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Correlación entre los ángulos sagital e inclinado de las articulaciones facetarias cervicales y la hernia de disco
Rui Weng1,2,3, Hao Liu4, Dongxin Lin5,6
1School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong, China.
Frontiers in surgery
|February 11, 2026
Resumen
La asimetría del ángulo de la articulación facetaria, particularmente en C4/5, está relacionada con la hernia de disco cervical (CDH). La inclinación reducida de la articulación facetaria en C5/6 y C6/7 es una característica clave de CDH.
Área de la Ciencia:
- La ortopedia es la ortopedia.
- Radiología Radiología.
- Anatomía La anatomía es la anatomía.
Sus antecedentes:
- La hernia de disco cervical (CDH) a menudo se asocia con la asimetría articular de la faceta cervical.
- El impacto preciso de los ángulos de las articulaciones facetarias en el CDH sigue sin estar claro, lo que requiere una mayor investigación de las características anatómicas patológicas.
Objetivo del estudio:
- Investigar la relación entre los ángulos sagital e inclinado de las articulaciones faciales cervicales y la aparición de la hernia de disco cervical (CDH).
Principales métodos:
- Un estudio comparativo que involucró a 271 pacientes con CDH de un solo segmento y 132 controles sanos.
- Análisis de ángulos sagitales e inclinados bilaterales de las articulaciones faciales cervicales (C2-C7).
- Comparación estadística utilizando la corrección de Bonferroni y el ajuste por factores de confusión.
Principales resultados:
- Los pacientes con CDH exhibieron ángulos C2-7 Cobb significativamente más bajos y alturas de discos intervertebrales.
- El análisis previo a la corrección reveló mayores diferencias bilaterales y tasas de asimetría en ángulos sagitales e inclinados para pacientes con CDH.
- Después de la corrección, la asimetría del ángulo sagital en C4/5 se mantuvo significativa, mientras que los ángulos inclinados en C5/6 y C6/7 fueron significativamente más bajos en pacientes con CDH, incluso después de ajustar por factores de confusión.
Conclusiones:
- La asimetría del ángulo de la articulación de la faceta sagital en C4/5 está asociada con CDH.
- Un ángulo de inclinación promedio reducido de las articulaciones facetarias en C5/6 y C6/7 es una característica fisiopatológica significativa de la CDH.
- La lordosis cervical y la altura del disco pueden influir en las diferencias de ángulo de la articulación de la faceta sagital en CDH.
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