DEVELOPMENT RESEARCH OF ROLE OF FACET JOINT ORIENTATION IN DEGENERATIVE SPONDYLOLISTHESIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

YANGJiazhao ,  FANGShiyuan

Department of Orthopaedics, Affliated Provincial Hospital of Anhui Medical University, Hefei Anhui, 230001, P. R. China;

Corresponding?author：

FANGShiyuan, Email: fangshiyuan2008@126.com

Keywords：

Degenerative spondylolisthesis; Facet joint orientation; Facet joint angle

DOI：

10.7507/1002-1892.20140116

Video：

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Objective To review the researches of the role of the facet joint orientation (FJO) in degenerative spondylolisthesis (DS). Methods Related literature concerning the FJO in patients with DS was extensively reviewed and comprehensively analyzed in 4 terms of the basic concepts, measurement methods, the controversial etiology, and the clinical significance. Results The multiplanar reformation of spiral CT is expected to become a new method of studying the FJO. The causal relationship between the sagittal FJO and DS is still controversial, but further prospective studies are needed to resolve this issue. The sagittal FJO is very important in the prevention of DS and the choice of surgery plan. Conclusion The etiologic relationship between the FJO and DS need to be further studied.

Citation： YANGJiazhao, FANGShiyuan. DEVELOPMENT RESEARCH OF ROLE OF FACET JOINT ORIENTATION IN DEGENERATIVE SPONDYLOLISTHESIS. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(4): 517-521. doi: 10.7507/1002-1892.20140116 Copy

1.	Newman PH. Spondylolisthesis, its cause and effect. Ann R Coll Surg Engl, 1955, 16(5):305-323.
2.	Berlemann U, Jeszenszky DJ, Bühler DW, et al. The role of lumbar lordosis, vertebral end-plate inclination, disc height, and facet orientation in degenerative spondylolisthesis. J Spinal Disord, 1999, 12(1):68-73.
3.	Kalichman L, Hunter DJ. Degenerative lumbar spondylolisthesis:Anatomy, biomechanics and risk factors. Journal of Back and Musculoskeletal Rehabilitation, 2008, 21(1):1-12.
4.	王志剛, 王沛, 馬信龍, 等. 骨性結構參數在退行性腰椎滑脫發病機制中的作用. 中華骨科雜志, 2003, 23(9):518-522.
5.	Devine JG, Schenk-Kisser JM, Skelly AC. Risk factors for degenerative spondylolisthesis:a systematic review. Evid Based Spine Care J, 2012, 3(2):25-34.
6.	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.
7.	Noren R, Trafimow J, Andersson GB, et al. The role of facet joint tropism and facet angle in disc degeneration. Spine (Phila Pa 1976), 1991, 16(5):530-532.
8.	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.
9.	Cinotti G, Postacchin F, Fassari F, et al. Predisposion factors in degenerative spondylolisthesis. Int Orthop, 1997, 21(5):337-342.
10.	陳其昕, 陳維善, 徐少文, 等. 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.
11.	Boden SD, Riew KD, Yamaguchi K, et al. Orientation of the lumbar facet joints:association with degenerative disc disease. J Bone Joint Surg (Am), 1996, 78(3):403-411.
12.	Pathria M, Sartoris DJ, Resnik D. Osteoarthritis of the facet joints:accuracy of oblique radiographic assessment. Radiology, 1987, 164(1):227-230.
13.	陳新軍, 郭開今. 椎板和小關節傾斜角與退變性腰椎滑脫的關系. 江蘇大學學報:醫學版, 2009, 19(6):530-531, 537.
14.	Kalichman L, Hunter DJ. Lumbar facet joint osteoarthritis:a review. Semin Arthritis Rheum, 2007, 37(2):69-80.
15.	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.
16.	Carrera GF, Haughton VM, Syvertsen A, et al. Computed tomography of the lumbar facet joints. Radiology, 1980, 134(1):145-148.
17.	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, 2012, 35(21):1-3.
18.	Rankine JJ, Dickson RA. Unilateral spondylolysis and the presence of facet joint tropism. Spine (Phila Pa 1976), 2010, 35(21):E1111-1114.
19.	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.
20.	Fujiwara A, Tamai K, An HS, et al. Orientation and osteoarthritis of the lumbar facet joint. Clin Orthop Relat Res, 2001, (385):88-94.
21.	Dai LY. Orientation and tropism of lumbar facet joints in degeneratice spondylolithesis. Int Orthop, 2001, 25(1):40-42.
22.	Miyazaki M, Morishita Y, Takita C, et al. Analysis of the relationship between facet joint orientation and lumbar spine canal diameter with respect to the kinematics of the lumbar spinal unit. J Spinal Disord Tech, 2010, 23(4):242-248.
23.	李永新, 尹利榮, 王沛, 等. 關節突關節形態與退行性腰椎滑脫的關系. 天津醫科大學學報, 2010, 16(1):87-89, 92.
24.	Chung SB, Lee S, Kim H, et al. Significance of interfacet distance, facet joint orientation, and lumbar lordosis in spondylolysis. Clin Anat, 2012, 25(3):391-397.
25.	Wang J, Yang X. Age-related changes in the orientation of lumbar facet joints. Spine (Phila Pa 1976), 2009, 34(17):E596-598.
26.	Don AS, Robertson PA. Facet joint orientation in spondylolysis and isthmic spondylolisthesis. J Spinal Disord Tech, 2008, 21(2):112-115.
27.	閆廣輝, 徐寶山, 夏群, 等. 腰椎小關節方向性與腰椎間盤突出癥. 中國組織工程研究與臨床康復, 2011, 15(35):6563-6566.
28.	Toyone T, Ozawa T, Kamikawa K, et al. Facet joint orientation difference between cephalad and caudad portions:a possible cause of degenerative spondylolisthesis. Spine (Phila Pa 1976), 2009, 34(21):2259-2262.
29.	Gao F, Hou D, Zhao B, et al. The pedicle-facet angle and tropism in the sagittal plane in degenerative spondylolisthesis:a computed tomography study using multiplanar reformations techniques. J Spinal Disord Tech, 2012, 25(2):E18-22.
30.	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.
31.	Chaput C, Padon D, Rush J, et al. The significance of increased fluid signal on magnetic resonance imaging in lumbar facets in relationship to degenerative spondylolisthesis. Spine (Phila Pa 1976), 2007, 32(17):1883-1887.
32.	Kalichman L, Suri P, Guermazi A, et al. Facet orientation and tropism:associations with facet joint osteoarthritis and degeneratives. Spine (Phila Pa 1976), 2009, 34(16):E579-585.
33.	韓永珍, 張家文, 陳菊春. 正常腰椎及腰椎退行性滑脫癥椎間小關節角度的研究. 安徽醫科大學學報, 2005, 40(4):340-342.
34.	Hikata T, Kamata M, Furukawa M, et al. Risk factors for adjacent segment disease after posterior lumbar interbody fusion and efficacy of simultaneous decompression surgery for symptomatic adjacent segment disease. J Spinal Disord Tech, 2012.[Epub ahead of print].
35.	Kim HJ, Chun HJ, Lee HM, et al. The biomechanical influence of the facet joint orientation and the facet tropism in the lumbar spine. Spine J, 2013, 13(10):1301-1308.
36.	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.
37.	Melnyk AD, Kingwell SP, Zhu Q, et al. An in vitro model of degenerative lumbar spondylolisthesis. Spine (Phila Pa 1976), 2013, 38(14):E870-877.
38.	Berlemann U, Jeszenszky D, Buhler DW, et al. Facet joint remodeling in degenerative spondylolisthesis:an in stigation of joint orientation and tropism. Eur Spine J, 1998, 7(5):376-380.
39.	Love TW, Fagan AB, Fraser RD. Degenerative spondylolisthesis. Developmental or acquired? J Bone Joint Surg (Br), 1999, 81(4):670-674.
40.	Li J, Muehleman C, Abe Y, et al. Prevalence of facet joint degeneration in association with intervertebral joint degeneration in a sample of organ donors. J Orthop Res, 2011, 29(8):1267-1274.
41.	Linov L, Klindukhov A, Li L, et al. Lumbar facet joint orientation and osteoarthritis:a cross-sectional study. J Back Musculoskelet Rehabil, 2013, 26(4):421-426.
42.	Andams MA, Mcnally DS, Dolan P. 'Stress' distributions inside intervertebral discs. The effects of of age and degeneration. J Bone Joint Surg (Br), 1996, 78(6):965-972.
43.	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.
44.	Devine JG, Schenk-Kisser JM, Skelly AC. Risk factors for degenerative spondylolisthesis:a systematic review. Evid Based Spine Care J, 2012, 3(2):25-34.
45.	Anderson DG, Limthongkul W, Sayadipour A, et al. A radiographic analysis of degenerative spondylolisthesis at the L_4-5 level. J Neurosurg Spine, 2012, 16(2):130-134.
46.	馮強, 馬智軍, 于洪, 等. 腰椎小關節角度變異在腰椎滑脫癥中的作用. 中國醫師進修雜志:外科版, 2009, 32(3):25-27.
47.	O'Rourke MR, Grobler LJ. L₄-L₅ degenerative spondylolisthesis:indications and technique for operative management. Iowa Orthop J, 1998, 18:76-86.
48.	Blumenthal C, Curran J, Benzel EC, et al. Radiographic predictors of delayed instability following decompression without fusion for degenerative grade I lumbar spondylolisthesis. J Neurosurg Spine, 2013, 18(4):340-346.
49.	劉成, 劉守應, 馬驍, 等. 單側小關節分級切除對同節段腰椎間孔形態影響的實驗研究. 中國矯形外科雜志, 2012, 20(1):75-77.
50.	Kleinstueck FS, Fekete TF, Mannion AF, et al. To fuse or not to fuse in lumbar degenerative spondylolisthesis:do baseline symptoms help provide the answer? Eur Spine J, 2012, 21(2):268-275.
51.	Dohzono S, Matsumura A, Terai H, et al. Radiographic evaluation of postoperative bone regrowth after microscopic bilateral decompression via a unilateral approach for degenerative lumbar spondylolisthesis. J Neurosurg Spine, 2013, 18(5):472-478.

1. Newman PH. Spondylolisthesis, its cause and effect. Ann R Coll Surg Engl, 1955, 16(5):305-323.
2. Berlemann U, Jeszenszky DJ, Bühler DW, et al. The role of lumbar lordosis, vertebral end-plate inclination, disc height, and facet orientation in degenerative spondylolisthesis. J Spinal Disord, 1999, 12(1):68-73.
3. Kalichman L, Hunter DJ. Degenerative lumbar spondylolisthesis:Anatomy, biomechanics and risk factors. Journal of Back and Musculoskeletal Rehabilitation, 2008, 21(1):1-12.
4. 王志剛, 王沛, 馬信龍, 等. 骨性結構參數在退行性腰椎滑脫發病機制中的作用. 中華骨科雜志, 2003, 23(9):518-522.
5. Devine JG, Schenk-Kisser JM, Skelly AC. Risk factors for degenerative spondylolisthesis:a systematic review. Evid Based Spine Care J, 2012, 3(2):25-34.
6. 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.
7. Noren R, Trafimow J, Andersson GB, et al. The role of facet joint tropism and facet angle in disc degeneration. Spine (Phila Pa 1976), 1991, 16(5):530-532.
8. 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.
9. Cinotti G, Postacchin F, Fassari F, et al. Predisposion factors in degenerative spondylolisthesis. Int Orthop, 1997, 21(5):337-342.
10. 陳其昕, 陳維善, 徐少文, 等. 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.
11. Boden SD, Riew KD, Yamaguchi K, et al. Orientation of the lumbar facet joints:association with degenerative disc disease. J Bone Joint Surg (Am), 1996, 78(3):403-411.
12. Pathria M, Sartoris DJ, Resnik D. Osteoarthritis of the facet joints:accuracy of oblique radiographic assessment. Radiology, 1987, 164(1):227-230.
13. 陳新軍, 郭開今. 椎板和小關節傾斜角與退變性腰椎滑脫的關系. 江蘇大學學報:醫學版, 2009, 19(6):530-531, 537.
14. Kalichman L, Hunter DJ. Lumbar facet joint osteoarthritis:a review. Semin Arthritis Rheum, 2007, 37(2):69-80.
15. 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.
16. Carrera GF, Haughton VM, Syvertsen A, et al. Computed tomography of the lumbar facet joints. Radiology, 1980, 134(1):145-148.
17. 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, 2012, 35(21):1-3.
18. Rankine JJ, Dickson RA. Unilateral spondylolysis and the presence of facet joint tropism. Spine (Phila Pa 1976), 2010, 35(21):E1111-1114.
19. 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.
20. Fujiwara A, Tamai K, An HS, et al. Orientation and osteoarthritis of the lumbar facet joint. Clin Orthop Relat Res, 2001, (385):88-94.
21. Dai LY. Orientation and tropism of lumbar facet joints in degeneratice spondylolithesis. Int Orthop, 2001, 25(1):40-42.
22. Miyazaki M, Morishita Y, Takita C, et al. Analysis of the relationship between facet joint orientation and lumbar spine canal diameter with respect to the kinematics of the lumbar spinal unit. J Spinal Disord Tech, 2010, 23(4):242-248.
23. 李永新, 尹利榮, 王沛, 等. 關節突關節形態與退行性腰椎滑脫的關系. 天津醫科大學學報, 2010, 16(1):87-89, 92.
24. Chung SB, Lee S, Kim H, et al. Significance of interfacet distance, facet joint orientation, and lumbar lordosis in spondylolysis. Clin Anat, 2012, 25(3):391-397.
25. Wang J, Yang X. Age-related changes in the orientation of lumbar facet joints. Spine (Phila Pa 1976), 2009, 34(17):E596-598.
26. Don AS, Robertson PA. Facet joint orientation in spondylolysis and isthmic spondylolisthesis. J Spinal Disord Tech, 2008, 21(2):112-115.
27. 閆廣輝, 徐寶山, 夏群, 等. 腰椎小關節方向性與腰椎間盤突出癥. 中國組織工程研究與臨床康復, 2011, 15(35):6563-6566.
28. Toyone T, Ozawa T, Kamikawa K, et al. Facet joint orientation difference between cephalad and caudad portions:a possible cause of degenerative spondylolisthesis. Spine (Phila Pa 1976), 2009, 34(21):2259-2262.
29. Gao F, Hou D, Zhao B, et al. The pedicle-facet angle and tropism in the sagittal plane in degenerative spondylolisthesis:a computed tomography study using multiplanar reformations techniques. J Spinal Disord Tech, 2012, 25(2):E18-22.
30. 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.
31. Chaput C, Padon D, Rush J, et al. The significance of increased fluid signal on magnetic resonance imaging in lumbar facets in relationship to degenerative spondylolisthesis. Spine (Phila Pa 1976), 2007, 32(17):1883-1887.
32. Kalichman L, Suri P, Guermazi A, et al. Facet orientation and tropism:associations with facet joint osteoarthritis and degeneratives. Spine (Phila Pa 1976), 2009, 34(16):E579-585.
33. 韓永珍, 張家文, 陳菊春. 正常腰椎及腰椎退行性滑脫癥椎間小關節角度的研究. 安徽醫科大學學報, 2005, 40(4):340-342.
34. Hikata T, Kamata M, Furukawa M, et al. Risk factors for adjacent segment disease after posterior lumbar interbody fusion and efficacy of simultaneous decompression surgery for symptomatic adjacent segment disease. J Spinal Disord Tech, 2012.[Epub ahead of print].
35. Kim HJ, Chun HJ, Lee HM, et al. The biomechanical influence of the facet joint orientation and the facet tropism in the lumbar spine. Spine J, 2013, 13(10):1301-1308.
36. 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.
37. Melnyk AD, Kingwell SP, Zhu Q, et al. An in vitro model of degenerative lumbar spondylolisthesis. Spine (Phila Pa 1976), 2013, 38(14):E870-877.
38. Berlemann U, Jeszenszky D, Buhler DW, et al. Facet joint remodeling in degenerative spondylolisthesis:an in stigation of joint orientation and tropism. Eur Spine J, 1998, 7(5):376-380.
39. Love TW, Fagan AB, Fraser RD. Degenerative spondylolisthesis. Developmental or acquired? J Bone Joint Surg (Br), 1999, 81(4):670-674.
40. Li J, Muehleman C, Abe Y, et al. Prevalence of facet joint degeneration in association with intervertebral joint degeneration in a sample of organ donors. J Orthop Res, 2011, 29(8):1267-1274.
41. Linov L, Klindukhov A, Li L, et al. Lumbar facet joint orientation and osteoarthritis:a cross-sectional study. J Back Musculoskelet Rehabil, 2013, 26(4):421-426.
42. Andams MA, Mcnally DS, Dolan P. 'Stress' distributions inside intervertebral discs. The effects of of age and degeneration. J Bone Joint Surg (Br), 1996, 78(6):965-972.
43. 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.
44. Devine JG, Schenk-Kisser JM, Skelly AC. Risk factors for degenerative spondylolisthesis:a systematic review. Evid Based Spine Care J, 2012, 3(2):25-34.
45. Anderson DG, Limthongkul W, Sayadipour A, et al. A radiographic analysis of degenerative spondylolisthesis at the L_4-5 level. J Neurosurg Spine, 2012, 16(2):130-134.
46. 馮強, 馬智軍, 于洪, 等. 腰椎小關節角度變異在腰椎滑脫癥中的作用. 中國醫師進修雜志:外科版, 2009, 32(3):25-27.
47. O'Rourke MR, Grobler LJ. L₄-L₅ degenerative spondylolisthesis:indications and technique for operative management. Iowa Orthop J, 1998, 18:76-86.
48. Blumenthal C, Curran J, Benzel EC, et al. Radiographic predictors of delayed instability following decompression without fusion for degenerative grade I lumbar spondylolisthesis. J Neurosurg Spine, 2013, 18(4):340-346.
49. 劉成, 劉守應, 馬驍, 等. 單側小關節分級切除對同節段腰椎間孔形態影響的實驗研究. 中國矯形外科雜志, 2012, 20(1):75-77.
50. Kleinstueck FS, Fekete TF, Mannion AF, et al. To fuse or not to fuse in lumbar degenerative spondylolisthesis:do baseline symptoms help provide the answer? Eur Spine J, 2012, 21(2):268-275.
51. Dohzono S, Matsumura A, Terai H, et al. Radiographic evaluation of postoperative bone regrowth after microscopic bilateral decompression via a unilateral approach for degenerative lumbar spondylolisthesis. J Neurosurg Spine, 2013, 18(5):472-478.

Chinese Journal of Reparative and Reconstructive Surgery

DEVELOPMENT RESEARCH OF ROLE OF FACET JOINT ORIENTATION IN DEGENERATIVE SPONDYLOLISTHESIS

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