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Titre du document / Document title

Hypertrophic change of facet joint in the cervical spine

Auteur(s) / Author(s)

MORISHITA Koichiro ; KASAI Yuichi ; UCHIDA Atsumasa ;

Résumé / Abstract

Background: There have been few studies on degenerative changes of the cervical facet joint. This study was conducted to examine the image and clinical characteristics of patients with cervical facet hypertrophy and the significance of such characteristics. Material/Methods: The subjects were 215 patients with degenerative disease of the cervical spine, and they were divided into a hypertrophic change (+) group (32 patients) and a hypertrophic change (-) group (183 patients). We defined that if the distance between the tangential line on the posterior border of the vertebral body and the tip of the superior articular process was 7mm or over by CT, it was regarded as hypertrophic change (+). Data was analyzed using Fisher's exact test, and differences were considered significant at p<0.05. Results: The level at which hypertrophic change of the facetjoint was observed was C3/4 in eight patients, C1/5 in 14, C5/6 in six, C6/7 in one, C3/4 + C4/5 in one, and C4/5 + C5/6 in two. Of the 32 patients in the hypertrophic change (+) group, 30 had an unilateral hypertrophic change. There was a significantly (p<0.05) greater proportion (28 of 32 patients, 87.5%) of males in the hypertrophic change (+) group than in the hypertrophic change (-) group, and neck pain was observed significantly more frequently in the hypertrophic change (+) group (25 of 32 patients, 78.1%). Conclusions: The results showed that hypertrophic change of the facet joint occurred at mid-level of the cervical spine, usually unilaterally, was more frequent in males, and was associated with neck pain.

Revue / Journal Title

Medical science monitor    ISSN  1234-1010 

Source / Source

2008, vol. 14, no2, [Note(s): CR62-CR64]

Langue / Language

Anglais

Editeur / Publisher

International Scientific Literatur, Albertson, NY, ETATS-UNIS  (1995) (Revue)

Mots-clés d'auteur / Author Keywords

cervical spine

;

facet joint

;

osteoarthritis

;

Localisation / Location

INIST-CNRS, Cote INIST : 27627, 35400018367970.0060

Nº notice refdoc (ud4) : 20172674



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