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

被引:1
作者
Han, Ye [1 ]
Wang, Xiaodong [1 ]
Wang, Jianzhong [1 ]
Sun, Shaosong [1 ]
Xia, Xi [2 ]
Wang, Jing [3 ]
Miao, Jun [4 ]
机构
[1] Hebei Univ, Dept Orthoped, Affiliated Hosp, Baoding, Hebei, Peoples R China
[2] Baoding First Cent Hosp, Dept Orthoped, Baoding, Hebei, Peoples R China
[3] Gaoyang Cty Hosp, Dept Orthoped, Baoding, Hebei, Peoples R China
[4] Tianjin Univ, Dept Orthoped, Tianjin Hosp, Tianjin, Peoples R China
关键词
Weight-bearing; Lumbar facet joints; Sitting; Lumbar; DFIS; LOW-BACK-PAIN; IMAGE MATCHING METHOD; DISCOMFORT; VALIDATION; SPINE;
D O I
10.1186/s12891-023-06698-y
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
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 & alpha; and & beta; increase, while the rotation angle of & gamma; 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 & alpha; and & gamma; increase, and the rotation angle of the & beta; 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.
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页数:8
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