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BMC Musculoskeletal Disorders

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Open Access 01-12-2022 | Research

Evaluation the association of facet tropism in multi-sports athletes with cervical disc hernia

Authors: Ali Eroglu, Ahmet Eroglu

Published in: BMC Musculoskeletal Disorders | Issue 1/2022

Abstract

Background

Facet tropism (FT) can be defined as the angular difference between the orientation of the right and left facet joints in axial or sagittal planes. Most studies discuss about the relationship with lumbar disc hernia and facet joint angle. However, little is known about the association of facet tropism with disc herniation in the cervical spine in multisports athletes. In this study, We aimed to investigate the relationship between cervical facet tropism and disc hernia in athletes of different branches between the ages of 20–40 from the cervical MR images of the cases.

Methods

This is a retrospective study performed on athletes who applied our hospital between January 2014–2019 with neck pain and have MR imaging of the cervical spine. Cervical MR images of the patients were evaluated by an experienced radiologist from the hospital system database and archives. 79 cases (52 men and 27 women) were included in the study.

Results

No statistically significant difference was found between the facet joint angles of both groups at all levels (p˃0.05). Only left C6-7 disc angles of CDH group were measured as 92.99° ± 10.77⁰ (62⁰–113⁰) and 88.58° ± 7.65° (67°-110°) for the normal group and this difference was found statistically significant (p = 0.007).

Conclusion

In this study, we did not predict that cervical facet tropism may be a factor associated with cervical disc hernia in young athletes with CDH.

Yang KH, King AI. Mechanism of facet load transmission as a hypothesis for low-back pain. Spine. 1984;9(6):557–65. https://doi.org/10.1097/00007632-198409000-00005.CrossRefPubMed

Chadha M, Sharma G, Arora SS. Kochar, V: Association of facet tropism with lumbar disc herniation. Eur Spine J. 2013;22:1045–52. https://doi.org/10.1007/s00586-012-2612-5.CrossRefPubMed

Do DH, Taghavi CE, Fong W, Kong MH, Morishita Y, Wang JC. The relationship between degree of facet tropism and amount of dynamic disc bulge in lumbar spine of patients symptomatic for low back pain. Eur Spine J. 2011;20:71–8. https://doi.org/10.1007/s00586-010-1558-8.CrossRefPubMed

Li Z, Yang H, Liu M, et al. Clinical characteristics and risk factors of recurrent lumbar disk herniation: a retrospective analysis of three hundred twenty-one cases. Spine J. 2018;43:1463–9. https://doi.org/10.1097/BRS.0000000000002655.CrossRef

Wang H, Zhou Y. Facet tropism: possible role in the pathology of lumbar disc herniation in adolescents. J Neurosurg Pediatr. 2016;18:111–5. https://doi.org/10.3171/2015.7.PEDS15175.CrossRefPubMed

Huang X, Ye L, Liu X, et al. The Relationship Between Facet Tropism and Cervical Disc Herniation. J Anat. 2020;236(5):916–22. https://doi.org/10.1111/joa.13151.CrossRefPubMedPubMedCentral

Rong X, Wang B, Ding C. The biomechanical impact of facet tropism on the intervertebral disc and facet joints in the cervical spine. Spine J. 2017;17:1926–31. https://doi.org/10.1016/j.spinee.2017.07.009.CrossRefPubMed

Xu C, Lin B, Ding Z, Xu Y. Cervical degenerative spondylolisthesis: analysis of facet orientation and the severity of cervical spondylolisthesis. Spine J. 2016;16:10–5. https://doi.org/10.1016/j.spinee.2015.09.035.CrossRefPubMed

Adams MA, Hutton WC. The effect of posture on the role of the apophysial joints in resisting intervertebral compressive forces. J Bone Joint Surg. 1980;62(3):358–62. https://doi.org/10.1016/j.spinee.2015.09.035.CrossRef

10.

Noren R, Trafimow J, Andersson GB. The role of facet joint tropism and facet joint angle in disc degeneration. Spine J. 1991;16(5):530–2.CrossRef

11.

Huang X, Ye L, Wu Z: Biomechanical effects of lateral bending position on performing cervical spinal manipulation for cervical disc herniation: a three-dimensional finite element analysis. Evidence-Based Complementary and Alternative Medicine: ed 2 2018 pp416,418. https://doi.org/10.1155/2018/2798396

12.

Ishihara H, Matsui H, Osada R, Ohshima H, Tsuji H. Facet joint asymmetry as a radiologic feature of lumbar intervertebral disc herniation in children and adolescents. Spine. 1997;22(17):2001–4. https://doi.org/10.1097/00007632-199709010-00012.CrossRefPubMed

13.

Karacan I, Aydin T, Sahin Z, et al. Facet angles in lumbar disc herniation: their relation to anthropometric features. Spine J. 2004;29:1132–6. https://doi.org/10.1097/00007632-200405150-00016.CrossRef

14.

Pal GP, Routal RV, Saggu SK. The orientation of the articular facets of the zygapophyseal joints at the cervical and upper thoracic region. J Anat. 2001;198:431–41. https://doi.org/10.1046/j.1469-7580.2001.19840431.x.CrossRefPubMedPubMedCentral

15.

Kim HJ, Chun HJ, Lee HM. The biomechanical influence of the facet joint orientation and the facet tropism in the lumbar spine. Spine J. 2013;13:1301–8. https://doi.org/10.1016/j.spinee.2013.06.025.CrossRefPubMed

16.

Rong X, Liu Z, Wang B, Chen H, Liu H. The facet orientation of the subaxial cervical spine and the implications for cervical movements and clinical conditions. Spine J. 2017;42:320–5. https://doi.org/10.1097/BRS.0000000000001826.CrossRef

17.

Cui JH, Kim YC, Lee K, Park GT, Kim KT, Kim SM. Relationship Between Facet Joint Tropism and Degeneration of Facet Joints and Intervertebral Discs Based on a Histological Study. J Orthop. 2018;16(2):123–7. https://doi.org/10.1016/j.jor.2018.12.008.CrossRefPubMedPubMedCentral

18.

Eroglu A, Sarı E, Cüce F, Tok F, Atabey C, Düz B. The Investigation of the Role of the Facet Joint Angle in the Development of L5–S1 Spondylolysis in Young Men. Turk J Phys Med Rehab. 2017;63(3):253–8. https://doi.org/10.5606/tftrd.2017.295.CrossRef

19.

Lv B, Yuan J, Ding H, et al. Relationship Between Endplate Defects, Modic Change, Disc Degeneration, and Facet Joint Degeneration in Patients With Low Back Pain. Biomed Res Int. 2019;11:9369853. https://doi.org/10.1155/2019/9369853.CrossRef

20.

Song Q, Liu X, Chen DJ, et al. Evaluation of MRI and CT parameters to analyze the correlation between disc and facet joint degeneration in the lumbar three-joint complex. Medicine (Baltimore). 2019;98(40):e17336. https://doi.org/10.1097/MD.0000000000017336.CrossRefPubMedPubMedCentral

21.

Okada E, Matsumoto M, Ichihara D. Aging of the cervical spine in healthy volunteers: a 10-year longitudinal magnetic resonance imaging study. Spine J. 2009;34:706–12. https://doi.org/10.1097/BRS.0b013e31819c2003.CrossRef

22.

Lee DY, Ahn Y, Lee SH. The influence of facet tropism on herniation of the lumbar disc in adolescents and adults. J Bone Joint Surg Br. 2006;88:520–3. https://doi.org/10.1302/0301-620X.88B4.16996.CrossRefPubMed

Title: Evaluation the association of facet tropism in multi-sports athletes with cervical disc hernia
Authors: Ali Eroglu
Ahmet Eroglu
Publication date: 01-12-2022
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2022
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-022-05552-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Evaluation the association of facet tropism in multi-sports athletes with cervical disc hernia

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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