Type of Article:  Original Research

Volume 5; Issue 2.2 (May 2017)

Page No.: 3791-3795

DOI: https://dx.doi.org/10.16965/ijar.2017.180


Sudarshan Gupta *1, Zarna Patel 2, Rupal S. Gautam 3.

*1 Associate Professor, Department of Anatomy, GMERS Medical College, Gandhinagar, Gujarat, India.

2 Assistant Professor, Department of Anatomy, GMERS Medical College, Gandhinagar, Gujarat, India.

3 Associate Professor, Department of Anatomy, B.J. Medical College, Ahmedabad, Gujarat, India.

Corresponding Address: Dr. Sudarshan Gupta, Associate Professor, Department of Anatomy, GMERS Medical College, Gandhinagar, Gujarat, India. Contact No.: 08980038090 / 09426372356 E-Mail: drsudarshangupta@yahoo.com


Introduction: The cervical vertebra has a characteristic feature that is presence of foramen in transverse process. Out of seven cervical vertebrae third, fourth, fifth and sixth typical cervical vertebrae and first, second and seventh atypical cervical vertebrae. In all except the seventh cervical vertebra, the foramen transversarium normally transmits the vertebral artery and vein and a branch from the cervicothoracic ganglion. Variation in foramina transversarium had been observed by various researchers in the form of its number (Accessory foramina transversarium /AcFT), size and shape.

Materials and Methods: In this study total 248 cervical vertebrae were observed macroscopically for the presence of AcFT. Out of 248 cervical vertebrae 139 typical and 109 atypical (37 – C1, 37 – C2 and 35 were C7).

Results: Accessory foramina transversarium observed in 49(19.76%) cervical vertebrae

( 21bilateral and 28 unilateral AcFT).

Conclusion: Knowledge of variation in foramina transversarium is clinically important for neurosurgeons , radiologist for interpretation of CT Scan and MRI.

Key Words: Cervical Vertebrae, Foramina Transversarium, Accessory Foramina Transversarium, Vertebral Artery, Vertebral Vein.


  1. Richard L Darke, A. Wayne Vogl, Adam W. M. Mitchell; Gray’s Anatomy for students, 3rd Edition, page No. 64-69.
  2. Susan, Standring; Gray’s Anatomy, The Anatomical basis of clinical Practice; 40th Edition;
  3. Datta A K; Essentials of Human embryology; Edition 5th ; Current book international;p-291.
  4. Laxami Chandra Vaidya, Shailesh Patel, Jatin Goda. Double foramen transversariumin cervical vertebra morphology and clinical importance. Int.J Res Med.2013;2(1):103-105. ISSN-2320-274
  5. An HS, Gordin R, Renner K: Anatomic considerations for plate screw fixation of the cervical spine. Spine 1991;16:548-551.
  6. Gujar SM, Oza SG, Shekhawat JP. A Study Of Accessory Foramen Transversarium In Dry Cervical Vertebrae And Its Clinical Implications. National Journal of Integrated Research in Medicine. 2015 Nov 1;6(6):27-3.
  7. Murlimanju BV, Prabhu LV, Shilpa K et al. Accessory transverse foramina in the cervical spine: incidence, embryological basis, morphology and surgical importance. Turk Neurosurg. 2011;21(3):384-7.
  8. Chaudhari ML, Maheria PB, Bachuwar SP. Double foramen transversarium in cervical vertebra. morphology and clinical importance. Indian J Basic Appl Med Res. 2013;8(2):1084-8.
  9. Das S, Suri R, Kapur V. Double foramen transversaria: an osteological study with clinical implications. Int Med J. 2005;12:311-3.
  10. Taitz C, Nathan H, Arensburg B. Anatomical observations of the foramina transversaria. J Neurol Neurosurg Psychiatry 1978;41:170-176.
  11. Sharma A, Singh K, Gupta V et al. Double foramen transversarium in cervical vertebra an osteological study. J Anat Soc India. 2010;59(2):229-31.
  12. Kaya S, Yilmaz ND, Pusat S et al. Double foramen transversarium variation in ancient byzantine cervical vertebrae: preliminary report of an anthropological study. Turk Neurosurg. 2011;21:534-8.
  13. Rathnakar P, Remya K, Swathi B. Study of accessory foramen transversaria in cervical vertebrae. Nitte Univ J Health Sci (NUJHS). 2013;3(4):97-9.
  14. Shital T. Shah, Kiran Arora, Kanan P. Shah. Study of Accessory Foramen Transversarium in Cervical Vertebrae. GCSMC J Med Sci. 2014;3(2).
  15. Patra A, Kaur H, Chhabra U et al. Double foramen transversarium in dried cervical vertebra: An osteological study with its clinical implications. Indian J Oral Sci. 2015;6:7-9.
  16. Akhtar MJ, Madhukar PK, Rahman S et al. A morphometric study of foramen transversarium of dried cervical vertebrae. Int J Res Med Sci. 2015;3:912-6.
  17. Patil NP, Dhapate SS, Porwal S et al. The study of incidence of accessory foramen transversaria in the cervical vertebra. J Dent Med Sci. 2014;13(7):85-7.
  18. Mishra GP, Kumari S, Bhatnagar S, Singh B. Sixth cervical vertebra with bilateral double foramen transversarium and non-bifid spine: a rare case. Int J Res Med Sci. 2015;3(1):352-3.
  19. Rekha B.S., Dhanlaxmi D. Naginhal; Variations in foramen transversarium of atlas vertebra: An osteological study in South Indians; International Journal of Research in Health Sciences. 2014;2(1).224-228.
  20. Satti S.R., C.A. Cerniglia, R.A. Koenigsberg; Cervical vertebral artery variations: an anatomic study; Am J Neuroradiol 2007;28:976-80.
  21. El Shaarawy EAA, Sabry SM, El Gammaroy T, Nasr LE. Morphology and morphometry of the foramina transversaria of cervical vertebrae: A correlation with the position of the vertebral artery. Aini Medical Journal. 2010.
  22. Epstein B.S. The spine A radiological of text and atlas third edition. 1969;24-25.
  23. Sinnatamby Chummy S.; Last’s anatomy regional and applied. 2006;11:447-448.

Cite this article: Sudarshan Gupta, Zarna Patel, Rupal S. Gautam. MORPHOLOGICAL STUDY OF ACCESSORY FORAMEN TRANSVERSARIUM IN DRIED CERVICAL VERTEBRAE IN HUMAN BEING. Int J Anat Res 2017;5(2.2):3791-3795. DOI: 10.16965/ijar.2017.180