ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2025
Lumbar facet angle tropism and hand and foot dominance in patients with isthmic spondylolysis.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeIsthmic spondylolysis Early-stage lumbar spondylolysis (ESS) is common in adolescents. The facet joint tropism has been reported to affect spondylolysis in two-dimensional analyses. However, more detailed 3D analyses of facet joint tropism in unilateral spondylolysis are not reported. Here, we sought to investigate the relationship between facet joint tropism, hand and foot dominance, and very early to early stage isthmic spondylolysis ESS using a three-dimensional (3D) bone model.
methodsWe studied 70 adolescent patients (55 males, 15 females) with unilateral very early spondylolysis using MRI and CT. We used CT images to create a 3D bone model and measured the intervertebral joint angles on an axial plane. We also examined hand and foot dominance, which were the affected sides of isthmic spondylolysis ESS. We used a paired t-test to determine differences between facet joint tropism, hand, foot dominance, and the affected side of isthmic spondylolysis ESS.
resultsNo significant differences were observed in the facet joint angles between the right and left sides, affected and unaffected sides in patients with isthmic spondylolysis ESS or between the dominant and non-dominant hands or feet. The measurements revealed that these angles had similar values across the different factors, indicating that the facet joint angles did not vary significantly with these variables.
conclusionThis study found that facet joint tropism was not a predisposing factor for isthmic spondylolysis ESS and was not associated with the dominant hand or foot. Predicting isthmic spondylolysis ESS based on morphological differences in the intervertebral joints and dominant hand, or foot is challenging.
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