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Surgery of the Spine and Spinal Cord pp 457–470Cite as

Medical Imaging of the Lumbar Facet Joint

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Abstract

When evaluating low back pain (LBP), imaging is frequently used to examine patients with specific as well as nonspecific chronic LBP (CLBP). However, the correlation between anatomic abnormalities as seen on imaging, clinical history, and treatment outcomes remains controversial. In some cases, the cause of CLBP cannot be determined with certainty on imaging studies.

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References

  1. Hancock MJ, Maher CG, Latimer J, Spindler MF, McAuley JH, Laslett M, Bogduk N (2007) Systematic review of tests to identify the disc, SIJ or facet joint as the source of low back pain. Eur Spine J 16:1539–1550

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Schwarzer AC, Wang SC, O’Driscoll D, Harrington T, Bogduk N, Laurent R (1995) The ability of computed tomography to identify a painful zygapophysial joint in patients with chronic low back pain. Spine (Phila Pa 1976) 20:907–912

    Article  CAS  Google Scholar 

  3. Gellhorn AC, Katz JN, Suri P (2013) Osteoarthritis of the spine: the facet joints. Nat Rev Rheumatol 9:216–224

    Article  PubMed  Google Scholar 

  4. Cohen SP, Raja SN (2007) Pathogenesis, diagnosis, and treatment of lumbar zygapophysial (facet) joint pain. Anesthesiology 106:591–614

    Article  PubMed  Google Scholar 

  5. van Kleef M, Vanelderen P, Cohen SP, Lataster A, Van Zundert J, Mekhail N (2010) 12. Pain originating from the lumbar facet joints. Pain Pract 10:459–469

    Article  PubMed  Google Scholar 

  6. Wu M, Wang S, Driscoll SJ, Cha TD, Wood KB, Li G (2014) Dynamic motion characteristics of the lower lumbar spine: implication to lumbar pathology and surgical treatment. Eur Spine J 23:2350–2358

    Article  PubMed  Google Scholar 

  7. Meyerding H (1932) Spondylolisthesis. Surg Gynecol Obstet 54:371–377

    Google Scholar 

  8. Pathria M, Sartoris DJ, Resnick D (1987) Osteoarthritis of the facet joints: accuracy of oblique radiographic assessment. Radiology 164:227–230

    Article  CAS  PubMed  Google Scholar 

  9. Weishaupt D, Zanetti M, Boos N, Hodler J (1999) MR imaging and CT in osteoarthritis of the lumbar facet joints. Skeletal Radiol 28:215–219

    Article  CAS  PubMed  Google Scholar 

  10. Carrera GF, Haughton VM, Syvertsen A, Williams AL (1980) Computed tomography of the lumbar facet joints. Radiology 134:145–148

    Article  CAS  PubMed  Google Scholar 

  11. Weishaupt D, Zanetti M, Hodler J, Boos N (1998) MR imaging of the lumbar spine: prevalence of intervertebral disk extrusion and sequestration, nerve root compression, end plate abnormalities, and osteoarthritis of the facet joints in asymptomatic volunteers. Radiology 209:661–666

    Article  CAS  PubMed  Google Scholar 

  12. Resnick D, Niwayama G (1995) Degenerative diseases of the spine. In: D R (ed) Diagnosis of bone and joint disorders. Saunders, Philadelphia, pp 1396–1462

    Google Scholar 

  13. Carrino JA, Lurie JD, Tosteson AN, Tosteson TD, Carragee EJ, Kaiser J, Grove MR, Blood E, Pearson LH, Weinstein JN, Herzog R (2009) Lumbar spine: reliability of MR imaging findings. Radiology 250:161–170

    Article  PubMed  Google Scholar 

  14. Czervionke LF, Fenton DS (2008) Fat-saturated MR imaging in the detection of inflammatory facet arthropathy (facet synovitis) in the lumbar spine. Pain Med 9:400–406

    Article  PubMed  Google Scholar 

  15. Kim KY, Wang MY (2006) Magnetic resonance image-based morphological predictors of single photon emission computed tomography-positive facet arthropathy in patients with axial back pain. Neurosurgery 59:147–156; discussion 147–156

    Article  PubMed  Google Scholar 

  16. Van de Kelft E, Van der Planken D, Van de Kelft A, Melis K (2014) Validation of hybrid SPECT-CT in identifying the pain phenotype in patients with chronic low back pain. Pain Pract 14:80

    Google Scholar 

  17. Fogelman I (1980) Skeletal uptake of diphosphonate: a review. Eur J Nucl Med 5:473–476

    CAS  PubMed  Google Scholar 

  18. Hutton CW, Higgs ER, Jackson PC, Watt I, Dieppe PA (1986) 99mTc HMDP bone scanning in generalised nodal osteoarthritis. II. The four hour bone scan image predicts radiographic change. Ann Rheum Dis 45:622–626

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Dolan AL, Ryan PJ, Arden NK, Stratton R, Wedley JR, Hamann W, Fogelman I, Gibson T (1996) The value of SPECT scans in identifying back pain likely to benefit from facet joint injection. Br J Rheumatol 35:1269–1273

    Article  CAS  PubMed  Google Scholar 

  20. Pneumaticos SG, Chatziioannou SN, Hipp JA, Moore WH, Esses SI (2006) Low back pain: prediction of short-term outcome of facet joint injection with bone scintigraphy. Radiology 238:693–698

    Article  PubMed  Google Scholar 

  21. Koh WU, Kim SH, Hwang BY, Choi WJ, Song JG, Suh JH, Leem JG, Shin JW (2011) Value of bone scintigraphy and single photon emission computed tomography (SPECT) in lumbar facet disease and prediction of short-term outcome of ultrasound guided medial branch block with bone SPECT. Korean J Pain 24:81–86

    Article  PubMed  PubMed Central  Google Scholar 

  22. Malham GM, Parker RM, Ballok ZE, Goss B, Diwan AD, Uribe JS (2015) Bone scans are reliable for the identification of lumbar disk and facet pathology. Glob Spine J 5:23–30

    Google Scholar 

  23. Matar HE, Navalkissoor S, Berovic M, Shetty R, Garlick N, Casey AT, Quigley AM (2013) Is hybrid imaging (SPECT/CT) a useful adjunct in the management of suspected facet joints arthropathy? Int Orthop 37:865–870

    Article  PubMed  PubMed Central  Google Scholar 

  24. Harisankar CN, Mittal BR, Bhattacharya A, Singh P, Sen R (2012) Utility of single photon emission computed tomography/computed tomography imaging in evaluation of chronic low back pain. Indian J Nucl Med 27:156–163

    PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Antwerp University Hospital & University of Antwerp, Antwerp, Belgium

    Marguerite Faure MD, Jef Huyskens MD, Johan W. M. Van Goethem MD, PhD, Caroline Venstermans MD, Luc Van Den Hauwe MD, Frank De Belder MD & Paul M. Parizel MD, PhD

  2. Department of Medical and Molecular Imaging, AZ Nikolaas, Sint Niklaas, Belgium

    Johan W. M. Van Goethem MD, PhD, Kristoff Muylle MD, Koen Melis MD & Frank Ramon MD

Authors
  1. Marguerite Faure MD
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  2. Jef Huyskens MD
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  3. Johan W. M. Van Goethem MD, PhD
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  4. Kristoff Muylle MD
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  5. Caroline Venstermans MD
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  6. Luc Van Den Hauwe MD
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  7. Frank De Belder MD
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  8. Koen Melis MD
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  9. Frank Ramon MD
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  10. Paul M. Parizel MD, PhD
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Corresponding author

Correspondence to Johan W. M. Van Goethem MD, PhD .

Editor information

Editors and Affiliations

  1. Dept. of Neurosurgery, AZ Nikolaas, Sint-Niklaas, Belgium

    Erik van de Kelft

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© 2016 Springer International Publishing Switzerland

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Faure, M. et al. (2016). Medical Imaging of the Lumbar Facet Joint. In: van de Kelft, E. (eds) Surgery of the Spine and Spinal Cord. Springer, Cham. https://doi.org/10.1007/978-3-319-27613-7_30

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  • DOI: https://doi.org/10.1007/978-3-319-27613-7_30

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27611-3

  • Online ISBN: 978-3-319-27613-7

  • eBook Packages: MedicineMedicine (R0)

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