Lumbar Facet Tropism: A Comprehensive Review

被引:24
作者
Alonso, Fernando [1 ]
Kirkpatrick, Christina M. [1 ]
Jeong, William [3 ]
Fisahn, Christian [1 ]
Usman, Sameera
Rustagi, Tarush [1 ,5 ]
Loukas, Marios [4 ]
Chapman, Jens R. [1 ]
Oskouian, Rod J. [1 ]
Tubbs, R. Shane [2 ]
机构
[1] Swedish Neurosci Inst, Seattle, WA 98122 USA
[2] Seattle Sci Fdn, Seattle, WA USA
[3] Univ Cincinnati, Mayfield Clin, Cincinnati, OH USA
[4] St Georges Univ, Dept Anat Sci, St Georges, Grenada
[5] Indian Spinal Injuries Ctr, Dept Spine Surg, New Delhi, India
关键词
Anatomy; Facet; Spine; Tropism; Variation; Vertebral column; DISC HERNIATION; ORIENTATION; JOINTS; SPINE;
D O I
10.1016/j.wneu.2017.02.114
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
BACKGROUND: Scattered reports exist in the medical literature regarding facet tropism. However, this finding has had mixed conclusions regarding its origin and impact on the normal spine. METHODS: We performed a literature review of the anatomy, embryology, biomechanics, and pathology related to lumbar facet tropism. RESULTS: Facet tropism is most commonly found at L4-L5 vertebral segments and there is some evidence that this condition may lead to facet degenerative spondylolisthesis, intervertebral disc disease, and other degenerative conditions. CONCLUSION: Long-term analyses of patients are necessary to elucidate relationships between associated findings and facet tropism. In addition, a universally agreed definition that is more precise should be developed for future investigative studies.
引用
收藏
页码:91 / 96
页数:6
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