Evidence map›Paper›PMID 41910752›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026

Radiological morphometric analysis of cervicothoracic junction vertebrae pedicles.

Saygı Uygur, Irmak Tekeli Barut, Tolga Akbıyık, Efekan Doruk, Furkan Başar, Barış Ten, Derya Karataş, Emel Avcı, Ahmet Dağtekin

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Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Saygı UygurDepartment of Neurosurgery, Kadirli State Hospital, Osmaniye, Turkey. uygursaygi@gmail.com.
Irmak Tekeli BarutDepartment of Neurosurgery, Toros State Hospital, Mersin, Turkey.
Tolga AkbıyıkDepartment of Neurosurgery, Şişli Hamidiye Etfal Research and Education Hospital, İstanbul, Turkey.
Efekan DorukDepartment of Neurosurgery, Mersin University, Mersin, Turkey.
Furkan BaşarDepartment of Neurosurgery, Mersin University, Mersin, Turkey.
Barış TenDepartment of Radiology, Mersin University, Mersin, Turkey.
Derya KarataşDepartment of Neurosurgery, Mersin University, Mersin, Turkey.
Emel AvcıDepartment of Neurosurgery, Mersin University, Mersin, Turkey.
Ahmet DağtekinDepartment of Neurosurgery, Mersin University, Mersin, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide detailed morphometric reference data and evaluate demographic correlations of the cervicothoracic junction (CTJ) to support individualized and safer transpedicular fixation.

methodsOne hundred consecutive patients (50 males, 50 females; age range 19-83, mean 54.2) who underwent contrast-enhanced cervicothoracic CT from May 2020 to May 2022 were retrospectively analyzed. A total of 1,000 pedicles (C7-T4) were measured for pedicle width (PW), pedicle height (PH), pedicle length (PL), pedicle axial angle (PAA), pedicle sagittal angle (PSA), and central canal diameter (CCD). Intra- and interobserver repeatability was estimated using the intraclass correlation coefficient. Vertebral artery (VA) entry level and transverse foramen hypoplasia were recorded. Relationships with age, height and body mass index (BMI) were assessed.

resultsMales had significantly larger PW, PH and PL across all levels. PW peaked at T1 and narrowed toward T4; PH increased from C7 to a maximum at T3. PAA decreased caudally from C7 to T4, while PSA increased caudally. Significant left-right asymmetries were found. Age correlated positively with PW (except T4), PH (except C7) and PL, which were stronger in females, while height correlated positively with PW, PH, PL and CCD. BMI showed limited associations. VA entered the transverse foramen at C6 in the vast majority of cases and C7 transverse foramen hypoplasia was bilateral in 17%.

conclusionThese level, side and sex specific CTJ reference data, together with demographic correlations, provide practical guidance for individualized screw diameter, length and trajectory selection to reduce operative risk.

Indexed as

Cervical VertebraeThoracic VertebraeAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesTomography, X-Ray ComputedYoung AdultCervicothoracic junctionLower cervicalPedicleRadiological anatomyUpper thoracic

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.