Degenerative Changes of the Facet Joints in Adults With Lumbar Spondylolysis

Goda, Yuichiro; Sakai, Toshinori; Harada, Taihei; Sugiyama, Takao; Takata, Yoichiro; Higashino, Kosaku; Harada, Masafumi; Sairyo, Koichi

doi:10.1097/bsd.0000000000000217

Cited by 8 publications

(6 citation statements)

References 11 publications

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“…One of the lessons learned from this retrospective study is that in 72.7% of patients with LBP and spondylolysis there were no accompanying MRI pathologies. Although previous reports showed adjacent-level changes in MRI accompanying lumbar spondylolysis, 6,8,19,21 our study demonstrated spondylolysis could be present without any significant MRI findings. Therefore, even if there is no detectable spondylolisthesis, Modic-type endplate changes, or disc degeneration on MRI, LBP should be investigated via CT, especially in military units with a heavy payload, in order to detect spondylolysis.…”

Section: Discussioncontrasting

confidence: 90%

Relationship between individual payload weight and spondylolysis incidence in Turkish land forces

Çeltikçi

Yakar

Celtikci

et al. 2018

Neurosurgical Focus

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OBJECTIVEThe aim of this study was to investigate the relationship between lumbar spondylolysis and payload weight between different combat units of Turkish land forces (TLF).METHODThe authors reviewed clinical and radiological data of the military personnel with low-back pain (LBP) admitted to their clinic between July 2017 and July 2018. Age, BMI, average payload weight, and military service unit were recorded. CT scans were evaluated for pars interarticularis fractures and spondylolisthesis, whereas MRI studies were evaluated for spondylolisthesis, Modic-type endplate changes, or signal loss on T2-weighted images compatible with disc degeneration.RESULTFollowing exclusion, a total of 642 all-male military personnel were included. Of these personnel, 122 were commandos, 435 were infantry, and 85 were serving in the artillery units. Bilateral pars interarticularis fracture was noted in 42 commandos (34.42%) and 2 infantrymen (0.45%). There was no spondylolysis in the artillery units. There was no multiple-level spondylolysis and the most common level of spondylolysis was L5. Commandos had a significantly higher incidence of spondylolysis and more average payload weight (p < 0.001). Twelve patients (27.2%) with spondylolysis had accompanying MRI pathologies at the same level, whereas 32 patients (72.7%) had no accompanying MRI pathologies.CONCLUSIONSIncreased payload weight in military personnel is associated with spondylolysis, and commandos in the TLF have significantly heavier payloads, which causes an increased rate of spondylolysis compared to other units. Additionally, spondylolysis without adjacent-level changes on MRI could be undiagnosed. LBP in active military personnel who have a history of carrying heavy payloads should be evaluated extensively with both MRI and CT scans.

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Section: Discussioncontrasting

confidence: 90%

Relationship between individual payload weight and spondylolysis incidence in Turkish land forces

Çeltikçi

Yakar

Celtikci

et al. 2018

Neurosurgical Focus

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“…e lumbar spine is the hub of the movement of the human body's trunk and bears great pressure. With the increase of age, long-term involvement and excessive activity can easily lead to accelerated aging of the lumbar spine, leading to lumbar degenerative disease [1][2][3]. Lumbar internal fixation is a conventional surgical method for the treatment of degenerative lesions of the lumbar spine, but due to its large surgical trauma, it very easily causes complications such as deep venous thrombosis (DVT) after the operation [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Related Influencing Factors of Deep Vein Thrombosis after Lumbar Internal Fixation and Treatment Strategy

Zhang¹,

Shen

Luo³

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Lumbar internal fixation is a traditional surgical method for the treatment of degenerative diseases of the lumbar spine. However, due to its large surgical trauma, it easily causes complications such as deep venous thrombosis (DVT) after the operation. DVT refers to the abnormal coagulation of blood in deep veins, blocking the lumen, causing venous blood return disorder, causing venous blood return disorder to cause swelling and pain, which affects the recovery of the patient’s lumbar spine function. In severe cases, even complicated pulmonary embolism endangers the life and health of the patient. Therefore, it is extremely important to explore the related influencing factors and effective treatment of DVT. The purpose of this study was to investigate the influencing factors and effective treatment of DVT after lumbar internal fixation. Univariate analysis and multivariate a logistic regression model were used to analyze the related factors affecting DVT after lumbar internal fixation. Conventional treatments such as anticoagulation, promotion of venous blood return, and improvement of limb circulation were given to patients with DVT, and functional exercise was guided to compare the hypercoagulability and hyperviscosity of blood in patients with DVT before and after treatment. The results showed that the incidence of DVT after lumbar internal fixation was related to age, BMI, and bed time. Getting out of bed for functional exercise in time after surgery can effectively prevent the formation of DVT. Preoperative grading examination, intraoperative intervention, postoperative physical exercise, and other preventive guidance can be carried out according to different individuals during the perioperative period to prevent the formation of postoperative DVT.

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“…A similar study on 214 cases in Japan (107 patients with spondylolysis and 107 sex-and age-matched cases without spondylolysis) examined degenerative changes prevalence and severity in their adjacent facet joints [9]. The results showed that the frequency of joint space narrowing, sclerosis, osteophyte, and cyst in the group with spondylolysis was significantly higher than those in the group without spondylolysis.…”

Section: Discussionmentioning

confidence: 97%

“…On CT scans with three different planes (sagittal, coronal, and axial), similar to Goda's study, we arbitrarily defined four radiologic criteria for severity of osteoarticular changes at L5-S1 facet joints: disk space narrowing, osteophyte, subchondral sclerosis, and cyst. We gave a point to each criterion and placed them in a spectrum from 0 to 4 scores to define the osteoarticular severity of the facet joints [9]. The scoring processes were carried out and recorded by both the senior orthopedic and radiologic authors separately.…”

Section: Methodsmentioning

confidence: 99%

“…In the cases with spondylolysis, the connection between anterior and posterior elements of the vertebra is disrupted, and a floating lamina occurs. Consequently, it seems logical that the stress applied on the anterior part of the vertebrae should be more and, conversely, less stress on the posterior part [9,10]. It is expected that in patients with spondylolysis, the probability and severity of osteoarthritis of the adjacent facet joints are less than in patients without spondylolysis.…”

Section: Introductionmentioning

confidence: 99%

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L5 Spondylolysis and Accelerating Osteoarthritic Changes in L5-S1 Facet Joints

Moallem

Omidi-Kashani

Rad

et al. 2021

J. Res. Orthop. Sci.

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Background: Spondylolysis is a defect in the pars interarticularis of the vertebra. The defect changes the biomechanical stresses and probably causes the degenerative process in the adjacent facet joints. Objectives: In this study, we aimed to assess the effect of L5 spondylolysis on the osteoarthritis process of adjacent L5-S1 facet joints. Methods: In this cross-sectional cohort study, we assessed 157 cases with a history of low back pain who underwent lumbar computerized tomography scanning of two lower lumbar vertebrae for any reason. The patients with a medical history of vertebral fracture, previous surgery, or infection were excluded. The samples were placed into two groups; 1 (with L5 spondylolysis; 80 cases) and 2 (without spondylolysis; 77 cases). Then, their facet joints osteoarticular severity changes were scored and compared on imaging scans based on observing narrowing, sclerosis, osteophyte formation, and bone cyst. Results: The difference regarding the frequency of sex was not significant between the two groups. The prevalence rates of narrowing (P<0.001), sclerosis (P=0.032), and osteophyte (P=0.023) were significantly higher in group 1; however, bone cyst showed no significant difference (P=0.365). Data analysis by logistic regression showed that the aging process was more implicated than spondylolysis in increasing the prevalence of arthritic changes, but bone cysts were not associated with degenerative changes (P=0.216). Conclusion: Facet joint degenerative changes (including joint space narrowing, osteophyte, subchondral sclerosis, and cyst) in cases with L5 spondylolysis were not significantly different from those without it. These changes were more affected by the aging process than the spondylolysis itself.

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Degenerative Changes of the Facet Joints in Adults With Lumbar Spondylolysis

Abstract: Degenerative changes of the facet joints in patients with lumbar spondylolysis were more severe than those without spondylolysis.

Cited by 8 publications

References 11 publications

Relationship between individual payload weight and spondylolysis incidence in Turkish land forces

Relationship between individual payload weight and spondylolysis incidence in Turkish land forces

Analysis of Related Influencing Factors of Deep Vein Thrombosis after Lumbar Internal Fixation and Treatment Strategy

L5 Spondylolysis and Accelerating Osteoarthritic Changes in L5-S1 Facet Joints

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