Ziv I, Maroudas C, Robin G, Maroudas A
Department of Orthopaedics, Hadassah Medical Center, Jerusalem, Israel.
Spine (Phila Pa 1976). 1993 Jan;18(1):136-46. doi: 10.1097/00007632-199301000-00020.
This study was aimed at investigating, in relating to aging, some of the biochemical and biophysical characteristics of the facet cartilage that determine the functional behavior of this tissue. In addition, facets and discs from the same segment were graded according to their macroscopic appearance. The proportion of severely degenerate discs was low in young subjects and increased with age; by contrast, the proportion of coarsely fibrillated and/or ulcerated facets was high in spines from young adults and remained constant throughout adulthood. Unlike discs, facets do not show an age-related loss of proteoglycans or a consequent decrease in the resistance to a compressive load. However, even in relatively young age groups (30-50 years) a high hydration was observed more often in facet joints than in cartilage from other joints studied. These characteristics are known to accompany damage of the collagen network and cartilage degeneration. Unlike normal femoral head cartilage, facet cartilage does not show a rise in fixed charge density with age. The cartilage from the superior processes (concave) is thicker than that from the inferior processes (convex) and has a higher fixed charge density. At the same time it has a higher water content, which indicates that damage occurs more frequently.
本研究旨在探讨与衰老相关的、决定小关节软骨功能行为的一些生化和生物物理特性。此外,对同一节段的小关节和椎间盘根据其宏观外观进行分级。严重退变椎间盘的比例在年轻受试者中较低,并随年龄增长而增加;相比之下,粗纤维化和/或溃疡样变的小关节在年轻成年人脊柱中的比例较高,且在整个成年期保持不变。与椎间盘不同,小关节未显示出与年龄相关的蛋白聚糖丢失或随之而来的抗压负荷能力下降。然而,即使在相对年轻的年龄组(30 - 50岁)中,与所研究的其他关节软骨相比,小关节中高水合作用更为常见。已知这些特征与胶原网络损伤和软骨退变相关。与正常股骨头软骨不同,小关节软骨的固定电荷密度不会随年龄增长而升高。上关节突(凹面)的软骨比下关节突(凸面)的软骨更厚,且固定电荷密度更高。同时,它的含水量也更高,这表明损伤更频繁发生。