Axial and coronal orientation of subaxial cervical zygapophysial joints and their effect on axial rotation and lateral bending.

Study Design: Computerized tomography and image processing methodologies were used to analyze the axial and coronal orientation of cervical zygapophysial joints in asymptomatic adults. Surface motions of axial rotation and lateral bending were simulated. Objective: The study was designed to obtain t...

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Publicado en:Spine (03622436) Vol. 33; no. 22; pp. 2409 - 2415
Autores principales: Hsu WH, Benzel EC, Chen TY, Chen YL, Hsu, Wen-Hsing, Benzel, Edward C, Chen, Tzu-Yung, Chen, Yao-Liang
Formato: research Journal Article
Publicado: Lippincott Williams & Wilkins 10/15/2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 10/15/2008
      vid: 33
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Axial and coronal orientation of subaxial cervical zygapophysial joints and their effect on axial rotation and lateral bending.
      aug:
        au:
          Hsu WH
          Benzel EC
          Chen TY
          Chen YL
          Hsu, Wen-Hsing
          Benzel, Edward C
          Chen, Tzu-Yung
          Chen, Yao-Liang
        affil: Department of Neurosurgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan
      sug:
        subj:
          Cervical Vertebrae Physiology
          Joints Physiology
          Adolescence
          Adult
          Age Factors
          Aged
          Arthrography Methods
          Cervical Vertebrae Radiography
          Computer Simulation
          Female
          Image Interpretation, Computer Assisted
          Male
          Middle Age
          Models, Biological
          Range of Motion
          Tomography, X-Ray Computed
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Study Design: Computerized tomography and image processing methodologies were used to analyze the axial and coronal orientation of cervical zygapophysial joints in asymptomatic adults. Surface motions of axial rotation and lateral bending were simulated. Objective: The study was designed to obtain the normal distribution and variation of facet orientation (FO) in axial and coronal planes to investigate factors affecting FO and to study the effects of FO on axial rotation and lateral bending. Summary Of Background Data: The FO of the subaxial cervical spine is usually evaluated in the sagittal plane. Cervical spine axial and coronal FO is usually considered to be horizontal. The literature reveals no statistical data for axial or coronal FO. Methods: Serial thin-sliced computed tomography scans of the cervical spine in asymptomatic adults were input into Image J, National Institutes of Health, image processing software. Bilateral zygapophysial joint angles from C2-C3 to C6-C7 were measured in the axial and coronal planes and collected from 100 subjects. The effect of gender, age, and correlation was analyzed. The surface motions of axial rotation and lateral bending were simulated in Abaqus CAE 6.5. Mathematical facet contact and range of motion were computed. Results: The FO was widely distributed at each level. Gender had no significant association with FO. Age affected FO at most levels. Axial and coronal FO were significantly correlated. The zygapophysial joint of internally rotated/inverted FO contacted more perpendicularly to each other, and mathematical range of motion was smaller. Conclusion: The axial or coronal FO of the subaxial cervical spine was found with more variability. Age was significantly related to FO. Geometrically, internally rotated/inverted FO of axial rotation/lateral bending was morerestricted. The extent of axial rotation and lateral bending was correlated with each other.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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