关节突关节倾斜度与退行性腰椎滑脱的相关性研究

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Abstract Objective To explore the cause-effect relationship between facet joint orientations and lumbar degenerative spondylolisthesis.Methods 120 patients with Lumbar Degenerative Spondylolisthesis at L_4～5 who were hospitalized in Nanfang Hospital from 2013 to 2015 were included in this study.120 patients with Isthemic Spondylolisthesis at L_4～5who were hospitalized in Nanfang Hospital from 2013 to 2015 were included in this study.The control group was consisted of 120 spinal disease-free people who came for annual physical examination in Nanfang hospital.The orientations of the lumbar facet joints were analyzed based on CT tomography images.At the segments of L_2～3，L_3～4，L_4～5and L₅ S₁，facet joint angulations were measured and the correlation of angulation at L_3～4，L _4～5 were analyzed.Results There was no significant difference between Lumbar Isthemic Spondylolisthesis (LIS group) and the control group (LS-free group)in facet joints (P＞0.05).There was significant difference between lumbardegenerative spondylolisthesis (LDS group) and the control group (LS-free group)in facet joints (P＜0.01).There was no significant difference between different degree degenerative lumbar spondylolisthesis in facet joint angle at L_2～3，L_3～4and L₅ S₁.L_3～4and L_4～5(P＞0.05).There was a linear correlation between L_3～4 and L_4～5facet joint angle(R＝0.575).Conclusion Spondylolisthesis had no effect on the facet joint angle at adjacent segment，and the angle of facet joint at different segments was linearly correlated.The angle of facet joint at different segments in LDS groupwere less than LS-free group，and the joint structure other than bony elements seemed to be the early pathological change of facet joints.The bony structure change of facet joints that based on bone remolding adapted to mechanical burden was secondary to ongoing slippage.

Key words： degenerative spondylolisthesis facet joints lumbar spine

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