Acta Neurochirurgica

, Volume 128, Issue 1–4, pp 40–46 | Cite as

The lumbar and lumbosacral facet-syndrome. Diagnostic measures, surgical treatment and results in 119 patients

  • Th. -M. Markwalder
  • M. Mérat
Clinical Articles


The authors present their diagnostic and therapeutic protocol as well as the surgical outcome in a series of 119 patients with the lumbar facet syndrome.

By use of different surgical techniques such as translaminar screw fixation (n=56), Louis plate fixation (n=36), Cotrel-Dubousset instrumentation (n=11) and soft system stabilization according to Graf (n=14) excellent, good, satisfactory, moderate and poor results were obtained in 78 (67%), 20 (17%), 14 (12%), 4 (3%), and 1 (1%) instances, respectively.


Facet syndrome spinal instability spinal fusion 


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  1. 1.
    Ahmed AM, Duncan NA, Bucke DL (1990) The effect of facet geometry on the axial torque-rotation response of lumbar motion segments. Spine 15: 391–401PubMedGoogle Scholar
  2. 2.
    Becker F (1984) Das klinische Bild des pseudoradikulären Lumbalsyndroms. In: Hohmann D, Kügelgen B, Liebig K, Schirmer M (eds) Neuroorthopädie 2. Springer, Berlind Heidelberg New York Tokyo, pp 540–542Google Scholar
  3. 3.
    Bogduk N, Long DM (1979) The anatomy of the so-called “articular nerves” and their relationship to facet denervation in the treatment of low-back pain. Neurosurgery 51: 172–177Google Scholar
  4. 4.
    Cotrel Y, Dubousset J, Guielaumat M (1988) New universal instrumentation in spinal surgery. Clin Orthop 277: 10–23Google Scholar
  5. 5.
    Ebeling N, Reichenberg N, Reulen HJ, (1986) Results of microsurgical lumbar discectomy, review of 485 patients. Acta Neurochir (Wien) 81: 45–52Google Scholar
  6. 6.
    Ghormley RK (1933) Lowback pain with special reference to the articular facets with representation of an operative procedure. JAMA 101: 1773–1777Google Scholar
  7. 7.
    Graf H (1992) Lumbar instability surgical treatment without fusion: soft system stabilization. Rachis 412: 123–137Google Scholar
  8. 8.
    Louis R (1986) Fusion of the lumbar and sacral spine by internal fixation with screw plates. Clin Orthop Relat Res. 203: 18–33PubMedGoogle Scholar
  9. 9.
    Magerl F (1985) Translaminäre Verschraubung der Intervertebralgelenke. In: Weber BG, Magerl F (eds) Fixateur externe. Springer, Berlin Heidelberg New York Tokyo, pp 304–305Google Scholar
  10. 10.
    Markwalder TM, Reulen HJ (1989) Diagnostic approach in instability and irritative state of a “lumbar motion segment” following disc surgery — failed back surgery syndrome. Acta Neurochir (Wien) 99: 51–57Google Scholar
  11. 11.
    Markwalder TM, Battaglia M (1993) Failed back surgery syndrome. Part I: analysis of the clinical presentation and results of testing procedures for instability of the lumbar spine in 171 patients. Acta Neurochir (Wien) 123: 46–51Google Scholar
  12. 12.
    Markwalder TM, Reulen HJ (1989) Translaminar screw fixation in lumbar spine pathology, technical note. Acta Neurochir (Wien) 99: 58–60Google Scholar
  13. 13.
    Markwalder TM, Battaglia M (1993) Failed back surgery syndrome. Part II: Surgical techniques, implant choice and operative results in 171 patients with instability of the lumbar spine. Acta Neurochir (Wien) 123: 129–134Google Scholar
  14. 14.
    Markwalder TM, Saager Ch, Reulen HJ (1991) “Isthmic” spondylolisthesis — an analysis of the clinical and radiological presentation in relation to intraoperative findings and surgical results in 72 consecutive cases. Acta Neurochir (Wien) 110: 154–159Google Scholar
  15. 15.
    Markwalder TM (1993) Surgical management of neurogenic Claudication in 100 patients with lumbar spinal stenosis due to degenerative spondylolisthesis. Acta Neurochir (Wien) 120: 136–142Google Scholar
  16. 16.
    Schulitz KP, Lenz G (1984) Das Fazettsyndrom — Klinik und Therapie. In: Hohmann D, Kügelgen B, Liebig K, Schirmer M (eds) Neuroorthopädie 2. Springer, Berlin Heidelberg New York Tokyo, pp 540–542Google Scholar
  17. 17.
    White AA, Panjabi MM (1978) Clinical biomechanics. Lippincott, Philadelphia, pp 33–34Google Scholar
  18. 18.
    Zdeblick TA (1993) A prospective, randomized study of lumbar fusion. Preliminary results. Spine 8: 983–991Google Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • Th. -M. Markwalder
    • 1
  • M. Mérat
    • 1
  1. 1.BernSwitzerland

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