Influence of weight-bearing on the 3D movement of lumbar facet joints in the sitting position

BMC Musculoskeletal Disorders

Research

Xi Xia¹  Jing Wang²  Ye Han³  Jianzhong Wang³  Xiaodong Wang³  Shaosong Sun³  Jun Miao⁴ 

[1] Department of Orthopedics, Baoding First Central Hospital, Hebei, China;Department of Orthopedics, Gaoyang County Hospital, Hebei, China;Department of Orthopedics, The Affiliated Hospital of Hebei University, Hebei, China;Department of Orthopedics, Tianjin Hospital of Tianjin University, Tianjin, China;

关键词: Weight-bearing;    Lumbar facet joints;    Sitting;    Lumbar, DFIS;   

DOI  :  10.1186/s12891-023-06698-y

 received in 2022-11-23, accepted in 2023-07-05,  发布年份 2023

来源: Springer

【 摘 要 】

ObjectiveTo analyze the motion characteristics of lumbar facet joints and to observe the effect of weight-bearing on lumbar facet joints in the sitting position.MethodsTen normal subjects (5 males and 5 females) were recruited and scanned by CT, and their lumbar 3D models were reconstructed by software. The images of flexion and extension of lumbar facet joints in the sitting position were collected without weight-bearing and weight-bearing 10 kg, and the 2D model was constructed by software. The 2D-3D model was matched to restore the flexion and extension motion changes of the subjects’ lumbar spine in the sitting position. Coordinates were established in the middle of the vertebral body and copied to the facet joints. Measure and record the lumbar facet joint movement distance through coordinate system. The relevant data of facet joints were collected.ResultsIn the L3/4 segment, after weight loading, the displacement of the left facet joint in the X axis became larger, while that in the Y axis and Z axis decreased. The displacement of the right facet joint in the X axis and Y axis increased, and the Z axis displacement decreased. The rotation angle of the bilateral facet joints also decreased. In the L4/5 segment, after loading, the displacements of the X, Y, and Z axis displacements of both sides increase, while the rotation angles of α and β increase, while the rotation angle of γ decreases. In the L5/S1 segment, the displacements of the X, Y, and Z axes on the left side decrease. The displacement of the X and Y axes on the right side decreases, while the displacement on the Z axis increases. The rotation angles of α and γ increase, and the rotation angle of the β axis decreases.ConclusionWhen sitting, the flexion and extension distance and rotational displacement of lumbar facet joints are not affected by weight-bearing. In addition, there is asymmetry in the movement of the left and right facet joints, and weight bearing has no effect on the asymmetry of the motion.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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