Facet joint remodeling in degenerative spondylolisthesis: An investigation of joint orientation and tropism

被引：93

作者：

Berlemann U. ^{[1
]}

Jeszenszky D.J. ^{[2
]}

Bühler D.W. ^{[3
]}

Harms J. ^{[2
]}

机构：

[1] Department of Orthopaedic Surgery, Inselspital, University of Bern, Freiburgstrasse

[2] Dept. of Orthoped. and Trauma Surg., Center for Spinal Surgery, Karlsbad-Langensteinbach

[3] M. E. Müller Inst. for Biomech., University of Bern

来源：

European Spine Journal | 1998年 / 7卷 / 5期

关键词：

Degeneration; Facet joint; Lumbar spine; Remodeling; Ventrolisthesis;

D O I：

10.1007/s005860050093

中图分类号：

学科分类号：

摘要：

This study analyzed transverse facet joint angulations at the three lower lumbar levels in 132 patients assigned to one of four groups. Group A comprised 23 patients with degenerative spondylolisthesis (DS) at the level L4-5, group B comprised 40 patients above the age of 50 years, group C comprised 38 patients aged between 35 and 50 years, and group D comprised 31 patients under the age of 35 years. Groups B, C, and D had no evidence of DS. Measurements were taken from hard copies of axial MR or CT images. The transverse plane of facet joints was more sagittally oriented in group A than in any other group. This difference was highly significant at the L4-5 level. The incidence of more sagittally oriented L4-5 facet joints was also significantly higher only in group A. The incidence of facet joint tropism, however, was not different in group A. These results support the view that the pronounced sagittal alignment of facet joints in patients with DS represents a secondary remodeling rather than a pre-existing morphology. Facet joint asymmetry does not seem to play a major role in the development of DS.

引用

页码：376 / 380

页数：4

共 27 条

[1]

Adams, M.A., Hutton, W.C., The effect of posture on the role of the apophysial joints in resisting intervertebral compressive forces (1980) J Bone Joint Surg [Br], 62, pp. 358-362

[2]

Adams, M.A., Hutton, W.C., The relevance of torsion to the mechanical derangement of the lumbar spine (1981) Spine, 6, pp. 241-248

[3]

Berlemann, U., Jeszenszky, D.J., Bühler, D.W., Harms, J., The role of lumbar lordosis, vertebral endplate inclincation, disc height, and facet orientation in degenerative spondylolisthesis (1998) J Spinal Disord, , in press

[4]

Boden, S.D., Riew, K.D., Yamaguchi, K., Branch, T.P., Schellinger, D., Wiesel, S.W., Orientation of the lumbar facet joints: Association with degenerative disc disease (1996) J Bone Joint Surg [Am], 78, pp. 403-411

[5]

Cassidy, J.D., Loback, D., Young-Hing, K., Tchang, S., Lumbar facet joint asymmetry (1992) Spine, 17, pp. 570-574

[6]

Cyron, B.M., Hutton, W.C., Articular tropism and stability of the lumbar spine (1980) Spine, 5, pp. 168-172

[7]

Dai, L., Jia, L., Role of facet asymmetry in lumbar spine disorders (1996) Acta Orthop Belg, 62, pp. 90-93

[8]

Farfan, H.F., Huberdeau, R.M., Dubow, H.I., Lumbar intervertabral disc degeneration: The influence of geometric features on the pattern of disc degeneration (1972) J Bone Joint Surg [Am], 54, pp. 492-510

[9]

Grobler, L.J., Robertson, P.A., Novotny, J.E., Pope, M.H., Etiology of spondylolisthesis - Assessment of the role played by lumbar facet joint morphology (1993) Spine, 18, pp. 80-91

[10]

Grobler, L.J., Robertson, P.A., Novotny, J.E., Ahern, J.W., Decompression for degenerative spondylolisthesis and spinal stenosis at L4-5 (1993) Spine, 18, pp. 1475-1482

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