LUMBAR FACET JOINT ASYMMETRY - INTERVERTEBRAL-DISK HERNIATION

被引:48
作者
CASSIDY, JD [1 ]
LOBACK, D [1 ]
YONGHING, K [1 ]
TCHANG, S [1 ]
机构
[1] UNIV SASKATCHEWAN,ROYAL HOSP,DEPT ORTHOPAED,SASKATOON S7N 0X0,SASKATCHEWAN,CANADA
关键词
LUMBAR DISK HERNIATION; FACET JOINT; ASYMMETRY;
D O I
10.1097/00007632-199205000-00016
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A study of 136 patients with lumbar intervertebral disc herniation was undertaken to test the hypothesis that asymmetry of the facet joints is associated with the level, type, and side of herniation. Fifty cases of central herniation and 86 cases of lateral herniation, all at the L4-5 or L5-S1 levels, were studied by computed tomographic scans. Adjacent (nonherniated) levels were used as controls. The facet joint angles were measured at the L4-5 and L5-S1 levels of the control, central, and lateral herniated levels. The results showed a similar degree of facet joint asymmetry at all levels. In cases of lateral herniation, there was a significant difference in the facet angle between the herniated and nonherniated side at the L5-S1 level, but not the L4-5 level. The mean difference, however, was less than 3-degrees and not considered to be clinically relevant. There was no difference in the distribution of the more coronally or sagittally facing facet joints with respect to the side of lateral herniation. These results do not support the hypothesis that facet asymmetry is associated with lumbar intervertebral disc herniation.
引用
收藏
页码:570 / 574
页数:5
相关论文
共 11 条
[1]  
Adams M.A., Hutton W.C., The relevance of torsion to the mechanical derangement of the lumbar spine, Spine, 6, pp. 241-248, (1981)
[2]  
Adams M.A., Hutton W.C., The mechanical function of the lumbar apophyseal joints, Spine, 8, pp. 327-330, (1983)
[3]  
Ahmed A.M., Duncan N.A., Burke D.L., The effect of facet geometry on the axial torque-rotation response on lumbar motion segments, Spine, 15, pp. 391-401, (1990)
[4]  
Farfan H.F., The torsional injury of the lumbar spine, Spine, 9, (1984)
[5]  
Farfan H.F., Cossette J.W., Robertson G.H., Wells R.V., Kraus H., The effect of torsion on the lumbar intervertebral joints: The role of torsion in the production of disc degeneration, J Bone Joint Surg, 52A, pp. 468-497, (1970)
[6]  
Farfan H.F., Sullivan J.D., The relation of facet orientation to intervertebral disc failure, Can J Surg, 10, pp. 179-185, (1967)
[7]  
Fullenlove T.M., Williams A.J., Comparative roentgen findings in symptomatic and asymptomatic backs, Radiology, 68, pp. 572-574, (1957)
[8]  
Hagg O., Wallner A., Facet joint asymmetry and protrusion of the intervertebral disc, Spine, 15, pp. 356-359, (1990)
[9]  
La Rocca H., Macnab I., Value of pre-employment radio-graphic assessment of the lumbar spine, Industr Med Surg, 39, pp. 253-258, (1970)
[10]  
Pearcy M.J., Tibrewal S.B., Axial rotation and lateral bending in the normal lumbar spine measured by three-dimensional radiography, Spine, 6, pp. 582-587, (1984)