Evaluation of Tuffier's line and the lowest points of the ribcage on the location of conus medullaris

LI  Jue, ZHANG Wen-Jun, WANG Shou-Beng, ZHANG Xiao-E, BANG Shu-Ling

Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (4) : 475-477.

Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (4) : 475-477.

Evaluation of Tuffier's line and the lowest points of the ribcage on the location of conus medullaris

  • LI Jue, ZHANG Wen-jun, WANG Shou-ping, ZHANG Xiao-ya, PENG Shu-jun
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Abstract

Objective To estimate the level of lumbar spine and the location of conus medullaris, taking the Tuffier's line and the lowest points of the ribcage as the new markers. Methods Simple X-ray and MR (T1-weighted, midline, sagittal, spinecho) of 216 healthy adults (male 98, and female 118), aged from 18 to 94, were performed to assess the position of conus medullaris, according to the guide of the Tuffier's line and the lowest points of the ribcage. This location point was recorded in relation to the upper, middle, or lower third of the adjacent vertebral body or interspace. The data were collected and statistically analyzed. Results Corresponding to the spine, the conus medullaris, Tuffier's line and the lowest points of the ribcage were at the lower 1/3 of L1 about 29.72±2.032, at L4~5 about 16.11±1.192, and at L2~3 about 24.69±1.909, respectively, furthermore, the above parameters were significantly sexual different. The spinal position located by the lowest ribcage was correlated with the age. Conclusions At the erection position, the tuffier's line corresponds to the level of L4~5 or L4, and the lowest ribcage corresponds to the lower third level of L2~3. Those two lines can be taken as the location markers to confirm the level of intervertebral space.

Key words

Conus medullaris / Tuffier's line / Ribcage / Vertebral column

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LI  Jue, ZHANG Wen-Jun, WANG Shou-Beng, ZHANG Xiao-E, BANG Shu-Ling. Evaluation of Tuffier's line and the lowest points of the ribcage on the location of conus medullaris[J]. Chinese Journal of Clinical Anatomy. 2011, 29(4): 475-477

References


[1] Reynolds F. Logic in the safe practice of spinal anesthesia
[J].Anaesthesia, 2000,55(11): 1045-1046.

[2] Broadbent CR, Maxwell WB, Ferrie R, et al. Ability of anaesthetists to identify a marked lumbar space
[J]. Anaesthesia, 2000, 55(11): 1122-1126.

[3]  Reimann AF, Anson BJ. Vertebral level of termination of the spinal cord with report of a case of a sacral cord
[J]. Anat Rec, 1994, 88:127-138.

[4]  Jung CW, Bahk JH, Lee JH, et al. The tenth rib line as a new landmark of the lumbar vertebral level during spinal block
[J]. Anaesthesia, 2004, 59(4): 359-363.

[5] 徐启明.主编. 临床麻醉学
[M]. 北京:人民卫生出版社, 2000:118-119.

[6] Bahk JH, Ko H. Damage to the conus medullaris following spinal anaesthesia
[J]. Anaesthesia, 2001, 56(8): 813-814.

[7]  Thavasothy M. The reproducibility of the iliac crest as a marker of lumbar spinal level
[J].  Anaesthesia, 1997, 52(8): 811.

[8] Kurihara Y,Yakushiji YK,Matsumoto J,at al. The ribs:anatomic and radiologic considerations
[J]. Source Radiographic,1999,19(1):105-19,quiz 151-152

[9]  G. Furness, M. P. Reilly, S. Kuchi. An evaluation of ultrasound inmging for identification of lumbar intervertebral level
[J]. Anaesthesia, 2002, 57: 266-283.

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