학술논문
Correlation of slipped capital femoral epiphysis with disk degeneration.
Document Type
Academic Journal
Author
Toy JO; Department of Orthopaedic Surgery, Case Western Reserve University, University Hospitals Case Medical Center †Department of Orthopaedic Surgery, Case Western Reserve University, University Hospitals, Cleveland, OH.; Gordon ZL; Eubanks JD; Cooperman DR; Ahn NU
Source
Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 101140323 Publication Model: Print Cited Medium: Internet ISSN: 1539-2465 (Electronic) Linking ISSN: 15360652 NLM ISO Abbreviation: J Spinal Disord Tech Subsets: MEDLINE
Subject
Language
English
Abstract
Summary of Background Data: Spinal osteoarthritis is greater in patients with known hip pathology secondary to alterations in spinopelvic geometry. To our knowledge, no study has investigated the long-term impact of slipped capital femoral epiphysis (SCFE) on the spine.
Objective: To evaluate the relationship between SCFE and the presence of degenerative disk disease and facet arthrosis.
Study Design: An anatomic study of disk degeneration in cadaveric lumbar spines with SCFE.
Methods: An observational study was performed on 25 cadaveric specimens with SCFE and 647 controls that were identified out of 3100 total cadaveric specimens in an osteological collection. The specimens were evaluated for disk degeneration and facet arthrosis at L1/2 to L5/S1 using the classification of Eubanks and colleagues. Linear regression analyses were then used to determine the relationship between SCFE and lumbar disk and facet degeneration at each level, correcting for confounding factors such as age, sex, and race.
Results: Linear regression demonstrated a significant association (P<0.01) that was found between SCFE and degenerative disk disease at all levels from L1/2 to L5/S1. In addition, a significant association (P<0.01) was found between SCFE and facet arthrosis at all levels from L1/2 to L5/S1.
Conclusions: The findings of this study show a relationship between SCFE and lumbar disk degeneration and facet arthrosis. This relationship may prove useful in predicting the course of spinal osteoarthritis in patients with SCFE.
Objective: To evaluate the relationship between SCFE and the presence of degenerative disk disease and facet arthrosis.
Study Design: An anatomic study of disk degeneration in cadaveric lumbar spines with SCFE.
Methods: An observational study was performed on 25 cadaveric specimens with SCFE and 647 controls that were identified out of 3100 total cadaveric specimens in an osteological collection. The specimens were evaluated for disk degeneration and facet arthrosis at L1/2 to L5/S1 using the classification of Eubanks and colleagues. Linear regression analyses were then used to determine the relationship between SCFE and lumbar disk and facet degeneration at each level, correcting for confounding factors such as age, sex, and race.
Results: Linear regression demonstrated a significant association (P<0.01) that was found between SCFE and degenerative disk disease at all levels from L1/2 to L5/S1. In addition, a significant association (P<0.01) was found between SCFE and facet arthrosis at all levels from L1/2 to L5/S1.
Conclusions: The findings of this study show a relationship between SCFE and lumbar disk degeneration and facet arthrosis. This relationship may prove useful in predicting the course of spinal osteoarthritis in patients with SCFE.