Associations between facet tropism and vertebral rotation in patients with degenerative lumbar disease

作者：Yachao Ma, Peipei Huang, Zhipeng Tu, Zhou Yao, Zhe Wang, Zhuojing Luo, Xueyu Hu · 发表于：European journal of medical research · 年份：2021 · DOI：10.1186/s40001-021-00622-7 · 被引用次数：13 · 研究领域：Spine and Intervertebral Disc Pathology、Scoliosis diagnosis and treatment、Spinal Fractures and Fixation Techniques

BACKGROUND: Vertebral rotation and facet tropism are very common in various lumbar degenerative diseases. Facet tropism means the presence of asymmetric angles on both sides of the facet joints. Studies have shown that facet tropism contributes to lumbar degenerative disease, and also inevitably leads to the asymmetry of movement and the imbalance of force, which may be possible to rotate the vertebral body. The aim of this study was to explore the correlation between lumbar vertebral rotation and facet tropism in patients with lumbar degenerative diseases. METHODS: A total of 198 patients with lumbar degenerative diseases from 2018 to 2019 were enrolled. Five hundred and seventy vertebral rotation angles and 1140 facet angles were measured. The vertebral bodies are divided into non-rotation group (Group A) and rotation group (Group B) with the vertebral rotation angle of 3° as the boundary. The information including gender, age, BMI (body mass index), bone mineral density, history of smoking, drinking, hypertension, diabetes, diagnosis, segment distribution, and degree of facet degeneration were also counted. Using inter-class correlation coefficients (ICC) to test the reliability of measurement results. Univariate and multivariate logistic regression analysis were used to analyze the relationship between vertebral rotation and facet tropism. RESULTS: The consistency of the ICC within the groups of the observers is above 0.8, with good agreement. The results of univariate an...