Facet joint orientation difference between cephalad and caudad portions: a possible cause of degenerative spondylolisthesis

Spine
Tomoaki ToyoneYuichi Wada

Abstract

A case-control study. OBJECTIVE.: To measure the orientation of the facet joints at both cephalad and caudad portions and to compare them between patients with degenerative spondylolisthesis (DS) and patients with lumbar spinal stenosis (LSS, controls). Several radiologic studies have indicated a correlation between DS and an increased sagittal orientation of the facet joints. However, the orientation of the facet joints have only been measured on 1 axial cut of computed tomography scans and magnetic resonance imaging. Thirty-two patients with DS only at the L4-L5 level were assigned to group-1, and 28 patients with LSS without DS were assigned to group-2. Two computed tomography scans for the cephalad and caudad portions of the facet joint were made for L3-L4 and L4-L5 levels, respectively. Delta facet angle was defined as facet angle (cephalad)-facet angle (caudad). Facet angles of the cephalad portion were more sagittally oriented (P < 0.001) than those of the caudad portion in group-1. The mean facet angle of the cephalad portion was 72 degrees and that of the caudad portion was 57 degrees at L4-L5. The mean facet angle of the cephalad portion at L4-L5 was greater (P = 0.001) in group-1 (72 degrees ) than in group-2 (62 deg...Continue Reading

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Citations

Oct 1, 2013·Archives of Orthopaedic and Trauma Surgery·K WegmannR Sobottke
Dec 1, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Sébastien SchullerJean-Paul Steib
Aug 16, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jun MiaoGuoan Li
Jan 20, 2016·Acta neurochirurgica·Masoud PoureisaDaniel Fadaei Fouladi
Aug 22, 2015·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Yoshio EnyoMunehito Yoshida
Sep 17, 2013·The Spine Journal : Official Journal of the North American Spine Society·Ho-Joong KimJin S Yeom
Jun 1, 2012·PM & R : the Journal of Injury, Function, and Rehabilitation·Ben L Laplante, Michael J DePalma
Oct 28, 2014·Magnetic Resonance in Medical Sciences : MRMS : an Official Journal of Japan Society of Magnetic Resonance in Medicine·Hiroyuki TakashimaToshihiko Yamashita
Nov 8, 2015·Clinical Neurology and Neurosurgery·Genevieve EningChristopher Brenke
May 16, 2015·Journal of Neurosurgery. Spine·Andrea M SimmondsCharles G Fisher
Mar 31, 2015·The Spine Journal : Official Journal of the North American Spine Society·Ho-Joong KimJin S Yeom
Jun 6, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Hui LiuXiang Li
Jan 13, 2015·The Spine Journal : Official Journal of the North American Spine Society·J N Alastair GibsonJan Goffin
Jun 21, 2017·Clinical Spine Surgery : a Spine Publication·Feng ZhuYong Qiu
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Sep 16, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Robert D FraserKris Dalzell
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Jan 31, 2019·EFORT Open Reviews·Nick Evans, Michael McCarthy
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Jul 21, 2020·BioMed Research International·Janan AbbasKamal Hamoud
Jun 3, 2021·The Spine Journal : Official Journal of the North American Spine Society·Song KeZhonghai Li

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