The Effect of Internal Fixation Without Arthrodesis on Human Facet Joint Cartilage

1984 ◽  
Vol &NA; (189) ◽  
pp. 204???208 ◽  
Author(s):  
NEIL KAHANOVITZ ◽  
PETER BULLOUGH ◽  
RAE R. JACOBS
Spine ◽  
1984 ◽  
Vol 9 (3) ◽  
pp. 268-272 ◽  
Author(s):  
NEIL KAHANOVITZ ◽  
STEVEN P. ARNOCZKY ◽  
DAVID B. LEVINE ◽  
JAMES P. OTIS

Author(s):  
Peter Simon ◽  
Alejandro A. Espinoza Orías ◽  
Naomi Kotwal ◽  
Todd Parrish ◽  
Howard S. An ◽  
...  

Quantitative knowledge of lumbar facet joint morphology is crucial in understanding the relationship between the geometry and kinematics of the facet joint as well as better understanding degenerative changes. Accurate prediction of lumbar facet joint contact area and stresses requires 3D representation of the thickness distribution of the articular cartilage of the facet joint. Several groups have reported on cervical facet joint cartilage thickness measurements using different approaches [2,3]. To the best of our knowledge, three-dimensional (3D) distribution of lumbar facet joint cartilage thickness has not been reported. Current methods of measuring various geometrical parameters of facet joint cartilage usually utilize high resolution magnetic resonance (MR) imaging techniques. Although these techniques represent the most up-to-date advanced methods in the soft tissue imaging field, facet joint cartilage reconstruction cannot be accomplished with reasonable fidelity using this approach. A study by Koo et al. [1] on knee joint cartilage showed that the accuracy of cartilage thickness measurement in the cartilage models derived from MRI (1.5T) varies with cartilage thickness. This study reported accurate measurements only for cartilage whose thickness ranged from 2.5 mm to 3.3 mm, which is in the range larger than the average lumbar facet joint cartilage assumed to be around 0.8 mm. Therefore, the objective of this study was to 1) analyze 3D lumbar facet joint cartilage thickness distributions based on laser scanner data, 2) compare this method using μCT and 3T MRI.


Author(s):  
Loren Kim ◽  
Peter Simon ◽  
Gunnar Andersson ◽  
Howard S. An ◽  
Nozomu Inoue ◽  
...  

Dehydration may cause undesirable morphological changes in small hydrated tissue with high surface-to-volume ratio during in vitro experimentation that can result in erroneous data. The lumbar facet joint cartilage, an example of such tissue, is highly susceptible to dehydration due its high content of water (60% to 80% by volume) when exposed to ambient air [1]. Recent studies involving thickness measurement of articular human and bovine cartilage from the tibial plateau reported distinct decreases in thickness due to dehydration and the importance of maintaining its hydration during biomechanical experimental studies [1–3]. Knee joint and facet joint cartilage are characterized as hyaline cartilage surrounded by synovial fluid and encased in a joint capsule. The fact that both are synovial joints suggests that facet joint cartilage may show similar dehydration rates; however, due to its smaller size and different surface-to-volume, the dehydration rate is expected to be higher for facet joint cartilage. To the best of the authors’ knowledge, the rate of facet joint cartilage dehydration has not been quantified before. It is hypothesized that the facet joint cartilage thickness will decrease in an inverse exponential trend and significant changes will be seen as dehydration time intervals time increases. The objectives of this study were: 1) quantify the dimensional stability of the cartilage samples under a sequential dehydration protocol, and 2) to evaluate the cartilage shrinkage rate.


Neurosurgery ◽  
2010 ◽  
Vol 66 (4) ◽  
pp. 722-727 ◽  
Author(s):  
Benjamin D. Elder ◽  
Daniel H. Kim ◽  
Kyriacos A. Athanasiou

2017 ◽  
Vol 54 ◽  
pp. 367-376 ◽  
Author(s):  
Siobhan A. O'Leary ◽  
Jarrett M. Link ◽  
Eric O. Klineberg ◽  
Jerry C. Hu ◽  
Kyriacos A. Athanasiou
Keyword(s):  

2018 ◽  
Vol 50 (6) ◽  
pp. 800-808 ◽  
Author(s):  
S. A. O'Leary ◽  
J. L. White ◽  
J. C. Hu ◽  
K. A. Athanasiou

2012 ◽  
Vol 45 (8) ◽  
pp. 1346-1352 ◽  
Author(s):  
Mohd Juzaila Abd Latif ◽  
Zhongmin Jin ◽  
Ruth K. Wilcox
Keyword(s):  

2009 ◽  
Vol 10 (6) ◽  
pp. 623-628 ◽  
Author(s):  
Benjamin D. Elder ◽  
Krishanthan Vigneswaran ◽  
Kyriacos A. Athanasiou ◽  
Daniel H. Kim

Object Tissue engineering appears to be a promising strategy for articular cartilage regeneration as a treatment for facet joint arthritis. Prior to the commencement of tissue engineering approaches, design criteria must be established to determine the required functional properties of the replacement tissue. As characterization of the functional properties of facet joint cartilage has not been performed previously, the objective of this study was to determine the biomechanical, biochemical, and histological properties of facet joint cartilage. Methods The in vitro testing was conducted using 4 lumbar spinal segments obtained from skeletally mature canines. In each specimen, articular cartilage was obtained from the superior surface of the L3–4 and L4–5 facet joints. Creep indentation was used to determine the compressive biomechanical properties, while uniaxial tensile testing yielded the Young modulus and ultimate tensile strength of the tissue. Additionally, biochemical assessments included determinations of cellularity, glycosaminoglycan (GAG) content, and collagen content, as well as enzymelinked immunosorbent assays for collagen I and II production. Finally, histological characterization included H & E staining, as well as staining for collagen and GAG distributions. Results The means ± standard deviation values were determined. There were no differences between the 2 spinal levels for any of the assessed properties. Averaged over both levels, the thickness was 0.49 ± 0.10 mm and the hydration was 74.7 ± 1.7%. Additionally, the cells/wet weight (WW) ratio was 6.26 ± 2.66 × 104 cells/mg and the cells/dry weight (DW) ratio was 2.51 ± 1.21 × 105 cells/mg. The GAG/WW was 0.038 ± 0.013 and the GAG/ DW was 0.149 ± 0.049 mg/mg, while the collagen/WW was 0.168 ± 0.026 and collagen/DW was 0.681 ± 0.154 mg/ mg. Finally, the aggregate modulus was 554 ± 133 kPa, the Young modulus was 10.08 ± 8.07 MPa, and the ultimate tensile strength was 4.44 ± 2.40 MPa. Conclusions To the best of the authors' knowledge, this study is the first to provide a functional characterization of facet joint articular cartilage, thus providing design criteria for future tissue engineering studies.


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