Digital three-dimensional morphology of cervical joint facet in 7-12-year-old children

doi:10.3969/j.issn.2095-4344.2449

Chinese Journal of Tissue Engineering Research ›› 2020, Vol. 24 ›› Issue (6): 877-881.doi: 10.3969/j.issn.2095-4344.2449

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Digital three-dimensional morphology of cervical joint facet in 7-12-year-old children

Liu Lu^{1, 2}, Wang Xing^{1, 2}, Kang Xiaoyan³, Li Guihua⁴, Li Xiaohe¹, Gao Shang¹, Cai Yongqiang^{1, 2}, Zhang Shaojie^1, ², Li Zhijun^{1, 2}

¹Department of Anatomy, ²Digital Medicine Center, School of Basic Medicine, Inner Mongolia Medical University; ³Department of Anesthesiology, Inner Mongolia Autonomous Region Hospital of Traditional Chinese Medicine; ⁴Department of Radiography, Inner Mongolia Autonomous Prison Administration Hospital

Received:2019-02-15 Revised:2019-03-06 Accepted:2019-07-10 Online:2020-02-28 Published:2020-01-17
Contact: Zhang Shaojie, Master, Associate professor, Master’s supervisor, Department of Anatomy, Digital Medicine Center, School of Basic Medicine, Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China Li Zhijun, Professor, Doctoral supervisor, Department of Anatomy, Digital Medicine Center, School of Basic Medicine, Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China
About author:Liu Lu, Master, Assistant lecturer, Department of Anatomy, Digital Medicine Center, School of Basic Medicine, Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China Wang Xing, Master, Lecturer, Department of Anatomy, Digital Medicine Center, School of Basic Medicine, Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China Liu Lu and Wang Xing contributed equally to this work.
Supported by:
the National Natural Science Foundation of China, No. 81260269, 81560348, 81860383, 81660358, and 81860382; the Young Innovation Foundation of Inner Mongolia Medical University, No. YKD2017QNCX013; the Science and Technology Million Project of Inner Mongolia Medical University, No. 2015YKDKJBW03 and YKD2017KJBW009

Abstract

Abstract:

BACKGROUND: Lots of researches by domestic and foreign scholars have confirmed that the asymmetry of facet joint surface or the articular angles might cause the degeneration of the facet joints, and the articular spondylolisthesis. But most of the studies focus on the adult. It has been confirmed that the most common cause of the cervical disease, of the osteoarthritis, of the neurovascular compression or even the paralysis is the pathological changes of facet joint for people as they grow older. There are few studies on the facet joints in children.

OBJECTIVE: To explore the cervical joint facet morphology development characteristics and age-related changes by collecting the CT scanning data of cervical vertebrae in children aged 7-12 years old, three-dimensional reconstruction and cervical facet joint morphology measurement and analysis.

METHODS: Through collecting the data of multi-layers spiral CT scan of children in the First Affiliated Hospital and Second Affiliated Hospital of Inner Mongolia Medical University and Inner Mongolia International Mongolian Hospital from September 2013 to September 2015, 99 cases of cervical structures were selected. Then DICOM format of original data were imported in Mimics software for three-dimensional reconstruction. Morphological measurement was conducted on the three-dimensional model. The study was approved by the Ethical Committee of Inner Mongolia Medical University on March 11, 2015, approval No. YKD2015049.

RESULTS AND CONCLUSION: (1) The length of children cervical joint facet was on a rise with age and a decreasing trend with ordinal number of vertebrae. (2) The width of children middle upper cervical joint facet showed “V” type. The width of children lower cervical joint facet increased with the increase of vertebral order. (3) The trend of distance between articular tubercles was “spike” shape. (4) The coronal angle of joint facet presented to be “V” shape. (5) The sagittal angle of joint facet was in inverted “V” shape. (6) In summary, there is no asymmetry of articular process in the morphological characteristics of cervical facet joints in 7-12-year-old children.

Key words: cervical vertebra, facet joint, morphological characteristics, angles of facet joint, children

CLC Number:

Liu Lu, Wang Xing, Kang Xiaoyan, Li Guihua, Li Xiaohe, Gao Shang, Cai Yongqiang, Zhang Shaojie, Li Zhijun.

Digital three-dimensional morphology of cervical joint facet in 7-12-year-old children [J]. Chinese Journal of Tissue Engineering Research, 2020, 24(6): 877-881.

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References

[1] BEHROOZ A. AKBARNIA , MUHARREMYAZICI, GEORGE H. Thompson. The Growing Spine[M].New York: Springer-Verlag Berlin and Heidelberg GmbH &Co.K.Ⅶ-Ⅷ.2010.
[2] 袁丽莉,张本忠,窦强.儿童青少年脊柱疾病住院患者病种分析[J].中国学校卫生,2013,34(2):178-180.
[3] MORTAZAVI M, GORE PA, CHANG S, et al. Pediatric cervical spine injuries: a comprehensive review. Childs Nerv Syst. 2011;27(5): 705-717.
[4] KREYKES NS, LETTON RW JR. Current issues in the diagnosis of pediatric cervical spine injury. Semin Pediatr Surg. 2010;19(4):257-264.
[5] CHUNG SB, LEE S, KIM H, et al. Significance of interfacet distance, facet joint orientation, and lumbar lordosis in spondylolysis. Clin Anat. 2012;25(3):391-397.
[6] NGO LM, AIZAWA T, HOSHIKAWA T, et al. Fracture and contralateral dislocation of the twin facet joints of the lower cervical spine. Eur Spine J. 2012;21(2):282-288.
[7] GELLHORN AC, KATZ JN, SURI P. Osteoarthritis of the spine: the facet joints. Nat Rev Rheumatol. 2013;9(4):216-224.
[8] DALCANTO RA, LIEBERMAN I, INCEOGLU S, et al. Biomechanical comparison of transarticular facet screws to lateral mass plates in two-level instrumentations of the cervical spine. Spine (Phila Pa 1976). 2005;30(8):897-892.
[9] 徐荣明,刘观燚,赵红勇,等. 胸椎关节突关节解剖学测量与经关节螺钉固定的关系[J].中国骨与关节损伤杂志, 2010,25(6):481-483.
[10] 李志军,张少杰,李筱贺,等.脊柱关节突关节角变化特点及其临床意义[J].中国运动医学杂志,2006,25(3):348-350.
[11] 郭马超,鲁世保,孔超,等.关节突关节角度和不对称性在退变性腰椎疾病中的角色[J].中国骨与关节杂志,2018,7(10):772-777.
[12] KALICHMAN L, HUNTER DJ. Lumbar facet joint osteoarthritis: a review. Semin Arthritis Rheum. 2007;37(2):69-80.
[13] XU WB, CHEN S, FAN SW, et al. Facet orientation and tropism: Associations with asymmetric lumbar paraspinal and psoas muscle parameters in patients with chronic low back pain. J Back Musculoskelet Rehabil. 2016;29(3):581-586.
[14] DENIS F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine (Phila Pa 1976). 1983;8(8):817-831.
[15] CHUNG SB, LEE S, KIM H, et al. Significance of interfacet distance, facet joint orientation, and lumbar lordosis in spondylolysis. Clin Anat. 2012;25(3):391-397.
[16] NGO LM, AIZAWA T, HOSHIKAWA T, et al. Fracture and contralateral dislocation of the twin facet joints of the lower cervical spine. Eur Spine J. 2012;21(2):282-288.
[17] GELLHORN AC, KATZ JN, SURI P. Osteoarthritis of the spine: the facet joints. Nat Rev Rheumatol. 2013;9(4):216-224.
[18] JAUMARD NV, WELCH WC, WINKELSTEIN BA. Spinal facet joint biomechanics and mechanotransduction in normal, injury and degenerative conditions. J Biomech Eng. 2011;133(7):071010.
[19] EBRAHEIM NA, PATIL V, LIU J, et al. Morphometric analyses of the cervical superior facets and implications for facet dislocation. Int Orthop. 2008;32(1):97-101.
[20] 曾辉.下颈椎关节突关节的影像学观测及临床意义[D].合肥:安徽医科大学,2012.
[21] 王非,瞿东滨,金大地,等.实验性腰椎失稳致椎间盘退变的放射影像学观察[J].中国矫形外科杂志,2003,11(2):113-115.
[22] DENIS F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine (Phila Pa 1976). 1983;8(8):817-831.
[23] YOGANANDAN N, KNOWLES SA, MAIMAN DJ, et al. Anatomic study of the morphology of human cervical facet joint. Spine (Phila Pa 1976). 2003;28(20):2317-2323.

Digital three-dimensional morphology of cervical joint facet in 7-12-year-old children

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