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European Spine Journal

, Volume 7, Issue 5, pp 376–380 | Cite as

Facet joint remodeling in degenerative spondylolisthesis: an investigation of joint orientation and tropism

  • U. Berlemann
  • D. J. Jeszenszky
  • D. W. Bühler
  • J. Harms
Original article

Abstract

This study analyzed transverse facet joint angulations at the three lower lumbar levels in 132 patients assigned to one of four groups. Group A comprised 23 patients with degenerative spondylolisthesis (DS) at the level L4-5, group B comprised 40 patients above the age of 50 years, group C comprised 38 patients aged between 35 and 50 years, and group D comprised 31 patients under the age of 35 years. Groups B, C, and D had no evidence of DS. Measurements were taken from hard copies of axial MR or CT images. The transverse plane of facet joints was more sagittally oriented in group A than in any other group. This difference was highly significant at the L4-5 level. The incidence of more sagittally oriented L4-5 facet joints was also significantly higher only in group A. The incidence of facet joint tropism, however, was not different in group A. These results support the view that the pronounced sagittal alignment of facet joints in patients with DS represents a secondary remodeling rather than a pre-existing morphology. Facet joint asymmetry does not seem to play a major role in the development of DS.

Key words Lumbar spine Facet joint Remodeling Degeneration Ventrolisthesis 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • U. Berlemann
    • 1
  • D. J. Jeszenszky
    • 2
  • D. W. Bühler
    • 3
  • J. Harms
    • 2
  1. 1.Department of Orthopaedic Surgery, Inselspital, University of Bern, Freiburgstrasse, CH-3010 Bern, Switzerland Tel.: +41-31-632 2222, Fax: +41-31-632 3600CH
  2. 2.Department of Orthopaedic and Trauma Surgery, Center for Spinal Surgery, Karlsbad-Langensteinbach, GermanyDE
  3. 3.M. E. Müller Institute for Biomechanics, University of Bern, SwitzerlandCH

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