European Spine Journal

, Volume 18, Supplement 1, pp 49–51 | Cite as

Articular facets syndrome: diagnostic grading and treatment options

Original Article


Approximately 80% of the adult population suffers from chronic lumbar pain with episodes of acute back pain. The aetiology of this disorder can be very extensive: degenerative scoliosis, spondiloarthritis, disc hernia, spondylolysis, spondylolisthesis and, in the most serious cases, neoplastic or infectious diseases. For several years, the attention of surgeons was focused on the articular facets syndrome (Lilius et al. in J Bone Joint Surg (Br) 71-B:681–684, 1998), characterised clinically by back pain and selective pressure soreness at the level of the facets involved. The instrumental framework highlights widespread zigoapophysary arthritis and hypertrophy/degeneration of articular facets due to a functional overload. This retrospective study analyses the patients who arrived at our observation and were treated with a neuroablation using a pulsed radiofrequency procedure, after a CT-guided infiltration test with anaesthetic and cortisone. From the data collected, it would seem that this procedure allows a satisfactory remission of the clinical symptoms, leaving the patient free from pain; furthermore, this method can be repeated in time.


Articular facet syndrome Radiofrequency Low back pain 


Conflict of interest statement

None of the authors has any potential conflict of interest.


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • B. Misaggi
    • 1
  • M. Gallazzi
    • 2
  • M. Colombo
    • 3
  • M. Ferraro
    • 4
  1. 1.U.O. Scoliosis and Vertebral DiseaseOrthopedic Institute G. PiniMilanItaly
  2. 2.U.O. RadiologyOrthopedic Institute G. PiniMilanItaly
  3. 3.University of Milan, Orthopedic Institute G. PiniMilanItaly
  4. 4.U.O. C.O.O.Orthopedic Institute G. PiniMilanItaly

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