Facet Angles in Lumbar Disc Herniation: Their Relation to Anthropometric Features

Karacan, İlhan; Aydın, Teoman; Sahin, Zerrin; Çidem, Muharrem; Koyuncu, Halil; Aktaş, İlknur; Uludağ, Murat

doi:10.1097/00007632-200405150-00016

Cited by 105 publications

(106 citation statements)

References 13 publications

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“…The larger synovial fold volume was associated with taller subjects and with those who weighed less and had a lower BMI. This is in contrast to the dimensions of the articular facets, spinal cord and some cervical muscles, which typically increase in size in association with greater body size [10,31,41,61]. Although, in the main, synovial fold volume was not as strongly related to the dimensions of the head and neck, there was a general trend for synovial fold volume to increase with increasing neck length and to increase with decreasing head and neck circumference, i.e.…”

Section: Discussionmentioning

confidence: 73%

The influence of age, anthropometrics and range of motion on the morphometry of the synovial folds of the lateral atlanto-axial joints: a pilot study

2010

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The purpose of this study was to investigate the effect of age, anthropometrics and cervical range of motion upon synovial fold volume. Ten healthy female subjects aged 20-40 years were included in the study. Age, height, body mass, dimensions of the head and neck and cervical range of motion of each subject were measured. Magnetic resonance (MR) images of the cervical spine were acquired; the volume of the ventral and dorsal synovial folds of the right and the left lateral atlanto-axial joints was measured using seed growing and thresholding methods. Using Spearman's correlation coefficient, it was determined that there was no correlation between synovial fold volume and age. Synovial fold volume was positively correlated with subject height and neck length but negatively correlated with body mass, body mass index and the circumference of the head and neck. The relationship between synovial fold volume and range of cervical motion varied with the plane of movement. The ability to image the synovial folds of the lateral atlanto-axial joints using MR imaging to determine their normal morphology provides the basis for investigating synovial fold pathology in patients with neck pain and headache.

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Section: Discussionmentioning

confidence: 73%

The influence of age, anthropometrics and range of motion on the morphometry of the synovial folds of the lateral atlanto-axial joints: a pilot study

2010

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“…Kunakornsawat et al 19 defined FT as a 5° differential between left and right facet joint angle in the same segment, and they found no exact association between FT and LDH. Karacan et al 14 defined FT as the bilateral angle difference greater than 2 intraobserver errors, and they found that FT was more prominent in the LDH group. Kong et al 17 defined FT as a 7° difference between bilateral facet joints in the same segment, and no significant correlation was observed in the study.…”

Section: Discussionmentioning

confidence: 99%

Facet tropism: possible role in the pathology of lumbar disc herniation in adolescents

Wang

Zhou

2016

PED

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OBJECTIVE The role of facet tropism (FT) in lumbar disc herniation (LDH) is ambiguous. The present study aimed to investigate the association between FT and LDH in adolescents. METHODS This study included 65 adolescents with LDH with 1- or 2-level LDH, or both. Facet angles were measured with MRI. FT was defined as asymmetry of 10° between the left and right side. The same levels of 30 healthy persons who had no lumbar lesions were used as controls. Statistical analysis was performed using the chi-square test. RESULTS FT was identified in 16 of 39 patients with LDH in L4–5 and in 3 of 30 controls (p = 0.006, OR 6.261, 95% CI 1.619–24.217). It was also identified in 12 of 27 patients with LDH in L5–S1 and in 4 of 30 controls (p = 0.017, OR 5.200, 95% CI 1.420–19.039). One patient had LDH in both L4–5 and L5–S1. CONCLUSIONS FT is associated with LDH in both L4–5 and L5–S1 levels in adolescents.

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“…There is controversy concerning the relationship between facet joint asymmetry and lumbar spinal degeneration [4][5][6][7][8][9][10][11][12][13][14][15][16]. Karacan and colleagues [5] stated that asymmetry of the facet joints strongly correlates with the development of lumbar disc herniation. Moreover, facet joint asymmetry might be a risk factor for the development of lumbar disc degeneration [7], or lumbar spondylolisthesis [4,6].…”

Section: Discussionmentioning

confidence: 99%

Laterality of cervical disc herniation

Takahashi¹,

Yasuhara²,

Kumamoto³

et al. 2012

Eur Spine J

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Purpose Cervical disc herniation (CDH) is found more frequently at the lower cervical spine than at the upper or middle level. However, there is scarcity of data about the laterality of CDH. The aim of this study is to detect the laterality of CDH. Methods We retrospectively evaluated preoperative computed tomography myelograms and magnetic resonance images of 75 cases of CDH who underwent single level anterior cervical discectomy and fusion at C4-5, C5-6, or C6-7 levels from 2008 to 2010 in our institute. Statistical analyses were performed using the Chi-square test. Results Eleven cases were found at C4-5 level, 42 cases at C5-6 level, and 22 cases at C6-7 level. At C4-5 level, CDH was recognized at the right side in 2 cases, at the left side in 2 cases, and at the center in 7 cases. At C5-6 level, CDH was found at the right side in 20 cases and at the left side in 22 cases. At C6-7 level, CDH was found at the right side in 3 cases and at the left side in 19 cases with significantly high frequency of left-sided CDH (p \ 0.025). Conclusions In this study, it was revealed that the leftsided CDH was more frequent than the right-sided CDH at C6-7 level.

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Facet Angles in Lumbar Disc Herniation: Their Relation to Anthropometric Features

Abstract: This study revealed that patients with lumbar disc herniation had the asymmetry and sagittalization of facet joints, and these alterations were more evident in the taller patients.

Cited by 105 publications

References 13 publications

The influence of age, anthropometrics and range of motion on the morphometry of the synovial folds of the lateral atlanto-axial joints: a pilot study

The influence of age, anthropometrics and range of motion on the morphometry of the synovial folds of the lateral atlanto-axial joints: a pilot study

Facet tropism: possible role in the pathology of lumbar disc herniation in adolescents

Laterality of cervical disc herniation

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