Degenerative Spine Joint Disease

  • Sascha Qian
  • Vikram SenguptaEmail author
  • Jacquelyn K. Francis


The purpose of this chapter is to delineate the age-related degenerative changes of the spinal column, sacroiliac joints (SI), and hip joint. The spine has evolved to optimize locomotion by dispersing the associated forces throughout its elements and tissues, however, degeneration caused by repeated sprains, strains, and overuse can lead to painful conditions. Degenerative changes are progressive, irreversible, and often caused by aging and excessive usage. Degeneration of the spine imparts a large socioeconomic cost on the healthcare system. Understanding the pathophysiology of these degenerative changes is essential for targeting and treating the mechanisms of pain, rather than symptomatic treatment. In this chapter, we discuss the normal and pathological anatomy of the facet joints, sacroiliac joint, and hip joint; the primary focus is on the degenerative disease states associated with excess wear and tear and age-related degenerative changes.


Degenerative disc disease Facet arthropathy Osteophyte Arthritis Arthrosis Age-related degeneration Disc herniation Spondylolisthesis Spondylolysis Annular tears Spinal stenosis 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Sascha Qian
    • 1
  • Vikram Sengupta
    • 2
    Email author
  • Jacquelyn K. Francis
    • 3
  1. 1.Bogdan Pain Management Services, Interventional Pain ManagementBrooklynUSA
  2. 2.Thrivewell Center for Pain Relief, Interventional Pain ManagementBrooklynUSA
  3. 3.Department of AnesthesiologyMontefiore Medical Center of the Albert Einstein College of MedicineBronxUSA

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