Age-related changes in axial and sagittal orientation of the facet joints : Comparison with changes in degenerative spondylolisthesis

• 資料種別: 博士論文
• タイトル: Age-related changes in axial and sagittal orientation of the facet joints : Comparison with changes in degenerative spondylolisthesis
• 著者・編者: Morimoto, Masatoshi; Higashino, Kosaku; Manabe, Hiroaki; Tezuka, Fumitake; Yamashita, Kazuta; Takata, Yoichiro; Takao, Shoichiro; Sakai, Toshinori; Chikawa, Takashi; Nagamachi, Akihiro; Sairyo, Koichi
• 著者標目: Morimoto, Masatoshi; Higashino, Kosaku; Manabe, Hiroaki; Tezuka, Fumitake; Yamashita, Kazuta; Takata, Yoichiro; Takao, Shoichiro; Sakai, Toshinori; Chikawa, Takashi; Nagamachi, Akihiro; Sairyo, Koichi
• 出版事項: Elsevier B.V.|The Japanese Orthopaedic Association
• 出版年月日等: 2018-10-11
• 出版年（W3CDTF）: 2018-10-11
• 並列タイトル等: 横断像と矢状断像における椎間関節角度の加齢性変化 : 変性すべり症症例との比較
• タイトル（掲載誌）: Journal of Orthopaedic Science
• 巻号年月日等（掲載誌）: 24 1
• 掲載巻: 24
• 掲載号: 1
• 掲載ページ: 50-56
• ISSN（掲載誌）: ISSN : 0949-2658
• 授与機関名: 徳島大学
• 授与年月日: 2019-09-12
• 報告番号: 甲第3325号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Lumbar spine; facet joint; Anatomy; degenerative spondylolisthesis; aging
• 対象利用者: 一般
• 一般注記: Background: Despite facet joints being three-dimensional structures, previous computed tomography and magnetic resonance imaging studies have evaluated facet joint orientation in only the axial plane. Facet joint orientation in the sagittal plane has rarely been studied using these imaging techniques. The aim of this study was to elucidate facet joint orientation in both the axial and sagittal planes on computed tomography. Methods: A total of 568 patients (343 men, 225 women) (excluding orthopedic outpatients) for whom abdominal and pelvic computed tomography scans were obtained at our hospital between September 2010 and October 2012 were included. Mean age was 63 (range 21-90) years. Patients were divided into a degenerative spondylolisthesis group (67 patients; 30 men, 37 women) and a control group (313 patients; 313 men, 188 women). Facet joint orientation was evaluated in the control group according to patient age (≤50, 51-60, 61-70, or ≥71 years). The findings in the control group were then compared with those in the degenerative spondylolisthesis group. The orientation of the lumbar facet joints at each level was measured in the axial and sagittal planes on computed tomography images. Results: Facet joint angles decreased with age at L4/5 and L5/S1 in women in the axial plane and at L4/5 in men and L3/4 and L4/5 in women in the sagittal plane. The variation in facet joint angle was greatest at L4/5 in women. Patients with degenerative spondylolisthesis showed more sagittally and horizontally oriented facet joints in the axial and sagittal planes; facet tropism showed an association with degenerative spondylolisthesis in the axial plane. Conclusions: The axial and sagittal orientation of facet joints in the lower lumbar vertebra, especially L4/5, was negatively correlated with age. This finding could help to explain why older people are more prone to degenerative spondylolisthesis.
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.1016/j.jos.2018.08.028
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 徳島大学 : 徳島大学機関リポジトリ

目次

http://repo.lib.tokushima-u.ac.jp/files/public/11/113789/20191010171017329086/k3325_abstract.pdf fulltext

http://repo.lib.tokushima-u.ac.jp/files/public/11/113789/20191010171017803550/k3325_review.pdf fulltext

http://repo.lib.tokushima-u.ac.jp/files/public/11/113789/20191010171018210913/k3325_fulltext.pdf fulltext