{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T15:57:48Z","timestamp":1746547068951},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T00:00:00Z","timestamp":1641427200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T00:00:00Z","timestamp":1641427200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To analyze the risk factors for pedicle screw invasion of the proximal facet joint after lumbar surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2019 to January 2021, 1794 patients with lumbar degenerative disease, such as lumbar disc herniation, lumbar spinal stenosis and lumbar spondylolisthesis, were treated at our hospital. In all, 1221 cases were included. General data (sex, age, BMI), bone mineral density, proximal facet joint angle, degenerative lumbar spondylolisthesis, isthmic lumbar spondylolisthesis and fixed segment in the two groups were recorded. After the operation, vertebral CT of the corresponding surgical segments was performed for three-dimensional reconstruction and evaluation of whether the vertebral arch root screw interfered with the proximal facet joint. The included cases were divided into an invasion group and a noninvasion group. Univariate analysis was used to screen the risk factors for pedicle screw invasion of the proximal facet joint after lumbar surgery, and the selected risk factors were included in the logistic model for multivariate analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The single-factor analysis showed a significant difference in age, BMI, proximal facet joint angle, degenerative lumbar spondylolisthesis, and fixed segment (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.1). Multifactor analysis of the logistic model showed a significant difference for age\u2009\u2265\u200950\u2009years (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001, OR\u2009=\u20092.291), BMI\u2009&gt;\u200928\u2009kg\/m2 (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001, OR\u2009=\u20092.548), degenerative lumbar spondylolisthesis (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001, OR\u2009=\u20092.187), gorge cleft lumbar relaxation (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001, OR\u2009=\u20092.410), proximal facet joint angle (35\u2009~\u200945\u00b0:<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001, OR\u2009=\u20093.151; &gt;\u200945\u00b0:<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001, OR\u2009=\u20093.578), and fixed segment (lower lumbar spine:<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001, OR\u2009=\u20092.912).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Age (\u2265 50\u2009years old), BMI (&gt;\u200928\u2009kg\/m2), proximal facet joint angle (35\u2009~\u200945\u00b0, &gt;\u200945\u00b0), degenerative lumbar spondylolisthesis, isthmic lumbar spondylolisthesis and fixed segment (lower lumbar spine) are independent risk factors for pedicle screw invasion of the proximal facet joint after lumbar surgery. Compared with degenerative lumbar spondylolisthesis, facet joint intrusion is more likely in isthmic lumbar spondylolisthesis.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12891-021-04975-2","type":"journal-article","created":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T17:02:52Z","timestamp":1641488572000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Multivariate analysis of pedicle screw invasion of the proximal facet joint after lumbar surgery"],"prefix":"10.1186","volume":"23","author":[{"given":"Peng Tao","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia Nan","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tuan Jiang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun Song","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ding Jun","family":"Hao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,1,6]]},"reference":[{"issue":"Supplement 1","key":"4975_CR1","doi-asserted-by":"publisher","first-page":"S82","DOI":"10.1097\/01.bsd.0000123425.12852.3c","volume":"18 Suppl","author":"J Roca","year":"2005","unstructured":"Roca J, Iborra M, Cavanilles-Walker JM, et al. 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All methods of this study were carried out in accordance with the relevant guidelines and regulations. There were no patients under 16\u2009years old in this study. This study was reviewed and approved by the ethics committee of Honghui Hospital Affiliated with Xi\u2019an Jiaotong University. The authors confirm that all experimental schemes involving human data comply with the requirements of the ethics committee of Honghui Hospital Affiliated with Xi\u2019an Jiaotong University.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All authors agree to the publication of the study. All patients in this study voluntarily signed informed consent forms.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"There are no conflicts of interest in this research.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"39"}}