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：

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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.	許勇, 云才, 郭昭慶. 退變性腰椎滑脫與腰椎小關節形態改變相關性分析. 中國醫學導報, 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, 戴國鋼, 黃雷, 等. 腰椎退行性疾病矢狀面失衡及結構因素研究. 華西醫學, 2017, 32(4): 529-533.
7.	趙慶成. 螺旋CT測量椎小關節頭尾側趨向性變化對退行性腰椎滑脫的診斷價值評估. 吉林醫學, 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.	李一鵬, 田玉良, 段曉豐, 等. 關節突關節角度在 L<sub>3</sub> 退變性Ⅰ度滑脫病因學中的意義. 現代中西醫結合雜志, 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.	孫永進, 張文志, 李旭, 等. 關節突關節角變化與退變性腰椎滑脫間關系的研究. 頸腰痛雜志, 2016, 37 (6): 465-469.
12.	洪波, 趙鶴亮, 劉振翠, 等. 退變性腰椎滑脫與相關解剖學因素關系探討. 醫學研究雜志, 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.	楊家趙, 方詩元. 關節突關節方向在退變性腰椎滑脫中的作用研究進展. 中國修復重建外科雜志, 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.	朱曉琳, 孔慶奎. 腰椎滑脫與小關節形態關系的研究進展. 社區醫學雜志, 2011, 9(8): 53-56.
18.	張繼業, 王吉興, 王新, 等. 高應力與腰椎小關節方向變化關系的實驗研究.中國脊柱脊髓雜志, 2013, 23(7): 648-653.
19.	楊賢玉, 王吉興. 腰椎關節突關節的方向和退變程度對退行性腰椎滑脫的影響. 中國脊柱脊髓雜志, 2009, 19(1): 52-55.
20.	許勇, 云才, 郭昭慶. 腰椎小關節在退變性腰椎滑脫發病機制中的作用. 中國醫師進修雜志 (綜合版), 2012, 35(21): 1-3.
21.	荊慧田, 馮世慶, 班德翔. 關節突關節角度與退行性腰椎滑脫的關系. 中國脊柱脊髓雜志, 2011, 21(4): 299-302.
22.	李楊, 高聳, 劉乃東, 等. 腰椎椎間小關節角度測量對腰椎滑脫診斷價值. 青島大學醫學院學報, 2015, 51(4): 465-467.
23.	陳其昕, 陳維善, 徐少文. 下腰椎疾患的腰椎小關節角變化規律及其臨床意義. 中華骨科雜志, 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.	楊家趙, 方詩元, 夏睿, 等. 頭尾側關節突關節方向與退變性腰椎滑脫病因關系的研究. 中國矯形外科雜志, 2013, 21(21): 2127-2132.

1. 許勇, 云才, 郭昭慶. 退變性腰椎滑脫與腰椎小關節形態改變相關性分析. 中國醫學導報, 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, 戴國鋼, 黃雷, 等. 腰椎退行性疾病矢狀面失衡及結構因素研究. 華西醫學, 2017, 32(4): 529-533.
7. 趙慶成. 螺旋CT測量椎小關節頭尾側趨向性變化對退行性腰椎滑脫的診斷價值評估. 吉林醫學, 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. 李一鵬, 田玉良, 段曉豐, 等. 關節突關節角度在 L<sub>3</sub> 退變性Ⅰ度滑脫病因學中的意義. 現代中西醫結合雜志, 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. 孫永進, 張文志, 李旭, 等. 關節突關節角變化與退變性腰椎滑脫間關系的研究. 頸腰痛雜志, 2016, 37 (6): 465-469.
12. 洪波, 趙鶴亮, 劉振翠, 等. 退變性腰椎滑脫與相關解剖學因素關系探討. 醫學研究雜志, 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. 楊家趙, 方詩元. 關節突關節方向在退變性腰椎滑脫中的作用研究進展. 中國修復重建外科雜志, 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. 朱曉琳, 孔慶奎. 腰椎滑脫與小關節形態關系的研究進展. 社區醫學雜志, 2011, 9(8): 53-56.
18. 張繼業, 王吉興, 王新, 等. 高應力與腰椎小關節方向變化關系的實驗研究.中國脊柱脊髓雜志, 2013, 23(7): 648-653.
19. 楊賢玉, 王吉興. 腰椎關節突關節的方向和退變程度對退行性腰椎滑脫的影響. 中國脊柱脊髓雜志, 2009, 19(1): 52-55.
20. 許勇, 云才, 郭昭慶. 腰椎小關節在退變性腰椎滑脫發病機制中的作用. 中國醫師進修雜志 (綜合版), 2012, 35(21): 1-3.
21. 荊慧田, 馮世慶, 班德翔. 關節突關節角度與退行性腰椎滑脫的關系. 中國脊柱脊髓雜志, 2011, 21(4): 299-302.
22. 李楊, 高聳, 劉乃東, 等. 腰椎椎間小關節角度測量對腰椎滑脫診斷價值. 青島大學醫學院學報, 2015, 51(4): 465-467.
23. 陳其昕, 陳維善, 徐少文. 下腰椎疾患的腰椎小關節角變化規律及其臨床意義. 中華骨科雜志, 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. 楊家趙, 方詩元, 夏睿, 等. 頭尾側關節突關節方向與退變性腰椎滑脫病因關系的研究. 中國矯形外科雜志, 2013, 21(21): 2127-2132.

Chinese Journal of Reparative and Reconstructive Surgery

Correlation study between sagittal lumbar facet joint and degenerative lumbar spondylolisthesis

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