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Correlation between facet tropism and lumbar degenerative disease: a retrospective analysis
- Source :
- BMC Musculoskeletal Disorders, BMC Musculoskeletal Disorders, Vol 18, Iss 1, Pp 1-7 (2017)
- Publication Year :
- 2017
- Publisher :
- BioMed Central, 2017.
-
Abstract
- Background The aim of this study was to investigate the correlation between facet tropism and spinal degenerative diseases, such as degenerative lumbar spondylolisthesis, degenerative lumbar scoliosis, and lumbar disc herniation. Methods This study retrospectively analysed clinical data from the Department of Orthopaedics at The First Affiliated Hospital of Nanchang University. Ninety-two patients were diagnosed with lumbar spondylolisthesis, 64 patients with degenerative scoliosis, and 86 patients with lumbar disc herniation between 1 October 2014 and 1 October 2016. All patients were diagnosed using 3.0 T magnetic resonance imaging and underwent conservative or operative treatment. Facet tropism was defined as greater than a ten degree between the facet joint angles on both sides. Results For L3-L4 degenerative lumbar spondylolisthesis, one out of six cases had tropism compared to seven out of the 86 controls (p = 0.474). At the L4-L5 level, 17/50 cases had tropism compared to 4/42 cases in the control group (p = 0.013). At the L5-S1 level, 18/36 cases had tropism compared to 7/56 controls (p = 0.000). For degenerative lumbar scoliosis at the L1-L5 level, 83/256 cases had tropism as compared to 36/256 controls (p = 0.000). For L3-L4 lumbar disc herniation two out of eight cases had tropism compared to 14/78 controls (p = 0.625). At the L4-L5 level, 19/44 cases had tropism compared to four out of 42 controls (p = 0.001). At the L5-S1 level, 24/34 cases had tropism compared to 10/52 controls (p = 0.000). Conclusion At the L4–5 and L5-S1 levels, facet tropism is associated with degenerative spondylolisthesis. In the degenerative lumbar scoliosis group, the number of case with facet tropism was significantly higher than that of the control group. Facet tropism was associated with lumbar disc herniation at the L4–5 and L5-S1 levels. Overall, in these three lumbar degenerative diseases, facet tropism is a common phenomenon. Electronic supplementary material The online version of this article (10.1186/s12891-017-1849-x) contains supplementary material, which is available to authorized users.
- Subjects :
- musculoskeletal diseases
Male
medicine.medical_specialty
lcsh:Diseases of the musculoskeletal system
Scoliosis
Lumbar vertebrae
Intervertebral Disc Degeneration
Tropism
Zygapophyseal Joint
Facet joint
03 medical and health sciences
0302 clinical medicine
Lumbar
Degenerative disease
Rheumatology
medicine
Humans
Orthopedics and Sports Medicine
Degenerative lumbar scoliosis
Aged
Retrospective Studies
Lumbar Vertebrae
business.industry
Degenerative lumbar spondylolisthesis
Lumbar degeneration diseases
Middle Aged
medicine.disease
Spondylolisthesis
Surgery
medicine.anatomical_structure
Facet tropism
030220 oncology & carcinogenesis
Orthopedic surgery
Lumbar disc herniation
Female
lcsh:RC925-935
business
030217 neurology & neurosurgery
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 14712474
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- BMC Musculoskeletal Disorders
- Accession number :
- edsair.doi.dedup.....eaa589436a482df4f363ce54e4ac0972