Abstract
Facet joint arthropathy is a cause of localized low back pain that can radiate to the buttocks and groins but is often difficult to isolate. Bone SPECT/CT is an important imaging modality to identify sites of active facet joint arthropathy that can guide patient selection for targeted intervention. Changes in the facet joint identified on CT show poor correlation with uptake on SPECT, indicating that both modalities provide distinct information on the degenerative process. The concepts of assessing facet joints on bone SPECT/CT are illustrated in this chapter.
References
Dolan AL, Ryan PJ, Arden NK, Stratton R, Wedley JR, Hamann W, et al. The value of SPECT scans in identifying back pain likely to benefit from facet joint injection. Br J Rheumatol. 1996;35(12):1269–73.
Nolan JE 3rd, Sundet AD, Kagan BD, Lake TJ, Krag MH, Lunardini DJ. The positive prediction of single photon emission computed tomography/computed tomography (SPECT/CT) in the outcome of intervention for cervical facet pain. Spine J. 2022;22(10):1622–7.
Pathria M, Sartoris DJ, Resnick D. Osteoarthritis of the facet joints: accuracy of oblique radiographic assessment. Radiology. 1987;164(1):227–30.
Pneumaticos SG, Chatziioannou SN, Hipp JA, Moore WH, Esses SI. Low back pain: prediction of short-term outcome of facet joint injection with bone scintigraphy. Radiology. 2006;238(2):693–8.
Russo VM, Dhawan RT, Baudracco I, Dharmarajah N, Lazzarino AI, Casey AT. Hybrid bone SPECT/CT imaging in evaluation of chronic low back pain: correlation with facet joint arthropathy. World Neurosurg. 2017;107:732–8.
Weishaupt D, Zanetti M, Boos N, Hodler J. MR imaging and CT in osteoarthritis of the lumbar facet joints. Skeletal Radiol. 1999;28(4):215–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2023 Springer Nature Switzerland AG
About this entry
Cite this entry
Van den Wyngaert, T. (2023). Degenerative Spine: Facet Joint Arthropathy. In: Van den Wyngaert, T., Gnanasegaran, G., Strobel, K. (eds) Clinical Atlas of Bone SPECT/CT. Springer, Cham. https://doi.org/10.1007/978-3-031-26449-8_92
Download citation
DOI: https://doi.org/10.1007/978-3-031-26449-8_92
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-26448-1
Online ISBN: 978-3-031-26449-8
eBook Packages: MedicineReference Module Medicine