The relationship between the lumbosacral enlargement and the conns medullaris during the period of fetal development and adulthood

Malas M., Seker M., Salbacak A., Buyukmumcu M., Karabulut A., Yardimci C.

SURGICAL AND RADIOLOGIC ANATOMY, vol.22, pp.163-168, 2000 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 22
  • Publication Date: 2000
  • Doi Number: 10.1007/s00276-000-0163-7
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.163-168
  • Keywords: lumbosacral enlargement, conus medullaris, spinal cord, development, CONUS MEDULLARIS, SPINAL-CORD, VERTEBRAL LEVEL, TERMINATION, CHILDHOOD, LOCATION
  • Bezmialem Vakıf University Affiliated: No


The spinal cord is situated within the vertebral canal by the third month of intrauterine life. The spinal cord possesses two symmetrical enlargements, which constitute the segments of the plexuses: the cervical enlargement for the brachial plexus and the lumbosacral enlargement for the lumbar and sacral plexus. In our study, we aimed to investigate the relationship between the termination level of the lumbosacral enlargement (TLLE) and that of the conus medullaris (TLCM) during the period of fetal development and adulthood. We used a total of 75 cases: 25 fetuses (male: 16, female: 9) whose crown-rump length ranged between 90-190 mm, 25 premature and full-term neonates (male: 17, female: 8) whose post-menstrual ages ranged between 33-55 weeks, and 25 adults (male: 12, female: 13) aged between 22-72 years. The dissection technique for fetuses, ultrasonography for premature and full-term newborns, and magnetic resonance imaging (MRI) for adults were used to determine lumbosacral enlargement and TLCM. The differences between the TLCM and the termination level of the largest part of the transverse diameter of the lumbosacral enlargement were investigated. The differences between the TLLE and TLCM were found in different ratios from the period of fetal development to adulthood. Therefore, during medical treatment and surgical procedures this should be taken into account to avoid complications.