3D orientation and kinematic characteristics of zygapophyseal joints while sitting.

BACKGROUND

Orientation of the lumbar facet joints (FJs) in the transverse plane is associated with degenerative lumbar spine disease. However, there is a lack of measurements of the sagittal and coronal facet angles, and the effect of 3D facet angles on joint motion in the sitting position is unknown. The present study was to investigate the 3D orientation and motion characteristics of the FJ in the sitting position.

METHODS

Dual fluoroscopic imaging system and computed tomography (CT) were used to determine the 3D orientation and kinematic characteristics of FJs. L3-S1 segments were studied in 10 asymptomatic participants (5 male and 5 female, age: 25-35 years, body mass index: 22.4±1.8). Angles of the facet in the sagittal, coronal, and axial planes, and the range of motion of the FJs in seated flexion and extension movements were measured.

RESULTS

The difference in sagittal facet angles between the 2 sides of the L3-S1 facet joints was not significant. The superior coronal facet angle on the left side of L5 was significantly smaller than that on the right side by 6.4° (P=0.01). The inferior transverse facet angle on the left side of L5 was greater than that on the right side by 7.1; the results were not statistically significantly different. In the sitting position, the range of motion of the left and right sides of L5-S1 differed significantly, with the right side being 5.5° (P=0.004) and 11.7° (P=0.026) greater than the left side in the sagittal and coronal planes, respectively. There was a correlation between mobility and the 3D orientation angle of the FJs in each segment.

CONCLUSIONS

Quantification of the 3D orientation of the lumbar spine FJs provides new perspectives to study the kinematics of the lumbar spine and the etiology of lumbar degenerative diseases. In sitting flexion and extension movements, there is a significant difference in the left-right lateral mobility of the FJs of the L5-S1 segments. With the exception of the transverse facet angle of the lumbar spine FJs, the sagittal and coronal facet angles also have an effect on lumbar spine mobility.