腰椎小关节不对称：综述
Lumbar Facet Tropism: A Comprehensive Review.
作者信息
Alonso Fernando, Kirkpatrick Christina M, Jeong William, Fisahn Christian, Usman Sameera, Rustagi Tarush, Loukas Marios, Chapman Jens R, Oskouian Rod J, Tubbs R Shane
机构信息
Swedish Neuroscience Institute, Seattle, Washington, USA.
Swedish Neuroscience Institute, Seattle, Washington, USA.
出版信息
World Neurosurg. 2017 Jun;102:91-96. doi: 10.1016/j.wneu.2017.02.114. Epub 2017 Mar 6.
BACKGROUND
Scattered reports exist in the medical literature regarding facet tropism. However, this finding has had mixed conclusions regarding its origin and impact on the normal spine.
METHODS
We performed a literature review of the anatomy, embryology, biomechanics, and pathology related to lumbar facet tropism.
RESULTS
Facet tropism is most commonly found at L4-L5 vertebral segments and there is some evidence that this condition may lead to facet degenerative spondylolisthesis, intervertebral disc disease, and other degenerative conditions.
CONCLUSION
Long-term analyses of patients are necessary to elucidate relationships between associated findings and facet tropism. In addition, a universally agreed definition that is more precise should be developed for future investigative studies.
背景
医学文献中存在关于小关节不对称的零散报道。然而，这一发现关于其起源以及对正常脊柱的影响存在不同结论。
方法
我们对与腰椎小关节不对称相关的解剖学、胚胎学、生物力学和病理学进行了文献综述。
结果
小关节不对称最常见于L4-L5椎体节段，并且有一些证据表明这种情况可能导致小关节退变性椎体滑脱、椎间盘疾病和其他退行性疾病。
结论
有必要对患者进行长期分析，以阐明相关发现与小关节不对称之间的关系。此外，应为未来的研究制定一个更精确的、得到普遍认可的定义。
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