The Impact of Patient-Specific Positions on the Relationship between Iliac Blood Vessels and Lumbar Intervertebral Discs: Anatomical Significance and Clinical Implications
Hakija Bečulić,
Emir Begagić,
Amina Džidić-Krivić,
Ragib Pugonja,
Belma Jaganjac,
Melica Imamović-Bošnjak,
Edin Selimović,
Amila Čeliković,
Rasim Skomorac,
Alma Efendić,
Fahrudin Alić,
Anes Mašović,
Selma Terzić-Salihbašić,
Lejla Tandir-Lihić,
Mirza Pojskić
Affiliations
Hakija Bečulić
Department of Neurosurgery, Cantonal Hospital Zenica, 72000 Zenica, Bosnia and Herzegovina
Emir Begagić
Department of General Medicine, School of Medicine, University of Zenica, 72000 Zenica, Bosnia and Herzegovina
Amina Džidić-Krivić
Department of Neurology, Cantonal Hospital Zenica, 72000 Zenica, Bosnia and Herzegovina
Ragib Pugonja
Department of Anatomy, School of Medicine, University of Zenica, 72000 Zenica, Bosnia and Herzegovina
Belma Jaganjac
Department of Emergency Medicine, Cantonal Hospital Zenica, 72000 Zenica, Bosnia and Herzegovina
Melica Imamović-Bošnjak
Department of Histology, School of Medicine, University of Zenica, Travnička 1, 72000 Zenica, Bosnia and Herzegovina
Edin Selimović
Primary Healthcare Center Zenica, 72000 Zenica, Bosnia and Herzegovina
Amila Čeliković
Department of General Medicine, School of Medicine, University of Zenica, 72000 Zenica, Bosnia and Herzegovina
Rasim Skomorac
Department of Neurosurgery, Cantonal Hospital Zenica, 72000 Zenica, Bosnia and Herzegovina
Alma Efendić
Department of Radiology, School of Medicine, University of Zenica, 72000 Zenica, Bosnia and Herzegovina
Fahrudin Alić
Department of Neurosurgery, Cantonal Hospital Zenica, 72000 Zenica, Bosnia and Herzegovina
Anes Mašović
Department of Neurosurgery, Cantonal Hospital Zenica, 72000 Zenica, Bosnia and Herzegovina
Selma Terzić-Salihbašić
Department of Emergency Medicine, Institute for Emergency Medical Assistance of Canton Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina
Lejla Tandir-Lihić
Department of Neurology, Cantonal Hospital Zenica, 72000 Zenica, Bosnia and Herzegovina
Mirza Pojskić
Department of Neurosurgery, University Hospital Marburg, 35033 Marburg, Germany
This study explores the anatomical relationship between iliac blood vessels and the lower lumbar spine during supine and prone patient positions. The average height of participants was 174.02 cm ± 9.01, while the average weight was 80.38 kg ± 13.48. Body mass index (BMI) analyses showed differences (p = 0.002), with 34.7% classified as normal weight, 53.1% as overweight, and 12.2% as moderately obese. The study examined the distances between iliac arteries and veins in relation to intervertebral anterior and posterior disc contours. Patient positioning significantly affected these measurements at both L4/L5 and L5/S1 levels. The findings highlight the critical influence of body position on anatomical relationships in the context of lower lumbar spine surgery. The study underscores the importance of preoperative awareness of vascular anatomy to prevent iatrogenic lesions during spine surgery, contributing valuable insights for optimizing surgical approaches and minimizing complications in spine surgery, particularly microdiscectomy.
