The size and shape of the foramen magnum in man

Matthew J Zdilla, Michelle L Russell, Kaitlyn N Bliss, Kelsey R Mangus, Aaron W Koons

Journal of Craniovertebral Junction and Spine 2017 8(3):205-221

Background: The foramen magnum (FM) has garnered broad interest across the disciplines of anthropology, comparative anatomy, evolutionary biology, and clinical sciences. Most studies regarding the structure of the FM in humans have been intrapopulation morphometric studies rather than interpopulation morphologic studies. The few studies assessing the morphology of the foramen have utilized ambiguous and subjective descriptors to describe foraminal shape and are, consequently, difficult to reproduce. Therefore, detailed study of FM shape among craniofacially and geographically diverse populations through reproducible methods is warranted. Objectives: The aim of this study was to assess intersex and interpopulation differences in FM size and shape among diverse populations. Materials and Methods: The study analyzed 152 FMs of varied sex and race via traditional and geometric morphometric methods. Results and Conclusions: The study demonstrates that, within each distinct population, the size of the FM is significantly larger in males than in females; however, there are no significant differences in the shapes of the foramina between sexes. However, when comparing different populations to one another, there are significant differences with regard to both the size and shape of the FM. This study also presents a new model of FM ontogeny. Specifically, the growth occurring between the anterior and posterior foraminal boundaries before 5 years of age predicts the ultimate shape of the adult FM.

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