Which portion in a facet is specifically affected by articular cartilage degeneration with aging in the human lumbar zygapophysial joint?

Okajimas Folia Anat Jpn. 2003 May;80(1):29-34. doi: 10.2535/ofaj.80.29.

Abstract

Using 10 osteoligamentous vertebral columns obtained from elderly donated cadavers, we describe in detail degenerative changes of the articular cartilage in lumbar zygapophysial joints to show which portion in a facet is specifically affected. Degenerative changes, including extended cartilage defects, occurred in multiple facets of every specimen. The results demonstrated 5 basic morphologies of degeneration, i.e., 1) marginal dominace in the articular surface, 2) lower segment dominance except for the lowest (L5/S) facet, 3) advancement in the inferior articular process, 4) cranial and caudal dominance rather than the dorsal dominance in the articular surface and 5) progress in a mirror-image manner. These rules seemed to be consistent with differences in size, shape and kinesiological aspects of the facet between segments and between portions in a facet.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aging*
  • Cartilage, Articular / pathology*
  • Female
  • Humans
  • Lumbar Vertebrae / pathology*
  • Male
  • Middle Aged
  • Zygapophyseal Joint / pathology*