Journal article
The relationship between disc degeneration, facet joint osteoarthritis, and stability of the degenerative lumbar spine
Journal of spinal disorders, Vol.13(5), pp.444-450
2000
DOI: 10.1097/00002517-200010000-00013
PMID: 11052356
Abstract
Degenerative processes in the disc and facet joints affect the stability of the motion segment. The exact relations among disc degeneration, facet joint osteoarthritis, and the kinematics of the motion segment are not well defined in the literature. Magnetic resonance imaging and functional radiography of the lumbar spine were analyzed to examine the relations among segmental instability, facet joint osteoarthritis, and disc degeneration in patients with degenerative disorders of the lumbar spine. Seventy consecutive patients (mean age, 46 years) had both magnetic resonance imaging and flexion and extension radiographs of the lumbar spine. The lumbar instability was classified into abnormal tilting on flexion, rotatory instability in the sagittal plane, and translatory instability. Translatory instability was subdivided into anterior, posterior, and anteroposterior translatory instability. Disc degeneration as seen on T2-weighted sagittal images was classified into five grades. Facet joint osteoarthritis as seen on axial T1-weighted images was divided into four grades. This study revealed that the kinematics of the lumbar motion segment are affected by disc degeneration and facet joint osteoarthritis. Abnormal tilting movement on flexion and anteroposterior translatory instability both had negative associations with facet joint osteoarthritis. However, anterior translatory instability was positively associated with disc degeneration and facet joint osteoarthritis. Rotatory instability in the sagittal plane and posterior translatory instability were not associated with disc degeneration and facet joint osteoarthritis.
Details
- Title: Subtitle
- The relationship between disc degeneration, facet joint osteoarthritis, and stability of the degenerative lumbar spine
- Creators
- Atsushi Fujiwara - Dokkyo UniversityKazuya Tamai - Dokkyo UniversityHoward S AN - Presbyterian St. Luke's Medical CenterAkira Kurihashi - Kuramochi Hospital, Tochigi, JapanTae-Hong Lim - Presbyterian St. Luke's Medical CenterHiroyuki Yoshida - Dokkyo UniversityKoichi Saotome - Dokkyo University
- Resource Type
- Journal article
- Publication Details
- Journal of spinal disorders, Vol.13(5), pp.444-450
- Publisher
- Lippincott Williams and Wilkins
- DOI
- 10.1097/00002517-200010000-00013
- PMID
- 11052356
- ISSN
- 0895-0385
- eISSN
- 1531-2305
- Language
- English
- Date published
- 2000
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering
- Record Identifier
- 9984197136102771
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