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Lumbar Spine Osteoarthritis

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Book cover Osteoarthritis

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Key Points

  • Spinal degeneration is often not considered in the same context as osteoarthritis (OA); however, the degenerative changes in the disc and, in particular, the synovial facet joints are consistent with those of OA elsewhere.

  • The main clinical symptoms of lumbar spine OA (i.e., facet joint OA) are low back pain and associated leg symptoms (pain, numbness, and weakness).

  • Various factors contribute to the degenerative changes, including age, biomechanical factors, systemic factors, genetics, and lifestyle.

  • Although there is no universal nonsurgical or surgical treatment for spine OA, exercise and activity modification is typically accepted as an effective form of initial management.

  • For end-stage disease, nonsurgical treatment has limited efficacy and surgical intervention in appropriately selected patients is associated with good patient-reported outcomes that are comparable to those associated with total knee replacement for OA.

  • This chapter focuses on the latest knowledge on lumbar spine OA and associated clinical presentations to enable further understanding from both a clinical and a research perspective.

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Authors and Affiliations

  1. Division of Orthopaedic Surgery, Department of Surgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada

    Y. Raja Rampersaud MD, FRCSC & Stephen J. Lewis MD, MSc, FRCSC

  2. Arthritis Program, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada

    Y. Raja Rampersaud MD, FRCSC & Stephen J. Lewis MD, MSc, FRCSC

  3. Spinal Program, Krembil Neuroscience Center, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada

    Y. Raja Rampersaud MD, FRCSC & Stephen J. Lewis MD, MSc, FRCSC

  4. Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto Western Hospital, University Health Network, 399 Bathurst St. East Wing, 1-441, Toronto, ON, M5T-2S8, Canada

    Y. Raja Rampersaud MD, FRCSC

  5. Division of Genetics and Development, Toronto Western Research Institute, University Health Network, Toronto, ON, Canada

    Akihiro Nakamura MD

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  1. Y. Raja Rampersaud MD, FRCSC
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  2. Akihiro Nakamura MD
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  3. Stephen J. Lewis MD, MSc, FRCSC
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Correspondence to Y. Raja Rampersaud MD, FRCSC .

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Editors and Affiliations

  1. Division of Genetics and Development, Toronto Western Research Institute, University Health Network and Department of Surgery, University of Toronto, Toronto, Ontario, Canada

    Mohit Kapoor

  2. Division of Orthopaedics, Toronto Western Hospital, Toronto, Ontario, Canada

    Nizar N. Mahomed

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Rampersaud, Y.R., Nakamura, A., Lewis, S.J. (2015). Lumbar Spine Osteoarthritis. In: Kapoor, M., Mahomed, N. (eds) Osteoarthritis. Adis, Cham. https://doi.org/10.1007/978-3-319-19560-5_4

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  • DOI: https://doi.org/10.1007/978-3-319-19560-5_4

  • Publisher Name: Adis, Cham

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