Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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The Effect of the Pedicle-Facet Angle on Degenerative Cervical Spondylolisthesis

  • Kim, Hyung Cheol (Department of Neurosurgery, Hallym University Sacred Heart Hospital) ;
  • Jun, Hyo Sub (Department of Neurosurgery, Hallym University Sacred Heart Hospital) ;
  • Kim, Ji Hee (Department of Neurosurgery, Hallym University Sacred Heart Hospital) ;
  • Chang, In Bok (Department of Neurosurgery, Hallym University Sacred Heart Hospital) ;
  • Song, Joon Ho (Department of Neurosurgery, Hallym University Sacred Heart Hospital) ;
  • Oh, Jae Keun (Department of Neurosurgery, Hallym University Sacred Heart Hospital)
  • Received : 2015.06.29
  • Accepted : 2015.09.03
  • Published : 2015.10.28
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Abstract

Objective : To measure the orientation of the facet joints of cervical spine (C-spine) segments in the sagittal plane, known as the pedicle-facet (P-F) angle, and to use these measurements to evaluate the relationship between the P-F angle and the amount of vertebral anterolisthesis in patients with degenerative cervical spondylolisthesis (DCS). Methods : A retrospective case-control study was performed including 30 age- and sex-matched patients with DCS and 30 control participants. Anterior-posterior and lateral view radiographs of the C-spine were obtained in a standing position. The P-F angle at all cervical levels and the amount of anterolisthesis at C4-5 were measured from lateral view plain radiographs. Results : The P-F angles at C4-5 were $141.14{\pm}7.14^{\circ}$ for the DCS group and $130.53{\pm}13.50^{\circ}$ (p=0.012) for the control group, and at C5-6 were $137.46{\pm}8.53^{\circ}$ for the DCS group and $128.53{\pm}16.01^{\circ}$ for the control group (p=0.001). The mean P-F angle at C4-5 did not correlate with the amount of anterolisthesis (p=0.483). The amount of anterior slippage did correlate with age (p<0.001). Conclusion : The P-F angle was intrinsically higher at C4-5, compared to C5-6, in both the DCS and control groups, which might explain the increased likelihood for anterolisthesis of C4. Higher P-F angles in the DCS group may be a predisposing factor to slippage. The P-F angle may interact with age to increase incidence of anterolisthesis with increasing age.

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References

  1. Berlemann U, Jeszenszky DJ, Buhler DW, Harms J : Facet joint remodeling in degenerative spondylolisthesis : an investigation of joint orientation and tropism. Eur Spine J 7 : 376-380, 1998 https://doi.org/10.1007/s005860050093
  2. Boulos AS, Lovely TJ : Degenerative cervical spondylolisthesis : diagnosis and management in five cases. J Spinal Disord 9 : 241-245, 1996
  3. Chen J, Solinger AB, Poncet JF, Lantz CA : Meta-analysis of normative cervical motion. Spine (Phila Pa 1976) 24 : 1571-1578, 1999 https://doi.org/10.1097/00007632-199908010-00011
  4. Dai LY : Orientation and tropism of lumbar facet joints in degenerative spondylolisthesis. Int Orthop 25 : 40-42, 2001 https://doi.org/10.1007/s002640000201
  5. Dean CL, Gabriel JP, Cassinelli EH, Bolesta MJ, Bohlman HH : Degenerative spondylolisthesis of the cervical spine : analysis of 58 patients treated with anterior cervical decompression and fusion. Spine J 9 : 439-446, 2009 https://doi.org/10.1016/j.spinee.2008.11.010
  6. Gao F, Hou D, Zhao B, Sun X, Sun H, Li N, et al. : The pedicle-facet angle and tropism in the sagittal plane in degenerative spondylolisthesis : a computed tomography study using multiplanar reformations techniques. J Spinal Disord Tech 25 : E18-E22, 2012 https://doi.org/10.1097/BSD.0b013e31823972d4
  7. Jiang SD, Jiang LS, Dai LY : Degenerative cervical spondylolisthesis : a systematic review. Int Orthop 35 : 869-875, 2011 https://doi.org/10.1007/s00264-010-1203-5
  8. Jun HS, Chang IB, Song JH, Kim TH, Park MS, Kim SW, et al. : Is it possible to evaluate the parameters of cervical sagittal alignment on cervical computed tomographic scans? Spine (Phila Pa 1976) 39 : E630-E636, 2014 https://doi.org/10.1097/BRS.0000000000000281
  9. Kauppila LI, Eustace S, Kiel DP, Felson DT, Wright AM : Degenerative displacement of lumbar vertebrae. A 25-year follow-up study in Framingham. Spine (Phila Pa 1976) 23 : 1868-1873; discussion 1873-1874, 1998 https://doi.org/10.1097/00007632-199809010-00014
  10. Knott PT, Mardjetko SM, Techy F : The use of the T1 sagittal angle in predicting overall sagittal balance of the spine. Spine J 10 : 994-998, 2010 https://doi.org/10.1016/j.spinee.2010.08.031
  11. Kopacz KJ, Connolly PJ : The prevalence of cervical spondylolisthesis. Orthopedics 22 : 677-679, 1999
  12. Lee C, Woodring JH, Rogers LF, Kim KS : The radiographic distinction of degenerative slippage (spondylolisthesis and retrolisthesis) from traumatic slippage of the cervical spine. Skeletal Radiol 15 : 439-443, 1986 https://doi.org/10.1007/BF00355101
  13. Lee SH, Kim KT, Seo EM, Suk KS, Kwack YH, Son ES : The influence of thoracic inlet alignment on the craniocervical sagittal balance in asymptomatic adults. J Spinal Disord Tech 25 : E41-E47, 2012 https://doi.org/10.1097/BSD.0b013e3182396301
  14. Li XF, Dai LY, Lu H, Chen XD : A systematic review of the management of hangman's fractures. Eur Spine J 15 : 257-269, 2006 https://doi.org/10.1007/s00586-005-0918-2
  15. Nagaosa Y, Kikuchi S, Hasue M, Sato S : Pathoanatomic mechanisms of degenerative spondylolisthesis. A radiographic study. Spine (Phila Pa 1976) 23 : 1447-1451, 1998 https://doi.org/10.1097/00007632-199807010-00004
  16. Park JH, Cho CB, Song JH, Kim SW, Ha Y, Oh JK : T1 slope and cervical sagittal alignment on cervical CT radiographs of asymptomatic persons. J Korean Neurosurg Soc 53 : 356-359, 2013 https://doi.org/10.3340/jkns.2013.53.6.356
  17. Park MS, Moon SH, Lee HM, Kim SW, Kim TH, Suh BK, et al. : The natural history of degenerative spondylolisthesis of the cervical spine with 2-to 7-year follow-up. Spine (Phila Pa 1976) 38 : E205-E210, 2013 https://doi.org/10.1097/BRS.0b013e31827de4fd
  18. Rosenberg NJ : Degenerative spondylolisthesis. Predisposing factors. J Bone Joint Surg Am 57 : 467-474, 1975 https://doi.org/10.2106/00004623-197557040-00004
  19. Sanderson PL, Fraser RD : The influence of pregnancy on the develop ment of degenerative spondylolisthesis. J Bone Joint Surg Br 78 : 951-954, 1996 https://doi.org/10.1302/0301-620X78B6.1291
  20. Sato K, Wakamatsu E, Yoshizumi A, Watanabe N, Irei O : The configuration of the laminas and facet joints in degenerative spondylolisthesis. A clinicoradiologic study. Spine (Phila Pa 1976) 14 : 1265-1271, 1989 https://doi.org/10.1097/00007632-198911000-00022
  21. Shigematsu H, Ueda Y, Takeshima T, Koizumi M, Satoh N, Matsumori H, et al. : Degenerative spondylolisthesis does not influence surgical results of laminoplasty in elderly cervical spondylotic myelopathy patients. Eur Spine J 19 : 720-725, 2010 https://doi.org/10.1007/s00586-010-1338-5
  22. Suzuki A, Daubs MD, Inoue H, Hayashi T, Aghdasi B, Montgomery SR, et al. : Prevalence and motion characteristics of degenerative cervical spondylolisthesis in the symptomatic adult. Spine (Phila Pa 1976) 38 : E1115-E1120, 2013 https://doi.org/10.1097/BRS.0b013e31829b1487
  23. Tani T, Kawasaki M, Taniguchi S, Ushida T : Functional importance of degenerative spondylolisthesis in cervical spondylotic myelopathy in the elderly. Spine (Phila Pa 1976) 28 : 1128-1134, 2003
  24. Woiciechowsky C, Thomale UW, Kroppenstedt SN : Degenerative spondylolisthesis of the cervical spine--symptoms and surgical strategies depending on disease progress. Eur Spine J 13 : 680-684, 2004 https://doi.org/10.1007/s00586-004-0673-9

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