The relationship between facet tropism and cervical disc herniation

被引：25

作者：

Huang, Xuecheng ^{[1
]}

Ye, Linqiang ^{[2
,3
]}

Liu, Xiang ^{[4
]}

Weng, Rui ^{[5
]}

Tan, Jinchuan ^{[1
]}

Xie, Pusheng ^{[1
]}

Yang, Yang ^{[1
,2
]}

Liang, Lichang ^{[6
]}

Huang, Wenhua ^{[1
,7
]}

Jiang, Xiaobing ^{[5
]}

机构：

[1] Southern Med Univ, Sch Basic Med Sci, Natl Key Discipline Human Anat, Guangzhou 510515, Guangdong, Peoples R China

[2] Guangdong Engn Res Ctr Translat Med 3D Printing A, Guangzhou, Peoples R China

[3] Dongguan Hosp Tradit Chinese Med, Dept Spinal Surg, Dongguan, Peoples R China

[4] Chancheng Dist Cent Hosp, Dept Spinal Surg, Foshan, Peoples R China

[5] Guangzhou Univ Chinese Med, Affiliated Hosp 1, Dept Spinal Surg, Guangzhou 510405, Guangdong, Peoples R China

[6] Guangzhou Univ Chinese Med, Shenzhen Hosp, Shenzhen, Peoples R China

[7] Guangdong Med Univ, Sch Basic Med Sci, Dept Human Anat, Dongguan, Peoples R China

来源：

JOURNAL OF ANATOMY | 2020年 / 236卷 / 05期

基金：

国家重点研发计划;

关键词：

cervical spine; computed tomography; disc herniation; facet tropism; sagittal orientation; ORIENTATION; PATHOLOGY; SPINE; JOINTS;

D O I：

10.1111/joa.13151

中图分类号：

R602 [外科病理学、解剖学]; R32 [人体形态学];

学科分类号：

100123 [人体微生态学]; 100210 [外科学];

摘要：

Many studies have demonstrated the association between facet tropism and disc herniation in the lumbar spine. Some of them found that lumbar disc herniation was on the side of the more sagittal facet joint interface. However, little is understood about the association of facet tropism with disc herniation in the cervical spine. As the relationship between the facet orientation and the side of cervical disc herniation (CDH) is unclear, the purpose of this study is to investigate that relationship. Ninety-six patients with single-level CDH (C4-C5, C5-C6 or C6-C7) were included in the CDH group of this study. Another 50 age-matched and gender-matched healthy participants who accepted physical examinations were enrolled as the control group. The cervical facet angles of two sides were measured using axial computed tomography (CT). The intersection angle of the midsagittal line of the vertebra to the facet line represents the facet angle. Facet tropism was defined as the angular difference of 7o between the left and the right sides. Facet tropism angle was recorded as the absolute value of the difference of facet angles between two sides. There were 20 herniations at C4-C5 level, 50 herniations at C5-C6 level and 26 herniations at C6-C7 level. The present study showed that more cases in the CDH group had facet tropism than did those in the control group at C4-C5, C5-C6 and C6-C7 level (p = .021, p = .001, p = .015, respectively). The facet tropism angles in the CDH group were significantly bigger than those in the control group at C4-C5, C5-C6 and C6-C7 level (p = .001, p = .002, p = .028, respectively). In the CDH group, the facet angles on the herniated side were found to be significantly bigger than those on the healthy side at C4-C5, C5-C6 and C6-C7 level (p = .000, p = .000, p = .037, respectively). The findings of this present study suggest that facet tropism is associated with the disc herniation in the cervical spine. We also found that cervical disc herniates towards the side of the bigger facet angle with respect to the sagittal plane. There is a need for future studies to verify the biomechanical impact of facet tropism on CDH.

引用

页码：916 / 922

页数：7

共 20 条

[1]

Association of facet tropism with lumbar disc herniation [J].