). google scholar
  • 9. Warder DE, Oakes WJ. Tethered cord syndrome: the low-lying and normally positioned conus. Neurosurgery 1994;34(4):597-600. google scholar
  • 10. Warder DE, Oakes WJ. Tethered cord syndrome and the conus in a normal position. Neurosurgery 1993;33(3):374-8. google scholar

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APA

Gömleksiz, C., Can, H., Yaka, U., Göker, B., Aydoseli, A., Barburoğlu, M., Sencer, A., Özgen, U., Sencer, S., Yörükoğlu, A.G., & Kırış, T. (2019). THE MOTION RANGE OF THE CONUS MEDULLARIS MOVEMENT WITH SERIAL MAGNETIC RESONANCE IMAGING IN SUPINE AND PRONE POSITIONS: RESULTS OF FOURTY HEALTHY SUBJECTS. Journal of Istanbul Faculty of Medicine, 82(1), 12-17. https://doi.org/10.26650/IUITFD.435784


AMA

Gömleksiz C, Can H, Yaka U, Göker B, Aydoseli A, Barburoğlu M, Sencer A, Özgen U, Sencer S, Yörükoğlu A G, Kırış T. THE MOTION RANGE OF THE CONUS MEDULLARIS MOVEMENT WITH SERIAL MAGNETIC RESONANCE IMAGING IN SUPINE AND PRONE POSITIONS: RESULTS OF FOURTY HEALTHY SUBJECTS. Journal of Istanbul Faculty of Medicine. 2019;82(1):12-17. https://doi.org/10.26650/IUITFD.435784


ABNT

Gömleksiz, C.; Can, H.; Yaka, U.; Göker, B.; Aydoseli, A.; Barburoğlu, M.; Sencer, A.; Özgen, U.; Sencer, S.; Yörükoğlu, A.G.; Kırış, T. THE MOTION RANGE OF THE CONUS MEDULLARIS MOVEMENT WITH SERIAL MAGNETIC RESONANCE IMAGING IN SUPINE AND PRONE POSITIONS: RESULTS OF FOURTY HEALTHY SUBJECTS. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 82, n. 1, p. 12-17, 2019.


Chicago: Author-Date Style

Gömleksiz, Cengiz, and Halil Can and Umut Yaka and Burcu Göker and Aydın Aydoseli and Mehmet Barburoğlu and Altay Sencer and Utku Özgen and Serra Sencer and Ali Güven Yörükoğlu and Talat Kırış. 2019. “THE MOTION RANGE OF THE CONUS MEDULLARIS MOVEMENT WITH SERIAL MAGNETIC RESONANCE IMAGING IN SUPINE AND PRONE POSITIONS: RESULTS OF FOURTY HEALTHY SUBJECTS.” Journal of Istanbul Faculty of Medicine 82, no. 1: 12-17. https://doi.org/10.26650/IUITFD.435784


Chicago: Humanities Style

Gömleksiz, Cengiz, and Halil Can and Umut Yaka and Burcu Göker and Aydın Aydoseli and Mehmet Barburoğlu and Altay Sencer and Utku Özgen and Serra Sencer and Ali Güven Yörükoğlu and Talat Kırış. THE MOTION RANGE OF THE CONUS MEDULLARIS MOVEMENT WITH SERIAL MAGNETIC RESONANCE IMAGING IN SUPINE AND PRONE POSITIONS: RESULTS OF FOURTY HEALTHY SUBJECTS.” Journal of Istanbul Faculty of Medicine 82, no. 1 (May. 2024): 12-17. https://doi.org/10.26650/IUITFD.435784


Harvard: Australian Style

Gömleksiz, C & Can, H & Yaka, U & Göker, B & Aydoseli, A & Barburoğlu, M & Sencer, A & Özgen, U & Sencer, S & Yörükoğlu, AG & Kırış, T 2019, 'THE MOTION RANGE OF THE CONUS MEDULLARIS MOVEMENT WITH SERIAL MAGNETIC RESONANCE IMAGING IN SUPINE AND PRONE POSITIONS: RESULTS OF FOURTY HEALTHY SUBJECTS', Journal of Istanbul Faculty of Medicine, vol. 82, no. 1, pp. 12-17, viewed 28 May. 2024, https://doi.org/10.26650/IUITFD.435784


Harvard: Author-Date Style

Gömleksiz, C. and Can, H. and Yaka, U. and Göker, B. and Aydoseli, A. and Barburoğlu, M. and Sencer, A. and Özgen, U. and Sencer, S. and Yörükoğlu, A.G. and Kırış, T. (2019) ‘THE MOTION RANGE OF THE CONUS MEDULLARIS MOVEMENT WITH SERIAL MAGNETIC RESONANCE IMAGING IN SUPINE AND PRONE POSITIONS: RESULTS OF FOURTY HEALTHY SUBJECTS’, Journal of Istanbul Faculty of Medicine, 82(1), pp. 12-17. https://doi.org/10.26650/IUITFD.435784 (28 May. 2024).


MLA

Gömleksiz, Cengiz, and Halil Can and Umut Yaka and Burcu Göker and Aydın Aydoseli and Mehmet Barburoğlu and Altay Sencer and Utku Özgen and Serra Sencer and Ali Güven Yörükoğlu and Talat Kırış. THE MOTION RANGE OF THE CONUS MEDULLARIS MOVEMENT WITH SERIAL MAGNETIC RESONANCE IMAGING IN SUPINE AND PRONE POSITIONS: RESULTS OF FOURTY HEALTHY SUBJECTS.” Journal of Istanbul Faculty of Medicine, vol. 82, no. 1, 2019, pp. 12-17. [Database Container], https://doi.org/10.26650/IUITFD.435784


Vancouver

Gömleksiz C, Can H, Yaka U, Göker B, Aydoseli A, Barburoğlu M, Sencer A, Özgen U, Sencer S, Yörükoğlu AG, Kırış T. THE MOTION RANGE OF THE CONUS MEDULLARIS MOVEMENT WITH SERIAL MAGNETIC RESONANCE IMAGING IN SUPINE AND PRONE POSITIONS: RESULTS OF FOURTY HEALTHY SUBJECTS. Journal of Istanbul Faculty of Medicine [Internet]. 28 May. 2024 [cited 28 May. 2024];82(1):12-17. Available from: https://doi.org/10.26650/IUITFD.435784 doi: 10.26650/IUITFD.435784


ISNAD

Gömleksiz, Cengiz - Can, Halil - Yaka, Umut - Göker, Burcu - Aydoseli, Aydın - Barburoğlu, Mehmet - Sencer, Altay - Özgen, Utku - Sencer, Serra - Yörükoğlu, AliGüven - Kırış, Talat. THE MOTION RANGE OF THE CONUS MEDULLARIS MOVEMENT WITH SERIAL MAGNETIC RESONANCE IMAGING IN SUPINE AND PRONE POSITIONS: RESULTS OF FOURTY HEALTHY SUBJECTS”. Journal of Istanbul Faculty of Medicine 82/1 (May. 2024): 12-17. https://doi.org/10.26650/IUITFD.435784



TIMELINE


Submitted22.06.2018
Accepted26.10.2018
Published Online28.03.2019

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