Cervical Facet Joint Segmental Motion: A Sliding-Rolling Mechanism?

INTRODUCTION:As a consequence from cervical arthroplasty, spine structural stiffness, loading and kinematics are changed, resulting in issues like adjacent segment degeneration and altered range of motion. However, complex anatomical structures and lack of adequate precision to study the facet joint (FJ) segmental motion in 3D have prevented proper quantitative analyses. In the current study, we investigate the innovative use of a local coordinate system on the surface of the superior articular process of the caudal vertebral body in order to analyze FJ segmental motion using CT-based 3D vertebral models in flexion/extension.METHODS:CT images were obtained from six patients (2F/4M, mean age: 53 y.o.) with cervical degenerative disc disease in neutral, flexion and extension positions. CT data was used to create subject-specific surface mesh models of each vertebral body. From these, mean normal vectors were calculated for all FJ surfaces and posterior walls from C3/4 down to C6/7 (Fig. 1). The global coord...