• World Neurosurg · Jun 2017

    Review

    Lumbar Facet Tropism: A Comprehensive Review.

    • Fernando Alonso, Christina M Kirkpatrick, William Jeong, Christian Fisahn, Sameera Usman, Tarush Rustagi, Marios Loukas, Jens R Chapman, Rod J Oskouian, and R Shane Tubbs.
    • Swedish Neuroscience Institute, Seattle, Washington, USA. Electronic address: fea4@case.edu.
    • World Neurosurg. 2017 Jun 1; 102: 91-96.

    BackgroundScattered reports exist in the medical literature regarding facet tropism. However, this finding has had mixed conclusions regarding its origin and impact on the normal spine.MethodsWe performed a literature review of the anatomy, embryology, biomechanics, and pathology related to lumbar facet tropism.ResultsFacet tropism is most commonly found at L4-L5 vertebral segments and there is some evidence that this condition may lead to facet degenerative spondylolisthesis, intervertebral disc disease, and other degenerative conditions.ConclusionLong-term analyses of patients are necessary to elucidate relationships between associated findings and facet tropism. In addition, a universally agreed definition that is more precise should be developed for future investigative studies.Copyright © 2017 Elsevier Inc. All rights reserved.

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