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胸椎小关节关节炎是否被过度报告？是时候回顾CT分级参数了——一项分析性横断面研究。

Is thoracic facet joint arthritis over-reported? It's time to review CT grading parameters - An analytical cross-sectional study.

作者信息

Tiwari Punit, Kaur Harmeet, Jha Vivek

机构信息

Department of Orthopaedics, Maharishi Markandeshwar Medical College and Hospital, Solan, Himachal Pradesh, India.

Department of Radiodiagnosis, All India Institute of Medical Sciences, Bathinda, Punjab, India.

出版信息

Indian J Radiol Imaging. 2020 Oct-Dec;30(4):427-435. doi: 10.4103/ijri.IJRI_390_20. Epub 2021 Jan 13.

DOI:10.4103/ijri.IJRI_390_20
PMID:33737771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7954162/
Abstract

BACKGROUND

In the absence of any exclusive classification for dorsal FJA, there is a lot of confusion while labelling grade 1 FJA in thoracic spine based on decreased FJ space.

PURPOSE

The purpose of this study was to know the facet joint space measurements in thoracic spine of asymptomatic and symptomatic participants and to comment whether the lower cut-off of 2 mm used in lumbar FJA classification can be safely applied in thoracic spine too.

MATERIALS AND METHODS

This cross-sectional study was done from December 1, 2018 to November 30, 2019. Patients above 18 years of age in this study who underwent CT thorax for causes unrelated to dorsal spinal pain were included. IBM SPSS Statistics v 26 was used for statistical analysis.

RESULTS

We measured and analysed 1512 thoracic facet joints in 63 patients (30 females and 33 males) in both axial and sagittal plane on CT scan. Mean age of the entire sample was 59.19 ± 15.19 years, ranging from 33 to 97 years and a standard error of mean 1.365 years. Overall mean thoracic facet joint space was measured to be 1.270 mm ± 0.3416 mm, ranging from 0 to 3.1 mm and a standard error of mean 0.0088 mm and a variance of 0.117 mm. The median was 1.300 mm while mode was 1.1 mm.

CONCLUSION

The popular lumbar FJA classification by Weishupt . cannot be applied in its present form in thoracic spine, without the modification in parameters of grade 1 FJA. The lower cut-off of normal thoracic facet joint space probably lies around 1 mm.

摘要

背景

由于缺乏对胸椎小关节不对称（FJA）的专属分类，基于椎间孔狭窄（FJ）空间减小来标记胸椎1级FJA时存在很多混淆。

目的

本研究的目的是了解无症状和有症状参与者胸椎的小关节间隙测量值，并评论腰椎FJA分类中使用的2mm下限是否也可安全应用于胸椎。

材料与方法

本横断面研究于2018年12月1日至2019年11月30日进行。本研究纳入了因与背部脊柱疼痛无关的原因接受胸部CT检查的18岁以上患者。使用IBM SPSS Statistics v 26进行统计分析。

结果

我们在CT扫描的轴位和矢状面上测量并分析了63例患者（30例女性和33例男性）的1512个胸椎小关节。整个样本的平均年龄为59.19±15.19岁，范围为33至97岁，平均标准误差为1.365岁。测量的总体平均胸椎小关节间隙为1.270mm±0.3416mm，范围为0至3.1mm，平均标准误差为0.0088mm，方差为0.117mm。中位数为1.300mm，众数为1.1mm。

结论

Weishupt提出的流行的腰椎FJA分类，在不修改1级FJA参数的情况下，目前形式不能应用于胸椎。正常胸椎小关节间隙的下限可能在1mm左右。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/a2cf3c9c2bc5/IJRI-30-427-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/cd88e2a959d3/IJRI-30-427-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/ba9a462e0f26/IJRI-30-427-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/0fd063313120/IJRI-30-427-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/5f6edcabc967/IJRI-30-427-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/8323f99151d5/IJRI-30-427-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/6ea572f48583/IJRI-30-427-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/a7b455bbf31a/IJRI-30-427-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/b5c9abe00a18/IJRI-30-427-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/a2cf3c9c2bc5/IJRI-30-427-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/cd88e2a959d3/IJRI-30-427-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/ba9a462e0f26/IJRI-30-427-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/0fd063313120/IJRI-30-427-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/5f6edcabc967/IJRI-30-427-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/8323f99151d5/IJRI-30-427-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/6ea572f48583/IJRI-30-427-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/a7b455bbf31a/IJRI-30-427-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/b5c9abe00a18/IJRI-30-427-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/7954162/a2cf3c9c2bc5/IJRI-30-427-g009.jpg

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