INFLUENCE OF FACET JOINT TROPISM ON THE FORMATION OF INTERVERTEBRAL DISC HERNIATION IN THE LUMBOSACRAL SPINE
https://doi.org/10.14531/ss2018.1.49-54
Abstract
Objective. To evaluate the influence of facet joint tropism on the formation of intervertebral disc hernias in the lumbosacral spine, and to determine the relationship between facet joint asymmetry and the type of hernia of the lumbar intervertebral discs.
Material and Methods. Sixty-four patients aged 23–47 years with herniated lumbar intervertebral discs at one level (L3–L4, L4–L5 or L5–S1) were examined. Calculation of facet angles was performed on MRI axial slices. Tropism was verified when the difference between the angles of the right and left joints exceeded 10°.
Results. When calculating the facet joint angles, tropism was detected in 22 (34.3 %) cases. One-factor analysis of the effect of facet joint tropism on the intervertebral disc hernia formation at all three levels revealed its significant influence (p = 0.0017; OR 7.416; 95 % CI 3.11–22.64). Analysis of the effect of facet joint tropism on the formation of intervertebral disc hernias at each level has shown that statistically significant effect is exerted only on L5–S1 intervertebral discs (p = 0.0224; OR 13.537; 95 % CI 2.419–98.475).
Conclusion. Facet joint tropism significantly influences the formation of intervertebral disc hernias at all three levels of the lumbosacral spine as a whole but does not affect the type of lumbar intervertebral disc hernia.About the Authors
V. A. Byvaltsev
Irkutsk State Medical University; Road Clinical Hospital at «Irkutsk-Passazhirskiy» station of JSCo «Russian Railways»; Irkutsk Scientific Center of Surgery and Traumatology; Irkutsk State Medical Academy of Continuing Education
Russian Federation
Russian Federation
Vadim Anatolyevich Byvaltsev - DMSc, Chief neurosurgeon of the Health Department of JSCo «Russian Railways», head of the Centre of Neurosurgery, RCH «Irkutsk-Passazhirskiy» station of JSCo «Russian Railways»; head of scientific-clinical department of neurosurgery ISCST, Professor of the Department of Traumatology, Orthopaedics and Neurosurgery ISMACE; director of the course of neurosurgery ISMU.
Кrasnogo Vosstaniya str., 1, 664003, Irkutsk
I. A. Stepanov
Irkutsk State Medical University
Russian Federation
Russian Federation
Ivan Andreevich Stepanov - postgraduate student.
Кrasnogo Vosstaniya str., 1, 664003, Irkutsk
A. K. Okoneshnikova
Irkutsk State Medical University
Russian Federation
Russian Federation
Alena Konstantinovna Okoneshnikova - postgraduate student in neurosurgery.
Кrasnogo Vosstaniya str., 1, 664003, Irkutsk
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Review
For citations:
Byvaltsev V.A., Stepanov I.A., Okoneshnikova A.K. INFLUENCE OF FACET JOINT TROPISM ON THE FORMATION OF INTERVERTEBRAL DISC HERNIATION IN THE LUMBOSACRAL SPINE. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2018;15(1):49-54. https://doi.org/10.14531/ss2018.1.49-54
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