Document Detail

Hypertrophic change of facet joint in the cervical spine.
MedLine Citation:
PMID:  18227762     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: There have been few studies on degenerative changes of the cervical facet joint. This study was conducted to examine the image and clinical characteristics of patients with cervical facet hypertrophy and the significance of such characteristics. MATERIALS AND METHODS: The subjects were 215 patients with degenerative disease of the cervical spine, and they were divided into a hypertrophic change (+) group (32 patients) and a hypertrophic change (-) group (183 patients). We defined that if the distance between the tangential line on the posterior border of the vertebral body and the tip of the superior articular process was 7 mm or over by CT, it was regarded as hypertrophic change (+). Data was analyzed using Fisher's exact test, and differences were considered significant at p<0.05. RESULTS: The level at which hypertrophic change of the facet joint was observed was C3/4 in eight patients, C4/5 in 14, C5/6 in six, C6/7 in one, C3/4 + C4/5 in one, and C4/5 + C5/6 in two. Of the 32 patients in the hypertrophic change (+) group, 30 had an unilateral hypertrophic change. There was a significantly (p<0.05) greater proportion (28 of 32 patients, 87.5%) of males in the hypertrophic change (+) group than in the hypertrophic change (-) group, and neck pain was observed significantly more frequently in the hypertrophic change (+) group (25 of 32 patients, 78.1%). CONCLUSION: The results showed that hypertrophic change of the facet joint occurred at mid-level of the cervical spine, usually unilaterally, was more frequent in males, and was associated with neck pain.
Koichiro Morishita; Yuichi Kasai; Atsumasa Uchida
Publication Detail:
Type:  Editorial    
Journal Detail:
Title:  Medical science monitor : international medical journal of experimental and clinical research     Volume:  14     ISSN:  1234-1010     ISO Abbreviation:  Med. Sci. Monit.     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-01-29     Completed Date:  2008-05-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609063     Medline TA:  Med Sci Monit     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  CR62-64     Citation Subset:  IM    
Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
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MeSH Terms
Aged, 80 and over
Cervical Vertebrae / pathology*,  radiography
Hyperostosis / pathology*,  radiography
Intervertebral Disk Displacement / pathology,  radiography
Middle Aged
Ossification of Posterior Longitudinal Ligament / pathology,  radiography
Radiculopathy / pathology,  radiography
Spinal Diseases / pathology*,  radiography
Tomography, X-Ray Computed

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