The Effects of Tropism of L5-S1 On the Herniation of Intervetebral Disc

제 5요추-제 1천추간의 후관절각 비대칭성이 추간판탈출증에 미치는 영향

Lee, Kang-Su;Lee, Young-Jun;Lee, Myeong-Jong
이강수;이영준;이명종

  • Published : 20040000

Abstract

Objective : To study the role of orientation and asymmetry of facet joints(tropism) whether it causes the herniation of intervertebral disc and direction of the herniation or not. Methods : the orientation of lumbar facet joints was studied with lumbar computed tomography(CT) in 315 subjects to determine if there is an association between facet tropism and herniation of intervertebral disc. We investigated frequency of tropism of L5-S1 in 315 subjects and tropism with disc herniation. Finally Authors studied relation tropism to direction fo disc herniation. Results : 1. Angle of facet joint is $48.93\pm7.34^{\circ}$ in Rhight and $50.3\pm9.99^{\circ}$ in Left Incidence of asymmetry of facet joints(tropism) was 32.6% 2. There is not significant association between tropism of L5-S1 and disc herniation. 3. There is not significant association between tropism of L5-S1 and direction of herniation. Conclusions : Statistically tropism of facet joints are not related to the frequency and direction of herniation of intervertebral disc.

Keywords

References

  1. Low Back Pain v.83 James, M.Cox
  2. 대한재활의학회지 v.14 no.2 CT에 의한 하부요추의 Facet 관절의 방위측정 김경수;고현윤
  3. 대한정형외과학회지 v.26 no.4 한국인 요통환자의 하요추부 후관절과 추궁판의 방향 채인정;허창룡;박해일
  4. Spine v.5 no.2 Articular tropism and stability of the lumbar spine Cyron, B.M.;Hutton, W.C.
  5. 대한정형외과학회지 v.26 no.6 추간판 탈출증에서 척추 후관절과 추궁판의 방향에 관한 관찰 이종서;조세현;송해룡;박형빈;정연천
  6. J Spinal Disord v.4 no.1 The role and incidence of facet tropism in lumbar spine degenerative disc disease Murtagh, F.R.;Paulsen, R.D.;Rechtine, G.R.
  7. AJNR Am J Neuroradiol v.18 no.7 Lumbar facet joint tropism does not accelerate degeneration of the facet joints Grogan, J.;Nowicki, B.H.;Schmidt, T.A.;Haughton, V.M.
  8. J Neurophysiol v.32 Spinal nerons specifically excited by noxious or thermal stimuli;Marginal zones of dorsal horn Christensen, B.N.;Perl, E.R.
  9. Proceedings of the Orthopaedic Research Society 39th Annual Meeting no.February Facet Joint Morphology in the Spine Stenosis and Degenerative Spondylolistesis at L4-5 Grobler, L. J.;Robertson, P. A.;Novotny, J. E.;Pope, M.H.
  10. Can. J. Surg. v.10 The relation of facet orientation to intervetebral disc failure Fanfan, H.F.;Sullivan, J.D.
  11. Orthopaedic Transection v.9 The Relationship between Facet orientation and lumbar disc herniation;The role of torsion in intervetebral disc failure Loback, D.;K. Yong-Hing;Cassidy, D.;Tchang, S.
  12. Spine v.10 The Orientation of Laminae and Facet Joints in the Lower Lumbar Spine Schaik, Van;J, P.J.;Verbiest, H.;Schaik, Van;J, F.D.
  13. Spine v.18 no.8 The relationship of facet tropism to degenerative disc disease Vanharanta, H.;Floyd, T.;Ohnmeiss, D.D.;Hochschuler, S.H.;Guyer, R.D.
  14. J Bone Joint Surg Am. v.78 no.3 Orientation of the lumbar facet joints : association with degenerative disc disease Boden, S.D.;Riew, K.D.;Yamaguchi, K.;Branch, T.P.;Schellinger, D.;Wiesel, S.W.
  15. Arch Phys Med Rehabil v.78 no.11 Facet tropism in lumbar motion segments and its significance in disc herniation Ko, H.Y.;Park, B.K.
  16. Radiology v.134 Computed tomography of the lumbar facet joint Carrera, G.F.;Haughton, V.M.;Syvertsen, A.
  17. J Manipulative Physiol Ther v.14 no.6 Facet tropism:comparison of plain film and computed tomography examinations Cox, J.M.;Aspegren, D.D.;Trier, K.K.