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Öğe Cephalocaudal Variations in the Horizontal and Vertical Diameters of the Pedicles of the Lumbar Spine in the Turkish Population(2001) Öğün, T. C.; Üstün, M. E.; Büyükmumcu, M.Purpose: Racial morphometric differences in the pedicular structure of the vertebrae must be taken into account when using international transpedicular screw systems. In this study, we tried to figure out the differences, if any, in the size of the pedicles in a sample of the Turkish population. Methods: The horizontal and vertical diameters of the pedicles of the lumbar vertebrae were measured from the standardized anteroposterior radiographs of the lumbar spine in 100 subjects, aged from 20 to 40 years. Results: The mean horizontal width of the pedicles in our sample of the Turkish population was smaller than the subjects in other studies. The vertical diameter did not differ widely. There was a cephalocaudal increase in the horizontal diameters in both sexes. The vertical diameters did not increase. Significant differences between the pedicle diameters of the males and the females were noted at L2, L3 and L4 levels. No significant age-related variations were observed. Conclusion: Awareness of the racial variations in the size of the pedicles is very important when using international transpedicular screw systems. Preoperative determination of especially the horizontal diameter of the pedicles to be used for screw implantation from standardized anteroposterior X-rays is the easiest way.Öğe An Investigation of the Conus Medullaris and Filum Terminale Variations in Human Fetuses(Springer Verlag, 2000) Salbacak, A.; Büyükmumcu, M.; Malas, M. A.; Karabulut, A. K.; Şeker, M.The morphologic structure of the conus medullaris and filum terminale was investigated by dissection in 123 human fetuses, obtained from Selcuk University, Faculty of Medicine and Maternity hospital of Konya between 1992-1995. In 78 fetuses, the conus medullaris and filum terminale had a normal morphologic aspect, whereas there was a slight depression or groove formation in the closure region of the caudal neuropore in 45 fetuses. In 15 fetuses, important malformations of the cranium and vertebral column were observed. The morphologic aspects of the conus medullaris in 30 fetuses were abnormal in shape and position, among them 24 fetuses had an abnormal filum terminale (grooved, depressed, thickened or duplicated) whereas it was normal in 6. Deficiency of closure of the caudal neuropore was considered to have a negative effect on the fetal development of the filum terminale.Öğe Ocular and Periorbital Anthropometric Measurements in Term Turkish Newborns(SPRINGER FRANCE, 2001) Özkağnıcı, A.; Büyükmumcu, M.; Zengin, N.; Gündüz, K.; Koç, H.This study was conducted in an effort to determine the normal landmarks in the eyelids and eyebrows of newborns and the relationships between them. We also correlated all measurements with gender and head circumferences. The anthropometric measurements were performed on 86, normal term newborns (40 mates and 46 females) in the first 48 hours after delivery. There was no significant difference between either sex, or between the right and left eyes. In contrast, a statistically significant positive correlation was found between the head circumference and the horizontal fissure length (r = 0.42, p < 0.01). In addition, a significant correlation was found between the upper eyelid crease distance and the horizontal and the vertical fissure lengths (r = 0.27, p < 0.01; r = 0.22, p < 0.05, respectively). The results indicate that the normal eyelid crease location may be used as a landmark for guidance to plan surgical and reconstructive procedures.Öğe The Relationship Between the Lumbosacral Enlargement and the Conns Medullaris During the Period of Fetal Development and Adulthood(Springer-Verlag, 2000) Malas, M. A.; Seker, M.; Salbacak, A.; Büyükmumcu, M.; Karabulut, A. K.; Yardimci, C.The spinal cord is situated within the vertebral canal by the third month of intrauterine life. The spinal cord possesses two symmetrical enlargements, which constitute the segments of the plexuses: the cervical enlargement for the brachial plexus and the lumbosacral enlargement for the lumbar and sacral plexus. In our study, we aimed to investigate the relationship between the termination level of the lumbosacral enlargement (TLLE) and that of the conus medullaris (TLCM) during the period of fetal development and adulthood. We used a total of 75 cases: 25 fetuses (male: 16, female: 9) whose crown-rump length ranged between 90-190 mm, 25 premature and full-term neonates (male: 17, female: 8) whose post-menstrual ages ranged between 33-55 weeks, and 25 adults (male: 12, female: 13) aged between 22-72 years. The dissection technique for fetuses, ultrasonography for premature and full-term newborns, and magnetic resonance imaging (MRI) for adults were used to determine lumbosacral enlargement and TLCM. The differences between the TLCM and the termination level of the largest part of the transverse diameter of the lumbosacral enlargement were investigated. The differences between the TLLE and TLCM were found in different ratios from the period of fetal development to adulthood. Therefore, during medical treatment and surgical procedures this should be taken into account to avoid complications.
