Is Facet Tropism Associated with Degenerative Disc Disease and the Laterality of Disc Protrusions?
Abstract
Objective: To evaluate whether an association exists between facet tropism (FT) and severe degenerative disc disease (DDD) at the same spinal level, and whether there is a correlation between the side of lumbar disc protrusion and the side of the more sagittally oriented facet joint at that level. Materials and Methods: Magnetic resonance imaging studies of 300 L4 -L5 and L5-S1 levels were analyzed. Bilateral facet orientation angles, the difference in facet inclination between both sides, and the degree of disc degeneration were measured. In a subgroup of 93 L4 -L5 and L5 -S1 levels with disc protrusions, the correspondence between protrusion laterality and the side of the more sagittal facet joint was assessed. Results: No statistically significant association was found between FT and severe DDD (p = 0.0904). Likewise, no significant difference in facet inclination was observed between levels with mild and severe DDD (p = 0.9207). In the subgroup with lumbar disc protrusions, no statistically significant association was identified between the side of the protrusion and the side of the more sagittally oriented facet joint (p = 0.1500). Conclusions: No statistically significant association was found between facet tropism and severe degenerative disc disease at the L4 -L5 and L5-S1 levels, nor between the side of disc protrusion and the side of the more sagittally oriented facet joint at those levels.Downloads
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