Correlation study between sagittal lumbar facet joint and degenerative lumbar spondylolisthesis_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

HUANG Leitao ^1,2 , WU Xia ^2,3 , LAI Qi ^1,2 , LIU Yuan ¹ ,  DAI Min ¹ ,  ZHANG Bin ¹

1. Department of Orthopedics, the Artificial Joint Engineering Technology Research Center of Jiangxi Province, the First Affiliated Hospital of Nanchang University, Nanchang Jiangxi, 330006, P.R.China;
2. Department of Medicine, Nanchang University, Nanchang Jiangxi, 330006, P.R.China;
3. Department of Cardiothoracic Surgery, the First Affiliated Hospital of Nanchang University, Nanchang Jiangxi, 330006, P.R.China;

Corresponding author：

DAI Min, Email: daimin@medmail.com.cn; ZHANG Bin, Email: 609901889@qq.com

Keywords：

Degenerative lumbar spondylolisthesis; lumbar facet joint; sagittal

DOI：

10.7507/1002-1892.201705051

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To study the relationship between sagittal facet joint and degenerative lumber spondylolisthesis (DLS) by observing the changes of the lumbar facet joint angle. Methods Fifty-seven patients with DLS who met the inclusion criteria between January 2013 and February 2016 were collected (DLS group). There were 26 males and 31 females, with the mean age of 54.0 years (range, 34-84 years). Forty patients without DLS at same stage were collected as control group. There were 23 males and 17 females with the mean age of 55.6 years (range, 29-82 years). There was no significant difference in gender and age between 2 groups (P>0.05). The lumbar facet joint angles were measured and compared by MRI scanning images in 2 groups. In DLS group, X-ray films were used to evaluated the degree of the lumbar spondylolisthesis on the basis of the Meyerding standard, and compared the facet joint angles between patients of different DLS degree. Results Facet joint angles in the DLS group [(34.18± 4.81)°] were significantly smaller than those in control group [(45.87±1.09)°] (t=15.073, P=0.000). In DLS group, the patients were rated as degree Ⅰ in 24 cases, degree Ⅱ in 19 cases, degree Ⅲ in 14 cases. As the degree of DLS increased, the lumbar joint angle decreased gradually, and showing significantly differences between patients of different DLS degree (P<0.05). Conclusion Sagittal lumbar facet joint may be one of the main risk factors of DLS.

Citation： HUANG Leitao, WU Xia, LAI Qi, LIU Yuan, DAI Min, ZHANG Bin. Correlation study between sagittal lumbar facet joint and degenerative lumbar spondylolisthesis. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(11): 1354-1357. doi: 10.7507/1002-1892.201705051 Copy

1.	许勇, 云才, 郭昭庆. 退变性腰椎滑脱与腰椎小关节形态改变相关性分析. 中国医学导报, 2013, 10(19): 81-82.
2.	Steiger F, Becker HJ, Standaert CJ, et al. Surgery in lumbar degenerative spondylolisthesis: indications, outcomes and complications. A systematic review. Eur Spine J, 2014, 23(5): 945-973.
3.	Liu H, Li S, Zheng Z, et al. Pelvic retroversion is the key protective mechanism of L4-5 degenerative spondylolisthesis. Eur Spine J, 2015, 24(6): 1204-1211.
4.	Hosoe H, Ohmori K. Degenerative lumbosacral spondylolisthesis: possible factors which predispose the fifth lumbar vertebra to slip. J Bone Joint Surg (Br), 2008, 90(3): 356-359.
5.	Schuller S, Charles YP, Steib JP. Sagittal spinopelvic alignment and body mass index in patients with degenerative spondylolisthesis. Eur Spine J, 2011, 20(5): 713-719.
6.	王一, 戴国钢, 黄雷, 等. 腰椎退行性疾病矢状面失衡及结构因素研究. 华西医学, 2017, 32(4): 529-533.
7.	赵庆成. 螺旋CT测量椎小关节头尾侧趋向性变化对退行性腰椎滑脱的诊断价值评估. 吉林医学, 2016, 37(9): 2310-2311.
8.	Enyo Y, Yoshimura N, Yamada H, et al. Radiographic natural course of lumbar degenerative spondylolisthesis and its risk factors related to the progression and onset in a 15-year community-based cohort study: the Miyama study. J Orthop Sci, 2015, 20(6): 978-984.
9.	李一鹏, 田玉良, 段晓丰, 等. 关节突关节角度在 L<sub>3</sub> 退变性Ⅰ度滑脱病因学中的意义. 现代中西医结合杂志, 2016, 25(7): 728-730.
10.	Meyerding HW. Spondylolisthesis: surgical fusion of lumbosacral portion of spinal column and interarticular facets; use of autogenous bone grafts for relief of disabling backache. J Int Coll Surg, 1956, 26(5 Part 1): 566-591.
11.	孙永进, 张文志, 李旭, 等. 关节突关节角变化与退变性腰椎滑脱间关系的研究. 颈腰痛杂志, 2016, 37 (6): 465-469.
12.	洪波, 赵鹤亮, 刘振翠, 等. 退变性腰椎滑脱与相关解剖学因素关系探讨. 医学研究杂志, 2014, 43(7): 118-121.
13.	Grobler LJ, Robertson PA, Novotny JE, et al. Etiology of spondylolisthesis. Assessment of the role played by lumbar facet joint morphology. Spine (Phila Pa 1976), 1993, 18(1): 80-91.
14.	杨家赵, 方诗元. 关节突关节方向在退变性腰椎滑脱中的作用研究进展. 中国修复重建外科杂志, 2014, 28(4): 517-521.
15.	Chung SB, Lee S, Kim H, et al. Signifcance of interfacet distance, facet joint orientation, and lumbar lordosis in spondylolysis. Clin Anat, 2012, 25(3): 391-397.
16.	Liu H, Li S, Zheng Z, et al. Pelvic retroversion is the key protective mechanism of L4-5 degenerative spondylolisthesis. Eur Spine J, 2015, 24(6): 1204-1211.
17.	朱晓琳, 孔庆奎. 腰椎滑脱与小关节形态关系的研究进展. 社区医学杂志, 2011, 9(8): 53-56.
18.	张继业, 王吉兴, 王新, 等. 高应力与腰椎小关节方向变化关系的实验研究.中国脊柱脊髓杂志, 2013, 23(7): 648-653.
19.	杨贤玉, 王吉兴. 腰椎关节突关节的方向和退变程度对退行性腰椎滑脱的影响. 中国脊柱脊髓杂志, 2009, 19(1): 52-55.
20.	许勇, 云才, 郭昭庆. 腰椎小关节在退变性腰椎滑脱发病机制中的作用. 中国医师进修杂志 (综合版), 2012, 35(21): 1-3.
21.	荆慧田, 冯世庆, 班德翔. 关节突关节角度与退行性腰椎滑脱的关系. 中国脊柱脊髓杂志, 2011, 21(4): 299-302.
22.	李杨, 高耸, 刘乃东, 等. 腰椎椎间小关节角度测量对腰椎滑脱诊断价值. 青岛大学医学院学报, 2015, 51(4): 465-467.
23.	陈其昕, 陈维善, 徐少文. 下腰椎疾患的腰椎小关节角变化规律及其临床意义. 中华骨科杂志, 2000, 20(1): 55-57.
24.	Gellhorn AC, Katz JN, Suri P. Osteoarthritis of the spine: the facet joints. Nat Rev Rheumatol, 2013, 9(4): 216-224.
25.	杨家赵, 方诗元, 夏睿, 等. 头尾侧关节突关节方向与退变性腰椎滑脱病因关系的研究. 中国矫形外科杂志, 2013, 21(21): 2127-2132.

1. 许勇, 云才, 郭昭庆. 退变性腰椎滑脱与腰椎小关节形态改变相关性分析. 中国医学导报, 2013, 10(19): 81-82.
2. Steiger F, Becker HJ, Standaert CJ, et al. Surgery in lumbar degenerative spondylolisthesis: indications, outcomes and complications. A systematic review. Eur Spine J, 2014, 23(5): 945-973.
3. Liu H, Li S, Zheng Z, et al. Pelvic retroversion is the key protective mechanism of L4-5 degenerative spondylolisthesis. Eur Spine J, 2015, 24(6): 1204-1211.
4. Hosoe H, Ohmori K. Degenerative lumbosacral spondylolisthesis: possible factors which predispose the fifth lumbar vertebra to slip. J Bone Joint Surg (Br), 2008, 90(3): 356-359.
5. Schuller S, Charles YP, Steib JP. Sagittal spinopelvic alignment and body mass index in patients with degenerative spondylolisthesis. Eur Spine J, 2011, 20(5): 713-719.
6. 王一, 戴国钢, 黄雷, 等. 腰椎退行性疾病矢状面失衡及结构因素研究. 华西医学, 2017, 32(4): 529-533.
7. 赵庆成. 螺旋CT测量椎小关节头尾侧趋向性变化对退行性腰椎滑脱的诊断价值评估. 吉林医学, 2016, 37(9): 2310-2311.
8. Enyo Y, Yoshimura N, Yamada H, et al. Radiographic natural course of lumbar degenerative spondylolisthesis and its risk factors related to the progression and onset in a 15-year community-based cohort study: the Miyama study. J Orthop Sci, 2015, 20(6): 978-984.
9. 李一鹏, 田玉良, 段晓丰, 等. 关节突关节角度在 L<sub>3</sub> 退变性Ⅰ度滑脱病因学中的意义. 现代中西医结合杂志, 2016, 25(7): 728-730.
10. Meyerding HW. Spondylolisthesis: surgical fusion of lumbosacral portion of spinal column and interarticular facets; use of autogenous bone grafts for relief of disabling backache. J Int Coll Surg, 1956, 26(5 Part 1): 566-591.
11. 孙永进, 张文志, 李旭, 等. 关节突关节角变化与退变性腰椎滑脱间关系的研究. 颈腰痛杂志, 2016, 37 (6): 465-469.
12. 洪波, 赵鹤亮, 刘振翠, 等. 退变性腰椎滑脱与相关解剖学因素关系探讨. 医学研究杂志, 2014, 43(7): 118-121.
13. Grobler LJ, Robertson PA, Novotny JE, et al. Etiology of spondylolisthesis. Assessment of the role played by lumbar facet joint morphology. Spine (Phila Pa 1976), 1993, 18(1): 80-91.
14. 杨家赵, 方诗元. 关节突关节方向在退变性腰椎滑脱中的作用研究进展. 中国修复重建外科杂志, 2014, 28(4): 517-521.
15. Chung SB, Lee S, Kim H, et al. Signifcance of interfacet distance, facet joint orientation, and lumbar lordosis in spondylolysis. Clin Anat, 2012, 25(3): 391-397.
16. Liu H, Li S, Zheng Z, et al. Pelvic retroversion is the key protective mechanism of L4-5 degenerative spondylolisthesis. Eur Spine J, 2015, 24(6): 1204-1211.
17. 朱晓琳, 孔庆奎. 腰椎滑脱与小关节形态关系的研究进展. 社区医学杂志, 2011, 9(8): 53-56.
18. 张继业, 王吉兴, 王新, 等. 高应力与腰椎小关节方向变化关系的实验研究.中国脊柱脊髓杂志, 2013, 23(7): 648-653.
19. 杨贤玉, 王吉兴. 腰椎关节突关节的方向和退变程度对退行性腰椎滑脱的影响. 中国脊柱脊髓杂志, 2009, 19(1): 52-55.
20. 许勇, 云才, 郭昭庆. 腰椎小关节在退变性腰椎滑脱发病机制中的作用. 中国医师进修杂志 (综合版), 2012, 35(21): 1-3.
21. 荆慧田, 冯世庆, 班德翔. 关节突关节角度与退行性腰椎滑脱的关系. 中国脊柱脊髓杂志, 2011, 21(4): 299-302.
22. 李杨, 高耸, 刘乃东, 等. 腰椎椎间小关节角度测量对腰椎滑脱诊断价值. 青岛大学医学院学报, 2015, 51(4): 465-467.
23. 陈其昕, 陈维善, 徐少文. 下腰椎疾患的腰椎小关节角变化规律及其临床意义. 中华骨科杂志, 2000, 20(1): 55-57.
24. Gellhorn AC, Katz JN, Suri P. Osteoarthritis of the spine: the facet joints. Nat Rev Rheumatol, 2013, 9(4): 216-224.
25. 杨家赵, 方诗元, 夏睿, 等. 头尾侧关节突关节方向与退变性腰椎滑脱病因关系的研究. 中国矫形外科杂志, 2013, 21(21): 2127-2132.

Chinese Journal of Reparative and Reconstructive Surgery

Correlation study between sagittal lumbar facet joint and degenerative lumbar spondylolisthesis

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content