Osteoarthritis of the spine: the facet joints

被引:303
作者
Gellhorn, Alfred C. [1 ]
Katz, Jeffrey N. [2 ]
Suri, Pradeep [3 ]
机构
[1] Univ Washington, Dept Rehabil Med, Med Ctr, Seattle, WA 98105 USA
[2] Harvard Univ, Dept Orthoped Surg, Brigham & Womens Hosp, Sch Med, Boston, MA 02115 USA
[3] VA Puget Sound Healthcare Syst, Div Rehabil Care Serv, Seattle, WA 98108 USA
关键词
LOW-BACK-PAIN; BONE-MARROW LESIONS; LUMBAR ZYGAPOPHYSEAL JOINTS; CERVICAL-SPINE; PREVALENCE; DISC; MUSCLES; KNEE; HAND; DEGENERATION;
D O I
10.1038/nrrheum.2012.199
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Osteoarthritis (OA) of the spine involves the facet joints, which are located in the posterior aspect of the vertebral column and, in humans, are the only true synovial joints between adjacent spinal levels. Facet joint osteoarthritis (FJ OA) is widely prevalent in older adults, and is thought to be a common cause of back and neck pain. The prevalence of facet-mediated pain in clinical populations increases with increasing age, suggesting that FJ OA might have a particularly important role in older adults with spinal pain. Nevertheless, to date FJ OA has received far less study than other important OA phenotypes such as knee OA, and other features of spine pathoanatomy such as degenerative disc disease. This Review presents the current state of knowledge of FJ OA, including relevant anatomy, biomechanics, epidemiology, and clinical manifestations. We present the view that the modern concept of FJ OA is consonant with the concept of OA as a failure of the whole joint, and not simply of facet joint cartilage. Gellhorn, A. C. et al. Nat. Rev. Rheumatol. 9, 216-224 (2013); published online 13 November 2012; doi:10.1038/nrrheum.2012.199
引用
收藏
页码:216 / 224
页数:9
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