Accurate determination of vertebral endplate surface area and diameters plays an important role in surgical procedures, spinal implant design and sizing. The objective of this study was to contribute with baseline information on the endplate geometrical parameters using subject-based 3D whole-spine computed tomography (CT) models based on myelogram CT images taken of 49 patients with spinal disorders. Superior and inferior bony endplate mesh-models were created from said 3D CT models and endplate geometrical parameters including total polygon-mesh areas, projected areas and antero posterior and transverse diameters of each endplate were measured. The position of each endplate was determined by the cumulative distance along the spinal column with respect to C2. Endplate area and diameters were analyzed by gender, spinal level, age and correlation with spinal position. Males had larger endplates than females at all levels (p < 0.05) but S1. While endplate areas and transverse diameters increased with age at C3-L5 in females, these increases were not consistent through the whole-spine and even decreases with age were found at T1-T3 in males. There was a strong linear correlation between endplate area and spinal position in males and females with correlation coefficient values of r ¼ 0.938 and r ¼ 0.911, respectively. However, multiple comparisons of the geometrical parameters through the whole-spine revealed localized reduction of the anteroposterior or transverse diameters at T4 and L5-S1 levels. These regional and agerelated changes in endplate dimensions should be taken into account for safe interventional treatments at these sites. Keywords: endplate; surface area; endplate dimension, spine; computed tomography; three-dimensional measurement Accurate knowledge of vertebral endplate morphology is important to better understand its structurefunction relationships, 1-4 with respect to its influence and role in intervertebral disc degeneration, and to design proper surgical procedures, tissue-engineered disc replacement constructs and spinal implants. 5,6 Measurement of the endplate surface area provides essential information to be used for estimation of stress and pressure in intervertebral discs, estimation of disc volume and adequate sizing of spinal implants. To date, these endplate morphological parameters have been gathered mainly by means of planar methods. [6][7][8][9][10][11][12][13] Since the endplate actually has complex three-dimensional (3D) geometry, questions arise about whether appropriate 3D endplate surface models are necessary for accurate measurements of any morphological parameter, including the surface area. Information on the endplate surface area spanning the entire human spine is limited in the literature. To the best of the authors' knowledge, currently there is no in vivo study providing results of 3D-based endplate surface area measurements.Continuous increases in endplate dimensions along the spine have been reported in the literature. 6,7,14,15 We hypothesize that the endplat...