Department of Sports Medicine, Erenköy Physical Medicine and Rehabilitation Hospital, Şemsettin Günaltay Cad. Sultan Sok No:14, 34736, Kadıköy/Istanbul, Turkey.
Department of Neurosurgery, Haydarpaşa Sultan Abdülhamid Education and Research Hospital, Istanbul, Turkey.
BMC Musculoskelet Disord. 2022 Jun 27;23(1):615. doi: 10.1186/s12891-022-05552-x.
Facet tropism (FT) can be defined as the angular difference between the orientation of the right and left facet joints in axial or sagittal planes. Most studies discuss about the relationship with lumbar disc hernia and facet joint angle. However, little is known about the association of facet tropism with disc herniation in the cervical spine in multisports athletes. In this study, We aimed to investigate the relationship between cervical facet tropism and disc hernia in athletes of different branches between the ages of 20-40 from the cervical MR images of the cases.
This is a retrospective study performed on athletes who applied our hospital between January 2014-2019 with neck pain and have MR imaging of the cervical spine. Cervical MR images of the patients were evaluated by an experienced radiologist from the hospital system database and archives. 79 cases (52 men and 27 women) were included in the study.
No statistically significant difference was found between the facet joint angles of both groups at all levels (p˃0.05). Only left C6-7 disc angles of CDH group were measured as 92.99° ± 10.77 (62-113) and 88.58° ± 7.65° (67°-110°) for the normal group and this difference was found statistically significant (p = 0.007).
In this study, we did not predict that cervical facet tropism may be a factor associated with cervical disc hernia in young athletes with CDH.
小关节偏斜（FT）可定义为矢状面或冠状面中左右小关节的方向之间的角度差异。大多数研究讨论了其与腰椎间盘突出症和小关节角的关系。然而，对于多运动项目运动员颈椎小关节偏斜与椎间盘突出症之间的关联知之甚少。在这项研究中，我们旨在从病例的颈椎磁共振成像（MRI）中研究不同分支的 20-40 岁运动员颈椎小关节偏斜与椎间盘突出症之间的关系。
这是一项回顾性研究，研究对象为 2014 年 1 月至 2019 年期间因颈部疼痛并接受颈椎 MRI 检查而到我院就诊的运动员。通过医院系统数据库和档案中的经验丰富的放射科医生评估患者的颈椎 MRI 图像。本研究共纳入 79 例（男 52 例，女 27 例）。
两组在所有节段的小关节角均无统计学差异（p˃0.05）。仅 CDH 组左侧 C6-7 椎间盘角度分别为 92.99°±10.77（62-113）和 88.58°±7.65°（67°-110°），与正常组相比，差异有统计学意义（p=0.007）。
在本研究中，我们没有预测颈椎小关节偏斜可能是年轻 CDH 运动员颈椎间盘突出症的相关因素。
