颈椎关节突关节矢状位角的不对称性和关节突关节退变关系的影像学研究

doi:10.13418/j.issn.1001-165x.2021.05.007

Chinese Journal of Clinical Anatomy ›› 2021, Vol. 39 ›› Issue (5): 535-538.doi: 10.13418/j.issn.1001-165x.2021.05.007

Previous Articles Next Articles

Imaging study on the relationship between sagittal angle asymmetry of cervical facet joint and cervical facet joint degeneration

Xu Cong¹, Xu Qingping², Ai Wen³, Jiang Kaiyan⁴, Yuan Jia⁴, Wu Binghua⁵, Yin Shengjiang⁶, Bi Zhenyu⁷, Jiao Peifeng⁸

1. Department of Neurosurgery, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China; 2.Department of Orthopedics, the Third Affiliated Hospital of Nanchang University, Nanchang 330003, China; 3. Nanchang Medical College, Nanchang 330036, China; 4. The Fourth Clinical Medical College of Nanchang University, Nanchang 330003, China; 5. Department of Orthopaedics, the Fourth Affiliated Hospital of Nanchang University, Nanchang 330003, China; 6. Department of Radiology, the Fourth Affiliated Hospital of Nanchang University, Nanchang 330003, China; 7. Department of Anatomy, Southern Medical University, Guangzhou 510515, China; 8. Department of Anatomy, Jinan University, Guangzhou 510632, China

Received:2020-03-31 Online:2021-09-25 Published:2021-09-29

Abstract

Abstract: Objective To investigate the relationship between sagittal angle asymmetry of cervical facet joint and the degeneration of cervical facet joint. Methods The sagittal facet angle and the degeneration degree of 160 facet joint at C3/4-C6/7 segments on the axial CT of 20 fresh cervical cadaver specimens were evaluated blindly and statistically analyzed by 3 reviewers using the 4-degree evaluation method. Results There was no significant difference in sagittal asymmetrical angles of the facet joint between different segments (F= 0.55,P=0.65), and there was also no significant difference in the degeneration of cervical facet joint (left: Z=3, P=0.646; right: Z=3, P=0.376) between different segments, but there were significant differences between the sagittal angle asymmetry of cervical facet joint and the degeneration of cervical facet joint at C3/4 and C4/5 segments of 20 fresh cervical cadaver specimens（C3/4:Z=8.567, P=0.014,C4/5; Z=2.000, P=0.025）. Conclusion The sagittal angle asymmetry of cervical facet joint may be related to the degeneration of the facet joint.

Key words: Sagittal angle asymmetry of cervical facet joint; , Facet joint degeneration; , CT; , Cervical cadaver specimen

CLC Number:

Xu Cong, Xu Qingping, Ai Wen, Jiang Kaiyan, Yuan Jia, Wu Binghua, Yin Shengjiang, Bi Zhenyu, Jiao Peifeng. Imaging study on the relationship between sagittal angle asymmetry of cervical facet joint and cervical facet joint degeneration[J]. Chinese Journal of Clinical Anatomy, 2021, 39(5): 535-538.

References 16

[1]	王怀云, 何海龙, 李华, 等. 颈椎关节突关节面倾角测量特点及临床意义. 脊柱外科杂志, 2011, 9(6): 357-359. DOI: 10.3969/j.issn.1672-2957.2011.06.010.
[2]	Brailsford JF. Deformities of the lumbosacral region of the spine[J]. Br J Surg, 1928, 16: 526-627.
[3]	Noren R, Trafimow J, Andersson GB, et al. The role of facet joint tropism and facet angle in disc degeneration[J]. Spine, 1991, 16(5): 530-532. DOI: 10.1097/00007632-199105000-00008.
[4]	Berlemann U, Jeszenszky DJ, Bühler DW, et al. Facet joint remodeling in degenerative spondylolosthesis: an investigation of joint orientation and tropism[J]. Eur Spine J, 1998, 7(5): 376-380. DOI: 10.1007/s005860050093.
[5]	Boden SD, Riew KD, Yamaguchi K, et al. Orientation of the lumbar facet joints:association with degenerative disc disease[J]. J Bone Joint Surg Am, 1996, 78(3): 403-411. DOI: 10.2106/00004623-199603000-00012.
[6]	Pathria M, Sartoris DJ, Resnick D. Osteoarthritis of the facet joints: accuracy of oblique radiographic assessment[J]. Radiology, 1987, 164(1): 227-230. DOI: 10.1148/radiology.164.1.3588910.
[7]	Kim HJ, Chun HJ, Lee HM, et al. The biomechanical influence of the facet joint orientation and the facet tropism in the lumbar spine[J]. Spine J, 2013, 13(10): 1301-1308. DOI: 10.1016/j.spinee.2013.06.025.
[8]	Poureisa M, Behzadmehr R, Daghighi MH, et al. Orientation of the facet joints in degenerative rotatory lumbar scoliosis: an MR study on 52 patients[J]. Acta Neurochirurgica (Wien), 2016, 158(3): 473-479. DOI: 10.1007/s00701-015-2690-3.
[9]	徐聪, 于雪峰, 廖琦, 等. MRI和CT在测评退行性颈椎滑脱关节突关节矢状位不对称角中可靠性的比较[J]. 中国临床解剖学杂志, 2016, 34(1): 63-67. DOI：10.13418/j.issn.1001-165x.2016.01.017.
[10]	Fujiwara A, Tamai K, An HS, et al. Orientation and osteoarthritis of the lumbar facet joint[J]. Clin Orthop Relat Res, 2001, 385: 88-94. DOI: 10.1097/00003086-200104000-00015.
[11]	Cyron BM, Hutton WC. Articular tropism and stabilityof the lumbar spine[J]. Spine, 1980, 5(2): 168-172. DOI: 10.1097/00007632-198003000-00011.
[12]	张继业, 朱青安, 姜欢畅, 等. 腰椎小关节不对称与小关节退变程度的关系及临床意义[J]. 中国临床解剖学杂志, 2010, 28(6): 629-633. DOI: 10.13418/j.issn.1001-165x.2010.06.030.
[13]	Karacan I, Aydin T, Sahin Z, et al. Facet angles in lumbar disc herniation: their relation to anthropometric features[J]. Spine (Phila Pa 1976), 2004, 29(10): 1132-1136. DOI: 10.1097/00007632-200405150-00016.
[14]	Ishihara H, Matsui H, Osada R, et al. Facet joint asymmetry as a radiologic feature of lumbar intervertebral disc hernia tion in children and adolescents[J]. Spine (Phila Pa 1976), 1997, 22(17): 2001-2004. DOI: 10.1097/00007632-199709010-00012.
[15]	Wang H, Zhou Y. Facet tropism: possible role in the pathology of lumbar disc herniation in adolescents[J]. J Neurosurg Pediatr, 2016, 18(1): 111-115. DOI: 10.3171/2015.7.PEDS15175.
[16]	Grogan J, Nowicki BH, Schmidt TA, et al. Lumbar facet joint tropism does not accelerate degeneration of the facet joints[J]. AJNR Am J Neuroradiol, 1997, 18(7): 1325-1329.

Imaging study on the relationship between sagittal angle asymmetry of cervical facet joint and cervical facet joint degeneration

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References 16

Related Articles 1

Metrics

Comments

Recommended 0