Abstract
Background
This study aimed to characterize the anatomical relationship between the spine, the
celiac artery (CA), and the median arcuate ligament using preoperative contrast-enhanced
computed tomography (CT) images of patients with spinal deformity who underwent surgical
correction.
Methods
This retrospective study included 81 consecutive patients (34 males, 47 females; average
age: 70.2 years). The spinal level at which the CA originated, the diameter, extent
of stenosis, and calcification were determined using CT sagittal images. Patients
were divided into two groups: CA stenosis group and non-stenosis group. Factors associated
with stenosis were examined.
Results
CA stenosis was observed in 17 (21%) patients. CA stenosis group had significantly
higher body mass index (24.9 ± 3.9 vs. 22.7 ± 3.7, p = 0.03). In the CA stenosis group,
J-type CA (upward angling of the course by more than 90° immediately after descending)
was more frequently observed (64.7% vs. 18.8%, p < 0.001). The CA stenosis group had
lower pelvic tilt (18.6 ± 6.7 vs. 25.1 ± 9.9, p = 0.02) than non-stenosis group.
Conclusions
High BMI, J-type, and shorter distance between CA and MAL were risk factors for CA
stenosis in this study. Patients with high BMI undergoing fixation of multiple intervertebral
corrective fusions at the thoracolumbar junction should undergo preoperative CT evaluation
of the anatomy of CA to assess the poteitial risk of celiac artery compression syndrome.
Keywords
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Article info
Publication history
Published online: March 11, 2023
Accepted:
February 20,
2023
Received in revised form:
January 13,
2023
Received:
August 2,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.
