Novel Risk Factors for Cervical Facet Joint Degeneration in the Subaxial Cervical Spine: Correlation with Cervical Sagittal Alignment and Bone Mineral Density

The impact of cervical sagittal alignment on cervical facet joint degeneration (CFD) and the risk factors for CFD in patients with degenerative cervical myelopathy (DCM) were investigated in the current study. A total of 250 surgical patients with DCM were recruited. The clinical data and radiograph...

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Bibliographic Details
Published in:World neurosurgery 2024-05, Vol.185, p.e850-e859
Main Authors: Wu, Yuliang, Sun, Bo, Huang, Zhengqi, Han, Weitao, Zheng, Wanli, Zhang, Chao, Han, Shun, Li, Shuangxing, Gao, Bo, Ye, Wei
Format: Article
Language:English
Subjects:
Adult
Aged
Bone Density - physiology
Bone mineral density
Cervical Vertebrae - diagnostic imaging
Disc degeneration
Female
Humans
Intervertebral Disc Degeneration - diagnostic imaging
Lordosis - diagnostic imaging
Male
Middle Aged
Modic change
Range of Motion, Articular
Risk Factors
Sagittal alignment
Spinal Cord Diseases - diagnostic imaging
Spinal Cord Diseases - etiology
Zygapophyseal joint
Zygapophyseal Joint - diagnostic imaging
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Summary:The impact of cervical sagittal alignment on cervical facet joint degeneration (CFD) and the risk factors for CFD in patients with degenerative cervical myelopathy (DCM) were investigated in the current study. A total of 250 surgical patients with DCM were recruited. The clinical data and radiographical characteristics, including CFD, cervical sagittal balance parameters, Hounsfield unit (HU) values, disc degeneration (DD), and modic change, were collected. The detailed correlation between these characteristics and CFD was analyzed. Characteristics, including CFD, were compared among the various cervical alignment types and different CFD groups. Finally, the risk factors for CFD were revealed via logistic regression. CFD was prevalent in DCM patients. Age, cervical sagittal vertical axis (cSVA), range of motion, T1 slope, thoracic inlet angle, DD, HU value, and modic change correlated with CFD segmentally and globally (P < 0.05). The lordosis and sigmoid types had a significantly higher CFD prevalence (P < 0.05). Furthermore, the average CFD threshold for the severe CFD group was 1.625 (area under the curve, 0.958). Additionally, 167 patients with average CFD
ISSN:1878-8750
1878-8769
1878-8769
DOI:10.1016/j.wneu.2024.02.138