Are there correlations between facet joint parameters and lumbar disk herniation laterality in young adults?. (March 2023)

• Record Type: Journal Article
• Authors: Ke, Song; Sun, Tianze; Zhang, Wentao; Zhang, Jing; Li, Zhonghai
• Is Part Of: Journal of clinical neuroscience. Volume 109(2023)
• Page Start: 50
• Page End: 56
• Publication Date: 2023-03
• Subjects: Lumbar disk herniation (LDH) -- Facet joints -- Facet orientation (FO) -- Facet tropism (FT) -- Risk factors; FO Facet orientation -- FT Facet tropism -- LDH lumbar disc herniation -- IVD Intervertebral discs -- AF Annulus fibrosus -- NP Nucleus pulposus; Brain -- Surgery -- Periodicals; Neurosciences -- Periodicals; Nervous system -- Surgery -- Periodicals; Brain -- surgery -- Periodicals; Neurosurgical Procedures -- Periodicals; Neurosciences -- Periodicals; Electronic journals; 616.8
• DOI: 10.1016/j.jocn.2023.01.013
• Languages: English
• ISSNs: 0967-5868

Abstract

Highlights: Abnormal facet joint parameters are significantly associated with LDH. Young adults with higher FT should be paid more attention, to prevent the occurrence of LDH. At the L4–L5 level, intervertebral disk herniation tended to occur ipsilateral to the side with a lower facet joint angle when FT was present. Abstract: Objective: We aimed to determine whether there is an association, in young adults, between the occurrence of lumbar disk herniation (LDH) at a given segment and the segment's facet joint parameters [facet orientation (FO) and tropism (FT)]. In addition, associations between facet joint parameters in the corresponding segment and LDH laterality were also investigated. Methods: We retrospectively analyzed data from 529 patients who were between 18 and 35 years old, who had experienced single-level LDH (L4–5 or L5–S1) between June 2017 and December 2019, and with<2 years of clinical history. We included an additional 122 patients with no history of LDH as an age-matched control group. LDH were classified by laterality (left-sided, right-sided, or central herniation). At each level, we investigated the relationship between facet joint parameters and herniation laterality. Results: FOA values at the L4–L5 level and the L5–S1 level were significantly lower and FT was higher for the LDH group compared with those for the control group. The level at which LDH occurred, FOL, FOR, and FT differed significantly among the three groups. There was a significant association between herniation laterality and FO at the L4–L5 level but not at the L5–S1 level. Conclusions: Abnormal facet joint parameters are significantly associated with LDH. Young adults with higher FT should be paid more attention, to prevent the occurrence of LDH. Compared with L5–S1 level, intervertebral disk herniation at the L4–L5 level tended to occur ipsilateral to the side with a lower facet joint angle when FT was present.