ABSTRACT
The objective of this study was to evaluate the variation in position of the conus medullaris (CM) in male and female patients without spinal deformity, to correlate the termination level in magnetic resonance (MR) images of the lumbar spine. 921 patients consisted of 607 men and 314 women were evaluated by MRI. The strength of T1 weighted MRI device was 1.5 Tesla. The patients were in supine position when measured. The termination level of the conus medullaris was recorded in relation to the upper, middle or lower third of the adjacent vertebra and the adjacent intervertebral disc. The patients in our study group were examined for low back pain. The members with spinal deformity were excluded. The distribution of conus medullaris localization was measured to range from T12 to L2-L3. There was a statistically significant difference in the mean conus medullaris position related to gender also a significant difference between increasing age and conus position in female patients. These findings suggest that the distribution of CM location in a large adult population was shown to range from the upper third of T12 to the lower third of L2-L3 disc space both in women and men.
El objetivo de este estudio consistió en evaluar la variación en la posición del cono medular (CM) en pacientes masculinos y femeninos sin deformidad espinal, para correlacionar el nivel de terminación en imágenes de resonancia magnética (RM) de la columna lumbar. Fueron evaluados por RM un total de 921 pacientes, 607 hombres y 314 mujeres. La fuerza ponderada del dispositivo de RM en T1 fue 1,5 Tesla. Los pacientes se ubicaron en posición supina al momento de la medición. El nivel de terminación del cono medular se registró en relación con el tercio superior, medio o inferior de la vértebra adyacente y el disco intervertebral adyacente. Los pacientes de nuestro grupo de estudio fueron examinados por dolor lumbar. Se excluyeron los individuos con deformidad espinal. La distribución de la localización del cono medular se midió, con variaciones entre T12 a L2-L3. Hubo una diferencia estadísticamente significativa en la posición media del cono medular relacionada con el sexo y también una diferencia significativa entre el aumento de la edad y la posición del cono medular en las mujeres. Estos hallazgos sugieren que la distribución de la ubicación del CM en una población adulta se encontró en un rango que se extendió desde el tercio superior de T12 al tercio inferior del espacio discal L2-L3, tanto en mujeres como en hombres.
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Magnetic Resonance Imaging , Spinal Cord/anatomy & histology , Spinal Cord/diagnostic imaging , Spine/diagnostic imagingABSTRACT
OBJECTIVE: To investigate the protective effects of estrogen and progesterone administrations on gastric mucosal barrier of rats applied ovariectomy, cold and immobility stress. METHODS: Seventy female Wistar rats, obtained from Medical Science Application and Research Center, Dicle University, Turkey on the year 2004, were divided into 10 separate groups (n=7). Nothing was applied to the animals of Group 1 (control); bilateral ovariectomy was performed on the animals of the Groups 2, 4, 5, 6, 7, 8, 9, and 10. Groups 5 and 6 was applied 5 mg/kg 17beta-estradiol and groups 7 and 8 was applied 10 mg/kg progesterone for 7 days. The animals in the Groups 9 and 10 were applied 2.5 mg/kg 17beta-estradiol and 5 mg/kg progesterone during 7 days. The animals in the groups 3, 4, 6, 8 and 10 were exposed to cold and immobility stress for 4 hours at 4degrees celsius. RESULTS: The levels of mucus and phospholipids were decreased in the rats applied ovariectomy and stress as compared to the control groups (p<0.001). The increase determined the mucus and phospholipids levels in estrogen and progesterone administered rats as compared to stress applied group (p<0.001). While the cold and immobility stress causes important damages in gastric mucosa, estrogen and progesterone administrations has protective effects in ovariectomized rats. CONCLUSION: The estrogen and progesterone administration prevents the stress that caused decrease in the levels of mucus and phospholipids, thus females are more resistant to gastric ulcer rather than males due to their sex hormones.
