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Key Words: slipped capital femoral epiphysis, spinal osteoarthritis, disk degeneration, facet arthrosis
(J Spinal Disord Tech 2013;26:375378)
375
Toy et al
RESULTS
A total of 25 specimens with SCFE and 647 control
specimens were examined. There were 22 male specimens
and 3 female specimens with a mean age of 57 years at
FIGURE 1. A, Anterior aspect of the right femur in a slipped capital femoral epiphysis (SCFE) specimen. B, Posterior aspect of the
right femur in an SCFE specimen. C, Marked retroversion of the left femur when compared with that of the right femur.
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Linear Regression:
SCFE vs. Facet Arthrosis at L1-2 to L5-S1
4
Facet Arthrosis
3
2
1
0
0
Non-SCFE
Linear Regression:
SCFE vs. Degenerative Disc Disease at L1-L2 to L5-S1
4
DDD
3
2
Series 1
p < 0.01
1
0
0
Non-SCFE
Linear Regression:
SCFE vs. Degenerative Disc Disease By Level
DDD
1
SCFE
L1-2
p < 0.01
L2-3
p < 0.01
L3-4
p < 0.01
L4-5
p < 0.01
0
0
Non-SCFE
L5-S1
1 p < 0.01
SCFE
Facet Arthrosis
DISCUSSION
Series 1
p < 0.01
1
SCFE
Linear Regression:
SCFE vs. Facet Arthrosis By Level
L1-2
p < 0.01
L2-3
p < 0.01
L3-4
p < 0.01
L4-5
p < 0.01
0
0
Non-SCFE
1
SCFE
L5-S1
p < 0.01
377
Toy et al
CONCLUSIONS
The ndings of this study show an association between SCFE and disk degeneration as well as facet arthrosis. This relationship may prove useful in predicting the
course of osteoarthritis of the spine in patients with SCFE.
REFERENCES
1. Loder RT, Aronsson DD, Dobbs MB, et al. Slipped capital femoral
epiphysis. Instr Course Lect. 2001;50:555570.
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