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Comparative Study
. 2018 Feb 20:2018:2854175.
doi: 10.1155/2018/2854175. eCollection 2018.

Differences of the Morphology of Subaxial Cervical Spine Endplates between Chinese and White Men and Women

Affiliations
Comparative Study

Differences of the Morphology of Subaxial Cervical Spine Endplates between Chinese and White Men and Women

Qi Yao et al. Biomed Res Int. .

Abstract

Objective. The aim of this comparative anatomical study was to specifically investigate endplate morphology differences between Chinese and White men and women. Materials and Methods. Three-dimensional cervical endplate models were constructed using computed tomography imaging of 41 healthy Chinese and 24 White subjects. The morphologic measurements of cervical endplate included linear parameters (EPWu: upper endplate width; EPDu: upper endplate depth; EPWl: lower endplate width; and EPDl: lower endplate depth) and area parameters with a digital measuring system. Results. All linear parameters showed a constant increase from C3 to C7 except for EPDl in both the Chinese and the White subjects. An increase trend was observed on area parameters in both Chinese and White subjects. The ratio of EPWl/EPDl was smaller in Chinese females than in White females at C3, C4, and C6 levels (P < 0.05). The ratio of EPWl/EPDl was significantly different between the Chinese and White men at C4-5 levels (P < 0.05). Conclusions. Our data indicates that the morphology of subaxial cervical spine endplates between Chinese and White men and women is different in most of the linear and area parameters. This information could provide guidelines for the design of CDA implants and the improvement of surgical techniques.

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Figures

Figure 1
Figure 1
(a) Digitization of the endplates from sagittal CT images. (b) Reconstruction of the 3D models of upper and lower endplates from C3 to C7.
Figure 2
Figure 2
Two orthogonal views (coronal plane (a) and sagittal plane (b) of a cervical vertebra are shown. EPWu: upper endplate width; EPWl: lower endplate width; EPDu: upper endplate depth; EPDl: lower endplate depth.
Figure 3
Figure 3
(a), (b), (c), and (d) show the linear dimensions of the upper and lower endplates. (e) and (f) show the ratio of endplate width to depth for the upper and lower endplates. #: differed significantly between the Chinese females and White females; : differed significantly between the males and White males.

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