scholarly journals Association of facet orientation and tropism with lumbar disc herniation

2020 ◽  
Vol 6 (2) ◽  
pp. 296
Author(s):  
Deepak H. R. ◽  
Karan Shetty ◽  
Lakshmi Narayana Reddy G.
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Facet Joint ◽  
Lumbar Disc ◽  
Control Level ◽  
Signs And Symptoms ◽  
Intervertebral Disc Herniation ◽  
Degenerative Lumbar Disease ◽  
Magnetic Resonance Imaging Mri ◽  
Facet Tropism

<p class="abstract"><strong>Background:</strong> Intervertebral disc herniation is a degenerative lumbar disease and a common pathology of skeletal system. Currently, most experts assume that facet tropism may affect lumbar degenerative diseases. Considering the previous inconsistent findings on the relationship of facet tropism, the present study was aimed to find the association between facet tropism and lumbar disc herniation.</p><p class="abstract"><strong>Methods:</strong> Patients with low back pain attending the OPD of orthopaedics department, with signs and symptoms of disc herniation were sent for magnetic resonance imaging (MRI). 72 patients with single level disc herniation were included in the study. Facet angles were measured using MRI of 1.5 T using the method described by Karacan et al. Facet tropism was defined as difference of 100 or more in facet joint angles between right and left sides.<strong></strong></p><p class="abstract"><strong>Results:</strong> 45 of the 72 cases (50%) who presented with lumbar disc herniation (LDH) had tropism while none (0%) at the control level did. This association was not statistically significant (p=0.983). Significant association was found between the side of disc herniation and the distribution of the more coronal or sagittal facing facet (p=0.024).</p><p class="abstract"><strong>Conclusions:</strong> Despite the presence of tropism only in the intervertebral segments affected with LDH in our study, the association between tropism and LDH was not statistically significant.</p>

scholarly journals The Clinical Diagnostic Value of Lumbar Intervertebral Disc Herniation Based on MRI Images

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Kangxing Zheng ◽  
Zihuan Wen ◽  
Dehuai Li
Keyword(s):  
Intervertebral Disc ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Facet Joint ◽  
Lumbar Disc ◽  
Herniated Disc ◽  
Intervertebral Disc Herniation ◽  
Facet Joints ◽  
Lumbar Intervertebral Disc ◽  
Lumbar Intervertebral Disc Herniation

MRI was used to measure the changes in the angle of the facet joints of the lumbar spine and analyze the relationship between it and the herniated lumbar intervertebral disc. Analysis of the causes of lumbar disc herniation from the anatomy and morphology of the spine provides a basis for the early diagnosis and prevention of lumbar disc herniation. There is a certain correlation between the changes shown in MRI imaging of lumbar disc herniation and the TCM syndromes of lumbar intervertebral disc herniation. There is a correlation between the syndromes of lumbar disc herniation and the direct signs of MRI: pathological type, herniated position, and degree of herniation. Indirect signs with MR, nerve root compression and dural sac compression, are related. The MRI examination results can help syndrome differentiation to improve its accuracy to a certain extent. MRI has high sensitivity for the measurement of the angle of the facet joints of the lumbar spine and can be used to study the correlation between the changes of the facet joint angles and the herniated disc. Facet joint asymmetry is closely related to lateral lumbar disc herniation, which may be one of its pathogenesis factors. The herniated intervertebral disc is mostly on the sagittal side of the facet joint, and the facet joint angle on the side of the herniated disc is more sagittal. The asymmetry of the facet joints is not related to the central lumbar disc herniation, and the angle of the facet joints on both sides of the central lumbar disc herniation is partial sagittal.

scholarly journals Correlation Between Facet Tropism and Lumbar Disc Herniation

2020 ◽  
Author(s):  
Han Ye ◽  
Wang Xiaodong ◽  
Zhang zepei ◽  
Deepak shrestha ◽  
Li Kepeng ◽  
...  
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Facet Joint ◽  
Lumbar Disc ◽  
Normal Subjects ◽  
Left And Right ◽  
The Difference ◽  
Facet Tropism ◽  
The Relationship ◽  
Lumbar Facet

Abstract Purpose The relationship between facet tropism (FT) and lumbar disc herniation (LDH) is not clear. In the present study, MRI was used to assess the relationship between lumbar facet joint tropism and disc herniation. This paper is the first to assess the relationship between facet joint tropism and LDH from the sagittal view. Methods 122 patients (154 segments) with lumbar disc herniation and 102 normal subjects (306 segments) who visited our hospital from 01-Jan-2020 to 01-Apr-2020 were included in this study. The axial and sagittal angles of facet joints were measured using an MRI scan. The difference of 10° in facet angles between left and right was defined as lumbar facet tropism. The relationship between the two was analyzed. Results In the axial, 95/154 segments with lumbar disc herniation had FT whereas, 48/258 segments had FT in the normal segments(p<0.01). In the sagittal, 61/154 segments with lumbar disc herniation had FT and 48/306 had FT in the control(p<0.01). Conclusion The proportion of FT is better in patients with lumbar disc herniation, and there is a significant correlation between FT and lumbar disc herniation.

scholarly journals Correlation between facet tropism and lumbar disc herniation

2020 ◽  
Author(s):  
Han Ye ◽  
Wang Xiaodong ◽  
Zhang Zepei ◽  
Deepak Shrestha ◽  
Li Kepeng ◽  
...  
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Facet Joint ◽  
Lumbar Disc ◽  
Normal Subjects ◽  
Left And Right ◽  
The Difference ◽  
Facet Tropism ◽  
The Relationship ◽  
Lumbar Facet

Abstract Purpose The relationship between facet tropism (FT) and lumbar disc herniation (LDH) is not clear. In the present study, MRI was used to assess the relationship between lumbar facet joint tropism and disc herniation. This paper is the first to assess the relationship between facet joint tropism and LDH from the sagittal view. Methods 122 patients (154 segments) with lumbar disc herniation and 102 normal subjects (306 segments) who visited our hospital from 01-Jan-2020 to 01-Apr-2020 were included in this study. The axial and sagittal angles of facet joints were measured using an MRI scan. The difference of 10° in facet angles between left and right was defined as lumbar facet tropism. The relationship between the two was analyzed. Results In the axial, 95/154 segments with lumbar disc herniation had FT whereas, 48/258 segments had FT in the normal segments(p < 0.01). In the sagittal, 61/154 segments with lumbar disc herniation had FT and 48/306 had FT in the control(p < 0.01). Conclusion The proportion of FT is better in patients with lumbar disc herniation, and there is a significant correlation between FT and lumbar disc herniation.

scholarly journals The Correlation Between Facet Joint Parameters and the Location of Lumbar Disc Herniation in the Young Population

2021 ◽  
Author(s):  
Song Ke ◽  
Naiguo Wang ◽  
Ming Yang ◽  
Wentao Zhang ◽  
Tianze Sun ◽  
...  
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Facet Joint ◽  
Lumbar Disc ◽  
Clinical History ◽  
Control Group ◽  
Young Population ◽  
Facet Orientation ◽  
Joint Parameters ◽  
Facet Tropism

Abstract Background: Facet joint parameters have been discussed as substantial factors in the development of LDH. However, the correlation between facet joint parameters and the location of LDH in the corresponding segment is still unclear. The objective of this study was to demonstrate a clearly relationship between facet orientation (FO), facet tropism (FT) and lumbar disc herniation (LDH) in young individuals.Methods: Between June 2017 and December 2019, 529 patients having single-level LDH (L4-5 or L5-S1) between 18 and 35 years old with a less than 2 years clinical history were included. Another 122 age-matched patients with no LDH were enrolled as the control group (N-LDH group). Based on the location of herniation, cases in LDH group were divided into three groups (LDHL, LDHR, and LDHM). We investigated the correlation between facet joint parameters and the location of LDH.Results: The FOA in L4-5 and L5-S1 level were significantly lower while FT were higher in LDH group than N-LDH group respectively. In terms of the correlation between the facet joint parameters and the location of LDH, the level of LDH, the FOL, FOR, and FT were significantly varied among the three groups. There is a significant association between the different location of LDH and different FO of bilateral facet joints in L4-5 while not in L5-S1 level.Conclusion: The facet joint parameters abnormality have an significant association with the development of LDH. Young individuals with higher FT and/or lower FO should be paid more attention to preventing the occurrence of LDH. There was more location of IVD herniated on the ipsilateral location with lower FO of facet joint when FT existed in L4-5 level.

scholarly journals INFLUENCE OF FACET TROPISM ON THE LOCATION OF LUMBAR DISC HERNIATION

2018 ◽  
Vol 17 (1) ◽  
pp. 23-26 ◽  
Author(s):  
RODRIGO ARNOLD TISOT ◽  
JULIANO DA SILVEIRA VIEIRA ◽  
DIEGO DA SILVA COLLARES ◽  
LEONARDO DOMINGUES STUMM ◽  
MARIANO FERABOLI FONTANA ◽  
...  
Keyword(s):  
Intervertebral Disc ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Facet Joint ◽  
Lumbar Disc ◽  
Demographic Data ◽  
Herniated Disc ◽  
Resonance Imaging ◽  
Level Of Evidence ◽  
Facet Tropism

ABSTRACT Objective: To correlate facet tropism with the side and location of the intervertebral disc in which the lumbar disc herniation occurred. Methods: A retrospective descriptive study that evaluated Magnetic Resonance Imaging of 255 patients with lumbar disc herniation undergoing surgical treatment with the Spine Group of the Hospital Ortopédico de Passo Fundo between 2002 and 2014. The total patient number was stratified according to the side affected by the herniated disc (right or left), location of the hernia in the intervertebral disc (central, centrolateral, foraminal and extraforaminal) and demographic data, such as age, gender etc. The degree of facet joint tropism was measured by the Karakan method and classified as mild (difference less than 7º); moderate (between 7º and 15º) and severe (difference greater than 15º). Results: A statistical significant relationship (p= 0.023) was observed between the facet joint tropism and the side where the lumbar disc herniation occurred. No correlation was found between facet joint tropism and location of the herniation on the intervertebral disc. Conclusions: The degree of facet tropism presents a statistical significant correlation with the side of the intervertebral disc in which the lumbar disc herniation will develop. Level of Evidence: II. Type of study: Retrospective study.

Computed Tomography of the Postoperative Intervertebral Disc and Lumbar Spinal Canal: Serial Long-Term Investigation in 19 Patients after Successful Operation for Lumbar Disc Herniation

Neurosurgery ◽  
1991 ◽  
Vol 29 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Raoul Heilbronner ◽  
Heinz Fankhauser ◽  
Pierre Schnyder ◽  
Nicolas de Tribolet
Keyword(s):  
Contrast Enhancement ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Signs And Symptoms ◽  
Failed Back Surgery Syndrome ◽  
Ct Scans ◽  
X Rays ◽  
Successful Operation ◽  
Failed Back Surgery

Abstract The first part of this work, published in 1988, included 25 patients who had computed tomographic (CT) scans without contrast enhancement and plain x-rays of the lumbar spine before, 1 week after, and 6 to 7 weeks after a successful operation for lumbar disc herniation. The present study extends the follow-up period to 3 years in 19 of the 25 original patients. Clinical examinations, lateral plain x-rays, and CT scans without contrast enhancement of the operated disc were repeated. The results indicate a decrease or even a disappearance of the hyperdense extradural material thought to represent fibrosis. An image suggestive of persistent disc herniation was still present in 5 of 8 patients with this finding on early postoperative CT scans. Persistent intradiscal gas was seen in nearly half of the patients. Total normalization of the posterior extraspinal structures was the rule. There was no correlation between CT appearance and residual complaints of the patients. CT scans without contrast enhancement may be sufficient to guide the surgeon in postoperative patients with massive signs and symptoms of recurrent root compression in whom a second operation is indicated on clinical grounds. In all other cases, myelography followed by CT scans is considered appropriate to investigate failed back surgery syndrome. (Neurosurgery 29:1-7, 1991)

Alteration of Facet Joint Orientation and Asymmetry With Time in Lumbar Disc Herniation

2006 ◽  
Vol 16 (3) ◽  
pp. 135-138 ◽  
Author(s):  
Ilhan Karacan ◽  
Teoman Aydin ◽  
Muharrem Cidem ◽  
Safak Sahir Karamehmetoglu
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Facet Joint ◽  
Lumbar Disc ◽  
Joint Orientation

scholarly journals A Study of Lumbar Disc Herniation and Facet Joint Asymmetry

2019 ◽  
Vol 103 (1-2) ◽  
pp. 87-94
Author(s):  
Qi Lai ◽  
Yuan Liu ◽  
Runsheng Guo ◽  
Xin Lv ◽  
Qiang Wang ◽  
...  
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Facet Joint ◽  
Lumbar Disc ◽  
Patients Âgés ◽  
Lower Lumbar Spine ◽  
Significant Difference ◽  
Facet Joint Degeneration ◽  
Disc Herniations ◽  
Lumbar Facet

Purpose: To investigate the association of facet joint asymmetry with lumbar disc herniation at the lower lumbar spine. Methods: A total of 90 patients (ages 18–40 years) with single-level disc herniation (L3–L4, L4–L5, or L5–S1) were included in the study. Facet asymmetry was defined as a difference of 10° in facet joint angles between right and left sides. Normal discs in the same segment of other individuals were used as a control. Patients had facet asymmetry measured for L3 to S1 through 3.0T magnetic resonance imaging, and information was collected, including age, sex, degenerative degree of lumbar facet joints, and the presence or absence of lumbar disc herniation and type. Results: At the L3 to L4 level, 2 cases had facet asymmetry in 8 patients with lumbar disc herniation, compared with 17 cases of facet asymmetry in 82 patients without disc herniation (P = 0.7776, r = 0.030). At the L4 to L5 level, there were 21 cases of facet asymmetry in 45 patients with lumbar disc herniation, compared with 5 cases of asymmetry in 45 patients without disc herniation (P = 0.00019, r = 0.392). At the L5 to S1 level, there were 25 cases of facet asymmetry in 37 patients with lumbar disc herniation, compared with 11 cases of facet asymmetry in 53 patients without disc herniation (P = 0.0000, r = 0.492). There were 23 cases of facet asymmetry in 28 disc herniations of side type compared with 2 cases of facet asymmetry in 9 herniations of center type (P = 0.0008, r = 0.364). There was no significant difference in the relationship between age, facet joint degeneration, and lumbar facet joint asymmetry (P &gt; 0.05). Conclusion: Facet asymmetry is significantly associated with lumbar disc herniation at the L4 to L5 and the L5 to S1 levels, whereas there is an obvious association with the side type of lumbar disc herniation at the L5 to S1 level.

scholarly journals Non-surgical treatment with XSHHD for ruptured lumbar disc herniation: a 3-year prospective observational study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Feng Dai ◽  
Yu Xiang Dai ◽  
Hong Jiang ◽  
Peng Fei Yu ◽  
Jin Tao Liu
Keyword(s):  
Surgical Treatment ◽  
Nucleus Pulposus ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Secondary Outcome ◽  
Outcome Measurements ◽  
Straight Leg Raising ◽  
Magnetic Resonance Imaging Mri ◽  
Non Surgical Treatment

Abstract Background Lumbar disc herniation (LDH) is mainly caused by annular fiber disruption with a discrete leakage of nucleus pulposus pressing on a nerve, resulting in back pain and radiating pain. Most patients with LDH can be treated conservatively, but there are many different conservative treatments. Furthermore, most previous studies did not evaluate the long-term efficacy of these treatments and the prognosis. Therefore, an effective and safe therapeutic strategy is lacking for patients with LDH. In this study, we evaluated Xiao Sui Hua He decoction (XSHHD) in the treatment of LDH. Methods This was a rigorous prospective observational 3-year follow-up study. We recruited 69 participants with ruptured lumbar disc herniation (RLDH) between February 2014 and February 2016. Patients took XSHHD orally twice a day for 6 months. The primary outcome measurements were visual analogue scale (VAS) pain score, Oswestry disability index (ODI) and straight leg raising test (SLRT). The secondary outcome measurements was nucleus pulposus protrusion volume on magnetic resonance imaging (MRI). Clinical outcomes were measured at baseline (Visit 1), and at 3, 6, 12, and 36 months (Visit 2, 3, 4, and 5, respectively).. Results Sixty-three patients were followed-up for 3 years after treatment. SLRT and ODI after non-surgical treatment improved significantly compared with baseline (P < .001). There were no statistically significant differences at 6 months vs 36 months for SLRT and ODI. VAS scores (leg, back) after 3 years of treatment were statistically significantly different compared with baseline (P < .001; Z = − 6.93, − 6.637). The baseline protrusion volume was 2018.61 ± 601.16 mm3, and the volume decreased significantly to 996.51 ± 387.42 mm3 at 36 months (t = 12.863; P < .001). The volume of protrusion resorption rate (VPRR) at 36 months was 47.24 ± 23.99%, with significant resorption in 23 cases, partial resorption in 23 cases, no resorption in 15 cases, and increased volume in 2 cases. Conclusions This study showed that non-surgical treatment with XSHHD was effective, and the study clarified the natural outcomes in LDH.

Comparison of Myelography and Computed Tomography in Establishing Lumbar Disc Herniation

1989 ◽  
Vol 30 (3) ◽  
pp. 241-246 ◽  
Author(s):  
M. K. J. Fagerlund ◽  
U. E. Thelander
Keyword(s):  
Computed Tomography ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Soft Tissues ◽  
Lumbar Disc ◽  
False Negative ◽  
Herniated Disc ◽  
Intervertebral Disc Herniation ◽  
Lumbar Region ◽  
Negative Case

The results of lumbar myelography and computed tomography (CT) were compared in 51 consecutive patients with clinically suggested lumbar disc herniation. A total of 100 intervertebral levels were examined. At 62 levels, either L4/L5 or L5/S1, myelography was normal. CT showed no pathologic changes at 55 levels. The results concurred between myelography and CT in 89 per cent of the patients with normal findings. Four cases of disc herniation and one bulging disc, which had been missed at myelography because of a large epidural space at L5/S1, were picked up by CT. Two of these were verified by surgery and two were treated conservatively. There was one possible false negative case with CT as well. Abnormalities were shown at 38 intervertebral levels, 22 in the bulging and 16 in the herniated disc group. The pathologic changes concurred in 84 per cent between the two investigations. For intervertebral disc herniation the true negative rate was, for myelography 88 per cent and for CT 97 per cent. The treatment strategy could have been based on CT alone at 37 out of 38 levels (97%), and on myelography alone at 34 out of 38 levels (89%). Furthermore, at CT the imaging of soft tissues and intervertebral joints was superior to that at myelography. It is concluded that CT should be the primary examination method of imaging for lumbar disc herniation. Myelography is, however, to be preferred where the level of the lesion is clinically unclear or when the entire lumbar region and thoraco-lumbar junction are to be examined.

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