Anatomical Variations of The Fifth Lumbar Artery in A Sample Kenyan Population

Abstract

Background: The fifth lumbar arteries have a more variable presence and origin as compared to the first four arteries. Its anatomical variations may influence lower spine surgical and vascular interventions. Aim: Our objective was to determine the variations of the fifth lumbar artery in a cadaveric and contrast computed tomography (CT) study. Materials and methods: This descriptive cross-sectional study combined data from 90 cadaveric and 120 post-contrast abdomino-pelvic computed tomography (CT) from Human Anatomy Department, University–of-Nairobi and Radiology Department, Kenyatta-National-Hospital.Cadavers were dissected to expose the arteries. Their prevalence, patterns and position of origin on the 5th vertebral bodies were determined. Data were analyzed using SPSS. Results: The artery was present in 26.7% of the cadaveric group, and 16.7% of the CT group. It was only noted in males in both the cadaveric and CT groups. It originated bilaterally as a common stem in 50% and as paired single branches in 50%. It originated at a mean distance of 9.03mm ± 7.23mm from the top of the L5 vertebra, maintaining a consistent relation to the upper third (90%) and the middle third (10%) of the body. Conclusions: The arteries were only noted in males and portrayed population specific variations.

Keywords

• fifth lumbar artery
• lower back pain
• endovascular surgery
• aortography