Open AccessA review of 571 radiographs on Tuffier’s inter-cristal line and its’ application in lumbar spinal surgery
Author(s) -
A Mushtaque R Chowdhury,
Himanshu Sharma
Publication year - 2018
Publication title -
journal of spine surgery
Language(s) - English
Resource type - Journals
eISSN - 2414-469X
pISSN - 2414-4630
DOI - 10.21037/jss.2018.06.10
Subject(s) - medicine , radiography , lumbar , weight bearing , vertebra , palpation , lumbar vertebrae , surgery , orthodontics
Tuffier's line (TL) is an anatomical landmark used to identify the L4/5 interspace by palpating inter-cristal level in lumbar spinal surgery. The routine use of pre-operative pre-incision radiographs for level check by spinal surgeons is variable due to reliance on this palpation. The anatomical violation of neighbouring normal levels in microscope assisted lumbar surgery is unknown. The aim of this study was to evaluate the effects of patient-related demographic factors and radiographic parameters on TL in a cohort of patients undergoing lumbar spinal procedures.