A cone beam computed tomographic study on foramen transversarium

Abstract

The foramen transversarium is a vital feature found in the cervical vertebrae of the spine. It serves as a protective passageway for the vertebral artery and vertebral vein, supplying blood to the brain and spinal cord. Any compromise to these structures within the foramen can lead to severe neurological complications, emphasizing its clinical significance. The study was carried out on 83 subjects of typical cervical vertebrae. Among them were 42 males and 41 females. All the foramen transversaria were observed for any anatomical variations. The anteroposterior, transverse diameters of all the foramen transversaria and the distance between the medial margin of uncinate process to the foramen transversarium were measured. The average transverse diameter of typical cervical vertebrae and seventh cervical vertebrae were ± 0.84mm and 5.13 ± 1.22 mm respectively. The average anteroposterior diameters of typical and seventh cervical vertebrae were 4.84 ± 0.69 mm and 3.91 ± 1.17 mm respectively. The distance from medial border of uncinate process to foramen transversaria was 4.28 ± 0.77 mm in typical and 5.44 ± 1.28 mm in seventh cervical vertebrae. The incidence of double bubble foramen in typical cervical vertebrae was reported to be17.5%. The incidence of double foramen transversaria was 12.5% in the seventh cervical vertebrae. Osteophytes were obstructing the foramen transversarium and narrowing it in 25% of vertebrae. In cone beam computed tomography (CBCT), the foramen transversarium plays a pivotal role in precise imaging of the cervical spine. Its significance lies in providing clear visualization of anatomical structures and potential abnormalities, aiding in the accurate diagnosis and treatment planning for various spinal conditions, thus enhancing patient care.