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Suitability of foramen magnum measurements in sex determination and their clinical significance.

Suitability of foramen magnum measurements in sex determination and their clinical significance.
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Metin Tellioglu A, Durum Y, Gok M, Karakas S, Polat AG, Karaman CZ,


Metin Tellioglu A, Durum Y, Gok M, Karakas S, Polat AG, Karaman CZ, (click to view)

Metin Tellioglu A, Durum Y, Gok M, Karakas S, Polat AG, Karaman CZ,

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Folia morphologica 2017 08 23() doi 10.5603/FM.a2017.0070
Abstract
BACKGROUND
The foramen magnum provides a transition between fossa cranii posterior and canalis vertebralis. Medulla oblongata, arteria vertebralis and nervus accessorius spinal part pass through the foramen magnum. In this study, we aimed to make the morphometric measurements of the foramen magnum on CT and to determine the feasibility of sex determination based on these measurements. Besides sex determination, from a clinical aspect, it is important to know the measurements of the foramen magnum in the normal population in terms of diseases characterized by displacement of the posterior fossa structures through foramen magnum to upper cervical spinal canal like Chiari Malformations and Syringomyelia.

MATERIALS AND METHODS
All the data for our study was obtained retrospectively from 100 patients (50 males, 50 females) who had a CT scan of the head and neck region in Adnan Menderes University Hospital, Department of Radiology. To examine the foramen magnum in each and every occipital bone, we measured the foramen magnum’s anterior – posterior (AP) diamater, transverse (T) diamater, the area of the foramen magnum and its circumference.

RESULTS
We found that men have a higher average value than women in our study. According to Student’s t-test results; in all measured parameters, there is significant difference between the genders (p<0,05). When multivariate discriminant function test is performed for all four measurements, the discrimination rate is 64% for all women, 70% for all men and 67% for both genders. CONCLUSIONS
As a result of our study, the metric data we obtained will be useful in cases where the skeletons’ sex could not be determined by any other methods. We believe that, our study may be useful for other studies in determining of sex from foramen magnum. Our measurements could give some information of the normal ranges of the foramen magnum in normal population, so that this can contribute to the diagnosis process of some diseases by imaging.

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