Facet Joints of the Spine: Structure-Function Relationships, Problems and Treatments, and the Potential for Regeneration

Annual Review of Biomedical Engineering
Siobhan A O'LearyKyriacos A Athanasiou

Abstract

The zygapophysial joint, a diarthrodial joint commonly referred to as the facet joint, plays a pivotal role in back pain, a condition that has been a leading cause of global disability since 1990. Along with the intervertebral disc, the facet joint supports spinal motion and aids in spinal stability. Highly susceptible to early development of osteoarthritis, the facet is responsible for a significant amount of pain in the low-back, mid-back, and neck regions. Current noninvasive treatments cannot offer long-term pain relief, while invasive treatments can relieve pain but fail to preserve joint functionality. This review presents an overview of the facet in terms of its anatomy, functional properties, problems, and current management strategies. Furthermore, this review introduces the potential for regeneration of the facet and particular engineering strategies that could be employed as a long-term treatment.

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Citations

Apr 24, 2020·Journal of Orthopaedics·G AlmeerR Botchu
Jan 23, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Julia E C AnayaAndré Y Aihara
Aug 2, 2021·Clinical Imaging·Robert M Kwee, Thomas C Kwee
Nov 6, 2021·ACS Nano·Lei LiuYang Li

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