The biomechanical influence of facet joint parameters on corresponding segment in the lumbar spine: a new visualization method

Ke, Song; He, Xiwang; Yang, Ming; Wang, Shuo; Song, Xin

doi:10.1016/j.spinee.2021.05.024

Cited by 24 publications

(18 citation statements)

References 28 publications

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“…They possess a crucial role in stabilizing the sectional unit of the spine and can regulate the spinal kinematic position. It is understood that the substantial sagittal facet joint positioning can restrict the axial rotation and enhance the torsional intensity [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review and Meta-Analysis of the Facet Joint Orientation and Its Effect on the Lumbar

Zheng

Wang

et al. 2022

Journal of Healthcare Engineering

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Facet tropism is recognized as the difference in the positioning of the facet joints in association with each other in the sagittal plane. This guides to an imbalanced biomechanical force over the facet joints and the intervertebral disc during rotation and other physiological activities. A systematic review and meta-analysis of Web of Science, EMBASE, PubMed, Cochrane Library, SCOPUS, and CINHAL from 2004 to 2021 to recognize the related research studies was performed. The data for meta-analysis were obtained from multiple studies to get the combined effect of the facet tropism on the lumbar disc herniation (LDH) and the degenerative lumbar spondylolisthesis (LDS). 117 articles were incorporated in the systematic review, where 41 studies were selected for meta-analysis, out of which 7 studies were found eligible as per the inclusion criteria. When degenerative lumbar spondylolisthesis was compared with the normal group, 95% CI was observed at 1.94 (1.59, 2.28). There was a comparison of disc herniation with the normal group in L4/L5, with a 95% CI of 0.60 (0.05, 1.14). The L5/S1 disc herniation was compared with the normal group and was found to be 0.21 (−0.48, 0.90). Therefore, it was observed that facet tropism is related to lumbar disc herniation and degenerative lumbar spondylolisthesis. Our meta-analysis demonstrated a unique link between the facet tropism and the lumbar disk degeneration along with degenerative lumbar spondylolisthesis.

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Section: Introductionmentioning

confidence: 99%

A Systematic Review and Meta-Analysis of the Facet Joint Orientation and Its Effect on the Lumbar

Zheng

Wang

et al. 2022

Journal of Healthcare Engineering

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“…Ke et al, 38 2021 A biomechanical modeling was performed to evaluating influences of vertebral FJO and FJT.…”

Section: Results and Conclusionmentioning

confidence: 99%

“…Yang et al 37 demonstrated that FJT may play an important role in the pathogenesis of lumbar degenerative diseases, using finite element analysis and contour maps visualization. Ke et al 38 found that the combination of FJO and FJT played an important role in the development of lumbar degeneration, including disc and LFJ. More importantly, FJO and FJT do not affect the disc at only the corresponding level; the lumbar spine should be evaluated as a whole.…”

Section: Pathogenesismentioning

confidence: 99%

Facet Joint Syndrome: Pathophysiology, Diagnosis, and Treatment

Du¹,

Xu²,

Bai³

2022

JPR

Self Cite

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Facet joint osteoarthritis (OA) is the most frequent form of facet joint syndrome. Medical history, referred pain patterns, physical examination, and diagnostic imaging studies (standard radiographs, magnetic resonance imaging, computed tomography and single-photon emission computed tomography) may suggest but not confirm lumbar facet joint (LFJ) syndrome as a source of low back pain (LBP). However, the diagnosis and treatment of facet joint syndrome is still controversial and needs further study. It is widely acknowledged that block with local anesthetic is perhaps the most effective method to establish a diagnosis of pain from LFJ. Particularly, there are different rates of success among different populations selected for diagnostic block with various positive criteria. Currently, in addition to conservative treatments for pain such as painkillers, functional exercises, and massage, there are many other methods, including block, denervation of the nerves that innervate the joints by radiofrequency, freezing or endoscopy, and injections. Due to the limited duration of pain relief from neurolysis of medial branch, many scholars have recently turned their targets to dorsal roots and LFJ capsules. Therefore, we reviewed the latest research progress of facet joint syndrome from diagnosis to treatment.

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“…Masharawi et al [20] concluded that the presence of FT leads to rotation of facet motion, and facet joints more oriented in the coronal plane limit anteroposterior displacement, which in turn results in rotation towards the sagittal position, which is more pronounced during exion and extension activities, while the occurrence of rotation increases the risk of injury to the annulus brosus, which in turn leads to disc herniation. It has also been suggested that FT leads to asymmetrical stress transmission in the facet joints and corresponding discs, producing stress concentration, which may accelerate degeneration of the disc, which in turn leads to the development of LDH [2].At the same time, FT at the adjacent level of the fusion level increases the phenomenon of stress concentration, which may promote the occurrence of clinical spondylosis after lumbar fusion [21].The presence of FT may also contribute to the tropism of paravertebral muscles, which may also be responsible for the development of LDH [22].In our study, FT was found to be present not only in the horizontal but also in the sagittal position in LDH patients, which is likely because rotation of facet joints occurred.The rotation of facet joints causes the stress tropism of the intervertebral disc, which in turn makes the stress of the intervertebral disc uneven, resulting in the degeneration of the intervertebral disc.…”

Section: Discussionmentioning

confidence: 99%

“…The facet joints, as an important part of the posterior structure, can not only effectively maintain the stability of the posterior spine, but also reduce the shear stress of the intervertebral disc [1]. Facet joint tropism (FT) refers to left and right facet joint angle differences [2,3]. Most current studies have investigated the relationship between facet joint tropism in the axial plane and lumbar disc herniation, and no relevant studies have been conducted on sagittal plane.…”

Section: Introductionmentioning

confidence: 99%

Correlation between lumbar facet joint tropism and lumbar disc herniation

Han

Sun

et al. 2022

Preprint

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Background The relationship between lumbar facet tropism and lumbar disc herniation is not clear. Previous studies used axial plane to evaluate the relationship between lumbar facet tropism and lumbar disc herniation. However, facet joint tropism occurs in three-dimensional structures, so the evaluation of sagittal plane is also very important. In this study, the relationship between lumbar facet tropism and lumbar disc herniation is analyzed from axial and sagittal planes by MRI. Methods Patients with lumbar disc herniation who were recruited in our hospital from 01 Jan 2020 to 01 Apr 2020. As a control, normal subjects at the same time period were selected. Their MRI data were evaluated by two experienced spinal surgeons. There were 122 patients with lumbar disc herniation and 102 normal people. The axial and sagittal angles of lumbar facet joints were measured. The 10 ° difference was defined as lumbar facet tropism, and the relationship between lumbar disc herniation and facet tropism was analyzed by SPSS. Results In the axial plane, there were 154 segments of lumbar disc herniation, of which 95 segments were asymmetrical and 59 segments were symmetrical. The normal segments were 306, of which 48 segments were asymmetrical and 258 segments of lumbar facet joints were symmetrical, and the difference was significant. In the sagittal plane, there were 154 segments of lumbar disc herniation, including 61 segments of lumbar facet tropism, 93 segments of lumbar facet symmetry. The normal segments were 306, of which 48 segments were asymmetrical. 258 segments were symmetrical. Except for L4-5 segments, the rate of lumbar facet joint tropism had significant different between patients with lumbar disc herniation and normal people . Conclusion in the segment of lumbar disc herniation, the proportion of lumbar facet joint tropism is higher, and there is a significant correlation between lumbar facet joint tropism and lumbar disc herniation.

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The biomechanical influence of facet joint parameters on corresponding segment in the lumbar spine: a new visualization method

Cited by 24 publications

References 28 publications

A Systematic Review and Meta-Analysis of the Facet Joint Orientation and Its Effect on the Lumbar

A Systematic Review and Meta-Analysis of the Facet Joint Orientation and Its Effect on the Lumbar

Facet Joint Syndrome: Pathophysiology, Diagnosis, and Treatment

Correlation between lumbar facet joint tropism and lumbar disc herniation

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