DEVELOPMENT RESEARCH OF IN VIVO KINEMATICS IN LUMBAR DEGENERATIVE SPONDYLOLISTHESIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

XUHongda ^1,2 ,  XIAQun ² , MIAOJun ²

1. Graduate School of Tianjin Medical University, Tianjin, 300070, P. R. China;
2. Department of Spinal Surgery, Tianjin Hospital;

Corresponding author：

XIAQun, Email: xiaqun6@163.com

Keywords：

Lumbar vertebra; Degenerative spondylolisthesis; In vivo kinematics

DOI：

10.7507/1002-1892.20140336

Video：

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Objective To review the researches of in vivo kinematics in lumbar degenerative spondylol isthesis (DS). Methods Related literature concerning the in vivo kinematics in patients with lumbar DS was extensively reviewed and comprehensively analyzed in 4 terms of the instabil ity of lumbar DS, vertebral motion pattern, the morphological changes of spinal canal, and intraoperative biomechanical measurement. Results Whether there is lumbar segmental instabil ity in lumbar DS patients is still controversial, which should be based on degenerative stage of lumbar spine and grade of slip. The hypomobility of the lumbar spinous processes and the facet joint is seen in DS. The diameter, cross-sectional area, and volume of spinal canal in lumbar DS patients are significantly smaller than those of the normal control. Because of its invasive procedure and medical ethics, the use of the intraoperative measurement device is limited. These reported researches of in vivo kinematics in DS are almost on the sagittal plane. However, few data have been reported on the 6-degree-of-freedom (6DOF) kinematics of the diseased levels under physiological loading conditions. Conclusion The 6DOF kinematics data can accurately reflect the segmental motion characteristics in lumbar DS patients, recent studies have been reported, further studies are still needed.

Citation： XUHongda, XIAQun, MIAOJun. DEVELOPMENT RESEARCH OF IN VIVO KINEMATICS IN LUMBAR DEGENERATIVE SPONDYLOLISTHESIS. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(12): 1555-1559. doi: 10.7507/1002-1892.20140336 Copy

1.	Sengupta DK, Herkowitz HN. Degenerative spondylolisthesis:review of current trends and controversies. Spine (Phila Pa 1976), 2005, 30(6 Suppl):S71-81.
2.	龚全, 孔清泉. 腰骶部椎体滑脱的生物力学认识和分型. 中国修复重建外科杂志, 2013, 27(9):1134-1137.
3.	Alfieri A, Gazzeri R, Prell J, et al. The current management of lumbar spondylolisthesis. J Neurosurg Sci, 2013, 57(2):103-113.
4.	Huang KY, Lin RM, Lee YL, et al. Factors affecting disabil ity and physical function in degenerative lumbar spondylolisthesis of L4-5:evaluation with axially loaded MRI. Eur Spine J, 2009, 18(12):1851-1857.
5.	McGregor AH, Cattermole HR, Hughes SP. Global spinal motion in subjects with lumbar spondylolysis and spondylol isthesis:does the grade or type of sl ip affect global spinal motion? Spine (Phila Pa 1976), 2001, 26(3):282-286.
6.	Lattig F, Fekete TF, Grob D, et al. Lumbar facet joint effusion in MRI:a sign of instabil ity in degenerative spondylolisthesis? Eur Spine J, 2012, 21(2):276-281.
7.	Luk KD, Chow DH, Holmes A. Vertical instabil ity in spondylolisthesis: a traction radiographic assessment technique and the princi ple of management. Spine (Phila Pa 1976), 2003, 28(8):819-827.
8.	Pieper CC, Groetz SF, Nadal J, et al. Radiographic evaluation of ventral instabil ity in lumbar spondylolisthesis:do we need extension radiographs in routine exams? Eur Spine J, 2014, 23(1):96-101.
9.	Pearcy M, Shepherd J. Is there instabil ity in spondylolisthesis? Spine (Phila Pa 1976), 1985, 10(2):175-177.
10.	Anderson DG, Limthongkul W, Sayadipour A, et al. A radiographic analysis of degenerative spondylolisthesis at the L4-5 level. J Neurosurg Spine, 2012, 16(2):130-134.
11.	McGregor AH, Anderton L, Gedroyc WM, et al. The use of interventional open MRI to assess the kinematics of the lumbar spine in patients with spondylolisthesis. Spine (Phila Pa 1976), 2002, 27(14): 1582-1586.
12.	Miao J, Wang S, Wan Z, et al. Motion characteristics of the vertebral segments with lumbar degenerative spondylol isthesis in elderly patients. Eur Spine J, 2013, 22(2):425-431.
13.	Kirkaldy-Willis WH, Farfan HF. Instabil ity of the lumbar spine. Clin Orthop Relat Res, 1982, (165):110-123.
14.	Takayanagi K, Takahashi K, Yamagata M, et al. Using cineradiography for continuous dynamic-motion analysis of the lumbar spine. Spine (Phila Pa 1976), 2001, 26(17):1858-1865.
15.	Okawa A, Shinomiya K, Komori H, et al. Dynamic motion study of the whole lumbar spine by videofluoroscopy. Spine (Phila Pa 1976), 1998, 23(16):1743-1749.
16.	Harada M, Abumi K, Ito M, et al. Cineradiographic motion analysis of normal lumbar spine during forward and backward flexion. Spine (Phila Pa 1976), 2000, 25(15):1932-1937.
17.	Kozanek M, Wang S, Passias PG, et al. Range of motion and orientation of the lumbar facet joints in vivo. Spine (Phila Pa 1976), 2009, 34(19):E689-696.
18.	Yao Q, Wang S, Shin JH, et al. Lumbar facet joint motion in patients with degenerative spondylolisthesis. J Spinal Disord Tech, 2013, 26(1): E19-27.
19.	Xia Q, Wang S, Passias PG, et al. In vivo range of motion of the lumbar spinous processes. Eur Spine J, 2009, 18(9):1355-1362.
20.	Yao Q, Wang S, Shin JH, et al. Motion characteristics of the lumbar spinous processes with degenerative disc disease and degenerative spondylolisthesis. Eur Spine J, 2013, 22(12):2702-2709.
21.	Kim YK, Lee JW, Kim HJ, et al. Diagnostic advancement of axial loaded lumbar spine MRI in patients with cl inically suspected central spinal canal stenosis. Spine (Phila Pa 1976), 2013, 38(21):E1342-1347.
22.	Kinder A, Filho FP, Ribeiro E, et al. Magnetic resonance imaging of the lumbar spine with axial loading:a review of 120 cases. Eur J Radiol, 2012, 81(4):e561-564.
23.	Wang YC, Jeng CM, Wu CY, et al. Dynamic effects of axial loading on the lumbar spine during magnetic resonance imaging in patients with suspected spinal stenosis. J Formos Med Assoc, 2008, 107(4):334-339.
24.	Ozawa H, Kanno H, Koizumi Y, et al. Dynamic changes in the duralsac cross-sectional area on axial loaded MR imaging:is there a difference between degenerative spondylolisthesis and spinal stenosis? AJNR Am J Neuroradiol, 2012, 33(6):1191-1197.
25.	Kanno H, Endo T, Ozawa H, et al. Axial loading during magnetic resonance imaging in patients with lumbar spinal canal stenosis:does it reproduce the positional change of the dural sac detected by upright myelography? Spine (Phila Pa 1976), 2012, 37(16):E985-992.
26.	Schnake KJ, Schaeren S, Jeanneret B. Dynamic stabil ization in addition to decompression for lumbar spinal stenosis with degenerative spondylolisthesis. Spine (Phila Pa 1976), 2006, 31(4):442-449.
27.	Tarantino U, Fanucci E, Iundusi R, et al. Lumbar spine MRI in upright position for diagnosing acute and chronic low back pain:statistical analysis of morphological changes. J Orthop Traumatol, 2013, 14(1): 15-22.
28.	Miao J, Wang S, Park WM, et al. Segmental spinal canal volume in patients with degenerative spondylolisthesis. Spine J, 2013, 13(6):706-712.
29.	Hasegewa K, Kitahara K, Hara T, et al. Biomechanical evaluation of segmental instabil ity in degenerative lumbar spondylol isthesis. Eur Spine J, 2009, 18(4):465-470.
30.	Hasegawa K, Shimoda H, Kitahara K, et al. What are the rel iable radiological indicators of lumbar segmental instabil ity? J Bone Joint Surg (Br), 2011, 93(5):650-657.
31.	Kasai Y, Inaba T, Kato T, et al. Clinical application of a handy intraoperative measurement device for lumbar segmental instabil ity. Int Orthop, 2010, 34(1):97-101.

1. Sengupta DK, Herkowitz HN. Degenerative spondylolisthesis:review of current trends and controversies. Spine (Phila Pa 1976), 2005, 30(6 Suppl):S71-81.
2. 龚全, 孔清泉. 腰骶部椎体滑脱的生物力学认识和分型. 中国修复重建外科杂志, 2013, 27(9):1134-1137.
3. Alfieri A, Gazzeri R, Prell J, et al. The current management of lumbar spondylolisthesis. J Neurosurg Sci, 2013, 57(2):103-113.
4. Huang KY, Lin RM, Lee YL, et al. Factors affecting disabil ity and physical function in degenerative lumbar spondylolisthesis of L4-5:evaluation with axially loaded MRI. Eur Spine J, 2009, 18(12):1851-1857.
5. McGregor AH, Cattermole HR, Hughes SP. Global spinal motion in subjects with lumbar spondylolysis and spondylol isthesis:does the grade or type of sl ip affect global spinal motion? Spine (Phila Pa 1976), 2001, 26(3):282-286.
6. Lattig F, Fekete TF, Grob D, et al. Lumbar facet joint effusion in MRI:a sign of instabil ity in degenerative spondylolisthesis? Eur Spine J, 2012, 21(2):276-281.
7. Luk KD, Chow DH, Holmes A. Vertical instabil ity in spondylolisthesis: a traction radiographic assessment technique and the princi ple of management. Spine (Phila Pa 1976), 2003, 28(8):819-827.
8. Pieper CC, Groetz SF, Nadal J, et al. Radiographic evaluation of ventral instabil ity in lumbar spondylolisthesis:do we need extension radiographs in routine exams? Eur Spine J, 2014, 23(1):96-101.
9. Pearcy M, Shepherd J. Is there instabil ity in spondylolisthesis? Spine (Phila Pa 1976), 1985, 10(2):175-177.
10. Anderson DG, Limthongkul W, Sayadipour A, et al. A radiographic analysis of degenerative spondylolisthesis at the L4-5 level. J Neurosurg Spine, 2012, 16(2):130-134.
11. McGregor AH, Anderton L, Gedroyc WM, et al. The use of interventional open MRI to assess the kinematics of the lumbar spine in patients with spondylolisthesis. Spine (Phila Pa 1976), 2002, 27(14): 1582-1586.
12. Miao J, Wang S, Wan Z, et al. Motion characteristics of the vertebral segments with lumbar degenerative spondylol isthesis in elderly patients. Eur Spine J, 2013, 22(2):425-431.
13. Kirkaldy-Willis WH, Farfan HF. Instabil ity of the lumbar spine. Clin Orthop Relat Res, 1982, (165):110-123.
14. Takayanagi K, Takahashi K, Yamagata M, et al. Using cineradiography for continuous dynamic-motion analysis of the lumbar spine. Spine (Phila Pa 1976), 2001, 26(17):1858-1865.
15. Okawa A, Shinomiya K, Komori H, et al. Dynamic motion study of the whole lumbar spine by videofluoroscopy. Spine (Phila Pa 1976), 1998, 23(16):1743-1749.
16. Harada M, Abumi K, Ito M, et al. Cineradiographic motion analysis of normal lumbar spine during forward and backward flexion. Spine (Phila Pa 1976), 2000, 25(15):1932-1937.
17. Kozanek M, Wang S, Passias PG, et al. Range of motion and orientation of the lumbar facet joints in vivo. Spine (Phila Pa 1976), 2009, 34(19):E689-696.
18. Yao Q, Wang S, Shin JH, et al. Lumbar facet joint motion in patients with degenerative spondylolisthesis. J Spinal Disord Tech, 2013, 26(1): E19-27.
19. Xia Q, Wang S, Passias PG, et al. In vivo range of motion of the lumbar spinous processes. Eur Spine J, 2009, 18(9):1355-1362.
20. Yao Q, Wang S, Shin JH, et al. Motion characteristics of the lumbar spinous processes with degenerative disc disease and degenerative spondylolisthesis. Eur Spine J, 2013, 22(12):2702-2709.
21. Kim YK, Lee JW, Kim HJ, et al. Diagnostic advancement of axial loaded lumbar spine MRI in patients with cl inically suspected central spinal canal stenosis. Spine (Phila Pa 1976), 2013, 38(21):E1342-1347.
22. Kinder A, Filho FP, Ribeiro E, et al. Magnetic resonance imaging of the lumbar spine with axial loading:a review of 120 cases. Eur J Radiol, 2012, 81(4):e561-564.
23. Wang YC, Jeng CM, Wu CY, et al. Dynamic effects of axial loading on the lumbar spine during magnetic resonance imaging in patients with suspected spinal stenosis. J Formos Med Assoc, 2008, 107(4):334-339.
24. Ozawa H, Kanno H, Koizumi Y, et al. Dynamic changes in the duralsac cross-sectional area on axial loaded MR imaging:is there a difference between degenerative spondylolisthesis and spinal stenosis? AJNR Am J Neuroradiol, 2012, 33(6):1191-1197.
25. Kanno H, Endo T, Ozawa H, et al. Axial loading during magnetic resonance imaging in patients with lumbar spinal canal stenosis:does it reproduce the positional change of the dural sac detected by upright myelography? Spine (Phila Pa 1976), 2012, 37(16):E985-992.
26. Schnake KJ, Schaeren S, Jeanneret B. Dynamic stabil ization in addition to decompression for lumbar spinal stenosis with degenerative spondylolisthesis. Spine (Phila Pa 1976), 2006, 31(4):442-449.
27. Tarantino U, Fanucci E, Iundusi R, et al. Lumbar spine MRI in upright position for diagnosing acute and chronic low back pain:statistical analysis of morphological changes. J Orthop Traumatol, 2013, 14(1): 15-22.
28. Miao J, Wang S, Park WM, et al. Segmental spinal canal volume in patients with degenerative spondylolisthesis. Spine J, 2013, 13(6):706-712.
29. Hasegewa K, Kitahara K, Hara T, et al. Biomechanical evaluation of segmental instabil ity in degenerative lumbar spondylol isthesis. Eur Spine J, 2009, 18(4):465-470.
30. Hasegawa K, Shimoda H, Kitahara K, et al. What are the rel iable radiological indicators of lumbar segmental instabil ity? J Bone Joint Surg (Br), 2011, 93(5):650-657.
31. Kasai Y, Inaba T, Kato T, et al. Clinical application of a handy intraoperative measurement device for lumbar segmental instabil ity. Int Orthop, 2010, 34(1):97-101.

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