دورية أكاديمية
Axial rotation and pain are associated with facet joint osteoarthritis in adolescent idiopathic scoliosis.
| العنوان: | Axial rotation and pain are associated with facet joint osteoarthritis in adolescent idiopathic scoliosis. |
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| المؤلفون: | Bisson DG; Orthopaedic Research Laboratory, Shriners Hospital for Children, Montreal, Canada; Department of Surgery, McGill University, Montreal, Canada., Sheng K; Orthopaedic Research Laboratory, Shriners Hospital for Children, Montreal, Canada; Department of Surgery, McGill University, Montreal, Canada., Kocabas S; Orthopaedic Research Laboratory, Shriners Hospital for Children, Montreal, Canada; Department of Surgery, McGill University, Montreal, Canada., Ocay DD; Department of Surgery, McGill University, Montreal, Canada., Ferland CE; Department of Clinical Research, Shriner's Hospital for Children, Montreal, Canada; Department of Anesthesia, McGill University, Montreal, Canada., Saran N; Orthopaedic Research Laboratory, Shriners Hospital for Children, Montreal, Canada; Department of Surgery, McGill University, Montreal, Canada., Ouellet JA; Orthopaedic Research Laboratory, Shriners Hospital for Children, Montreal, Canada; Department of Surgery, McGill University, Montreal, Canada., Haglund L; Orthopaedic Research Laboratory, Shriners Hospital for Children, Montreal, Canada; Department of Surgery, McGill University, Montreal, Canada. Electronic address: lisbet.haglund@mcgill.ca. |
| المصدر: | Osteoarthritis and cartilage [Osteoarthritis Cartilage] 2023 Aug; Vol. 31 (8), pp. 1101-1110. Date of Electronic Publication: 2023 Mar 21. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: W.B. Saunders For The Osteoarthritis Research Society Country of Publication: England NLM ID: 9305697 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-9653 (Electronic) Linking ISSN: 10634584 NLM ISO Abbreviation: Osteoarthritis Cartilage Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : W.B. Saunders For The Osteoarthritis Research Society Original Publication: London : Published for the Society by Baillère Tindall, c1993- |
| مواضيع طبية MeSH: | Scoliosis*/complications , Scoliosis*/diagnostic imaging , Zygapophyseal Joint*/diagnostic imaging , Osteoarthritis*/complications , Osteoarthritis*/diagnostic imaging , Osteoarthritis*/pathology, Humans ; Adolescent ; Rotation ; Lumbar Vertebrae/diagnostic imaging ; Pain/pathology |
| مستخلص: | Objective: Facet joints are crucial for spinal stability but develop premature osteoarthritis in patients with adolescent idiopathic scoliosis (AIS). Here, we evaluated the association between facet joint cartilage and subchondral bone homeostasis, perceived back pain and 3-dimensional spinal deformity to better understand the role of facet joint degeneration in AIS progression and pain. Method: The osteoarthritic state of cartilage and bone of AIS facet joint surgical samples were characterized using histological OARSI scoring, visual morphological grading and μCT analysis, respectively. Back pain was self-reported using a numerical rating scale and expressed relative to the location on the patient's back. The scoliotic curves from our patient cohort were digitally reconstructed using biplanar radiographs and the eOS system (EOS imaging). The deformity was then reduced to three intervertebral angles (coronal, sagittal and axial) for each pair of bilateral facet joints. Statistical associations between the intervertebral angles, osteoarthritis parameters and pain intensity were performed using the Spearman method and Friedman test. Results: Facet joint cartilage degeneration was associated with decreased subchondral bone volume and quality. Most importantly, asymmetrical, and overall degeneration of facet joints was strongly correlated to intervertebral axial rotation. Additionally, kyphotic intervertebral segments in the sagittal plane were good predictors of increased facet joint degeneration and back pain. Conclusion: Facet joint degeneration is associated with axial deformity, kyphotic intervertebral angle and back pain intensity in AIS. These results suggest that facet joints are important features to consider for rotational instability in AIS spines and related disease progression and perceived back pain. (Copyright © 2023. Published by Elsevier Ltd.) |
| فهرسة مساهمة: | Keywords: Facet joints; Osteoarthritis; Pain; Rotation; Scoliosis |
| تواريخ الأحداث: | Date Created: 20230322 Date Completed: 20230724 Latest Revision: 20230724 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.joca.2023.03.007 |
| PMID: | 36948383 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1522-9653 |
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| DOI: | 10.1016/j.joca.2023.03.007 |