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A New CT Method for Assessing 3D Movements in Lumbar Facet Joints and Vertebrae in Patients before and after TDR

This study describes a 3D-CT method for analyzing facet joint motion and vertebral rotation in the lumbar spine after TDR. Ten patients were examined before and then three years after surgery, each time with two CT scans: provoked flexion and provoked extension. After 3D registration, the facet join...

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Autores principales: Svedmark, Per, Berg, Svante, Noz, Marilyn E., Maguire, Gerald Q., Zeleznik, Michael P., Weidenhielm, Lars, Nemeth, Gunnar, Olivecrona, Henrik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4637432/
https://www.ncbi.nlm.nih.gov/pubmed/26587533
http://dx.doi.org/10.1155/2015/260703
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author Svedmark, Per
Berg, Svante
Noz, Marilyn E.
Maguire, Gerald Q.
Zeleznik, Michael P.
Weidenhielm, Lars
Nemeth, Gunnar
Olivecrona, Henrik
author_facet Svedmark, Per
Berg, Svante
Noz, Marilyn E.
Maguire, Gerald Q.
Zeleznik, Michael P.
Weidenhielm, Lars
Nemeth, Gunnar
Olivecrona, Henrik
author_sort Svedmark, Per
collection PubMed
description This study describes a 3D-CT method for analyzing facet joint motion and vertebral rotation in the lumbar spine after TDR. Ten patients were examined before and then three years after surgery, each time with two CT scans: provoked flexion and provoked extension. After 3D registration, the facet joint 3D translation and segmental vertebral 3D rotation were analyzed at the operated level (L5-S1) and adjacent level (L4-L5). Pain was evaluated using VAS. The median (±SD) 3D movement in the operated level for the left facet joint was 3.2 mm (±1.9 mm) before and 3.5 mm (±1.7 mm) after surgery and for the right facet joint was 3.0 mm (±1.0 mm) before and 3.6 mm (±1.4 mm) after surgery. The median vertebral rotation in the sagittal plane at the operated level was 5.4° (±2.3°) before surgery and 6.8° (±1.7°) after surgery and in the adjacent level was 7.7° (±4.0°) before and 9.2° (±2.7°) after surgery. The median VAS was reduced from 6 (range 5–8) to 3 (range 2–8) in extension and from 4 (range 2–6) to 2 (range 1–3) in flexion.
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spelling pubmed-46374322015-11-19 A New CT Method for Assessing 3D Movements in Lumbar Facet Joints and Vertebrae in Patients before and after TDR Svedmark, Per Berg, Svante Noz, Marilyn E. Maguire, Gerald Q. Zeleznik, Michael P. Weidenhielm, Lars Nemeth, Gunnar Olivecrona, Henrik Biomed Res Int Clinical Study This study describes a 3D-CT method for analyzing facet joint motion and vertebral rotation in the lumbar spine after TDR. Ten patients were examined before and then three years after surgery, each time with two CT scans: provoked flexion and provoked extension. After 3D registration, the facet joint 3D translation and segmental vertebral 3D rotation were analyzed at the operated level (L5-S1) and adjacent level (L4-L5). Pain was evaluated using VAS. The median (±SD) 3D movement in the operated level for the left facet joint was 3.2 mm (±1.9 mm) before and 3.5 mm (±1.7 mm) after surgery and for the right facet joint was 3.0 mm (±1.0 mm) before and 3.6 mm (±1.4 mm) after surgery. The median vertebral rotation in the sagittal plane at the operated level was 5.4° (±2.3°) before surgery and 6.8° (±1.7°) after surgery and in the adjacent level was 7.7° (±4.0°) before and 9.2° (±2.7°) after surgery. The median VAS was reduced from 6 (range 5–8) to 3 (range 2–8) in extension and from 4 (range 2–6) to 2 (range 1–3) in flexion. Hindawi Publishing Corporation 2015 2015-10-26 /pmc/articles/PMC4637432/ /pubmed/26587533 http://dx.doi.org/10.1155/2015/260703 Text en Copyright © 2015 Per Svedmark et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Svedmark, Per
Berg, Svante
Noz, Marilyn E.
Maguire, Gerald Q.
Zeleznik, Michael P.
Weidenhielm, Lars
Nemeth, Gunnar
Olivecrona, Henrik
A New CT Method for Assessing 3D Movements in Lumbar Facet Joints and Vertebrae in Patients before and after TDR
title A New CT Method for Assessing 3D Movements in Lumbar Facet Joints and Vertebrae in Patients before and after TDR
title_full A New CT Method for Assessing 3D Movements in Lumbar Facet Joints and Vertebrae in Patients before and after TDR
title_fullStr A New CT Method for Assessing 3D Movements in Lumbar Facet Joints and Vertebrae in Patients before and after TDR
title_full_unstemmed A New CT Method for Assessing 3D Movements in Lumbar Facet Joints and Vertebrae in Patients before and after TDR
title_short A New CT Method for Assessing 3D Movements in Lumbar Facet Joints and Vertebrae in Patients before and after TDR
title_sort new ct method for assessing 3d movements in lumbar facet joints and vertebrae in patients before and after tdr
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4637432/
https://www.ncbi.nlm.nih.gov/pubmed/26587533
http://dx.doi.org/10.1155/2015/260703
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