orientation of the lumbar facet joints: association with degenerative disc disease* by scott d....

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Orientation of the Lumbar Facet Joints: Association with Degenerative Disc Disease* by SCOTT D. BODEN, K. DANIEL RIEW, KEN YAMAGUCHI, THOMAS P. BRANCH, DIETER SCHELLINGER, and SAM W. WIESEL J Bone Joint Surg Am Volume 78(3):403-11 March 1, 1996 ©1996 by The Journal of Bone and Joint Surgery, Inc.

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Page 1: Orientation of the Lumbar Facet Joints: Association with Degenerative Disc Disease* by SCOTT D. BODEN, K. DANIEL RIEW, KEN YAMAGUCHI, THOMAS P. BRANCH,

Orientation of the Lumbar Facet Joints: Association with Degenerative Disc Disease*

by SCOTT D. BODEN, K. DANIEL RIEW, KEN YAMAGUCHI, THOMAS P. BRANCH, DIETER SCHELLINGER, and SAM W. WIESEL

J Bone Joint Surg AmVolume 78(3):403-11

March 1, 1996

©1996 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Orientation of the Lumbar Facet Joints: Association with Degenerative Disc Disease* by SCOTT D. BODEN, K. DANIEL RIEW, KEN YAMAGUCHI, THOMAS P. BRANCH,

Magnetic resonance image of the lumbar spine, demonstrating how the facet joint angles were measured relative to the coronal plane (horizontal line).

SCOTT D. BODEN et al. J Bone Joint Surg Am 1996;78:403-11

©1996 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Orientation of the Lumbar Facet Joints: Association with Degenerative Disc Disease* by SCOTT D. BODEN, K. DANIEL RIEW, KEN YAMAGUCHI, THOMAS P. BRANCH,

Illustration of the reference plane that was defined by the posterior aspect of the disc space (A and B) or by a line drawn perpendicular to the spinous process (C and D).

SCOTT D. BODEN et al. J Bone Joint Surg Am 1996;78:403-11

©1996 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Orientation of the Lumbar Facet Joints: Association with Degenerative Disc Disease* by SCOTT D. BODEN, K. DANIEL RIEW, KEN YAMAGUCHI, THOMAS P. BRANCH,

Cumulative frequency distribution of facet tropism at the level of the fourth and fifth lumbar vertebrae, as measured on the magnetic resonance scans of the forty-six asymptomatic

individuals who did not have a herniated disc evident on the scan (Group I).

SCOTT D. BODEN et al. J Bone Joint Surg Am 1996;78:403-11

©1996 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Orientation of the Lumbar Facet Joints: Association with Degenerative Disc Disease* by SCOTT D. BODEN, K. DANIEL RIEW, KEN YAMAGUCHI, THOMAS P. BRANCH,

Figs. 3-A, 3-B, and 3-C: Scattergrams of the disc degeneration score and facet tropism at the level of the fourth and fifth lumbar vertebrae.

SCOTT D. BODEN et al. J Bone Joint Surg Am 1996;78:403-11

©1996 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Orientation of the Lumbar Facet Joints: Association with Degenerative Disc Disease* by SCOTT D. BODEN, K. DANIEL RIEW, KEN YAMAGUCHI, THOMAS P. BRANCH,

The twenty-one asymptomatic individuals who had disc herniation (Group II).

SCOTT D. BODEN et al. J Bone Joint Surg Am 1996;78:403-11

©1996 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Orientation of the Lumbar Facet Joints: Association with Degenerative Disc Disease* by SCOTT D. BODEN, K. DANIEL RIEW, KEN YAMAGUCHI, THOMAS P. BRANCH,

The forty-six symptomatic patients who had disc herniation (Group III).

SCOTT D. BODEN et al. J Bone Joint Surg Am 1996;78:403-11

©1996 by The Journal of Bone and Joint Surgery, Inc.