Anatomy and pathology of facet joint

Almeer, Ghassan; Azzopardi, Christine; Kho, James; Gupta, Harun; James, Steven; Botchu, Rajesh

doi:10.1016/j.jor.2020.03.058

Cited by 13 publications

(12 citation statements)

References 30 publications

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“…Various clinical manifestations have been reported in the literature ranging from incidental findings observed on imaging to compression of the cauda equina causing severe neurological deficits [3,6]. The etiology of these cysts has not yet been fully elucidated, although they appear to be related to degenerative changes in the facet joints themselves [1]. According to one theory, as intervertebral discs degenerate with time, the load-bearing capacity of the anterior column is shifted towards the posterior column lending to an increased load on the facet joints [3].…”

Section: Discussionmentioning

confidence: 99%

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Lumbar Facet Joint Cyst Treated With Decompression and Interlaminar Stabilization

Sagoo

Bhatti²,

Rowe

et al. 2020

Cureus

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Spinal facet joint cysts (FJCs) are an increasingly reported cause of lower back pain, radiculopathy, and neurological deficits owing to their proximity to adjacent nerve roots. The etiology of these cysts has not yet been fully elucidated, although they appear to be related to degenerative changes in the facet joints themselves. Conservative management strategies including physical therapy and oral analgesics rarely result in spontaneous regression of an FJC, often providing only short-term relief. The current treatment modalities reported for FJCs generally range from percutaneous cyst aspiration to decompression surgery with or without instrumented spinal fusion. However, instrumented fusion often results in a higher rate of complications such as pseudoarthrosis and adjacent segment disease. The Coflex ® (Paradigm Spine, LLC, New York, NY) interlaminar stabilization (ILS) implant is a novel titanium, Ushaped device which acts as a motion-preserving stabilizer and has proven to be a viable alternative to instrumental fusion. Here, we discuss a case of an FJC treated with both decompression and placement of a Coflex ILS device.

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Section: Discussionmentioning

confidence: 99%

“…Spinal facet joint cysts (FJCs) are rare, benign lesions that arise from a defect within the facet joint capsule, with or without communications with the joint itself [1,2]. Most FJCs develop within the lumbar region, and often in sites of degenerative changes or instability [3,4].…”

Section: Introductionmentioning

confidence: 99%

Lumbar Facet Joint Cyst Treated With Decompression and Interlaminar Stabilization

Sagoo

Bhatti²,

Rowe

et al. 2020

Cureus

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“…Ultrasound-guided facet injections are performed by a specialist experienced in the musculoskeletal ultrasound using a low-frequency curvilinear probe (3)(4)(5)(6)(7)(8).…”

Section: Oxygen-ozone Ultrasound Guided Facet Joint Injectionmentioning

confidence: 99%

“…3,4 The most frequent form of facet pathology is facet joint osteoarthritis, and its estimated prevalence increases with age. 5 Medical history, referred pain patterns, physical examination, and diagnostic imaging studies (standard radiographs, magnetic resonance imaging and computed tomography) may suggest but not confirm facet joint syndrome as a source of chronic LBP. In clinical practice, diagnostic blocks are the most accepted and reliable tool for diagnosing pain arising from the lumbar facet joints.…”

Section: Introductionmentioning

confidence: 99%

Medical ozone therapy in facet joint syndrome

Latini

Curci

Nusca

et al. 2021

Medical Gas Research

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Facet joint osteoarthritis is the most prevalent source of facet joint pain and represents a significant cause of low back pain. Oxygen-ozone therapy has been shown to have positive results in acute and chronic spinal degeneration diseases and it could be a safe and efficacious alternative to traditional facet joint conservative treatments. This review article explains the interventional facet joint management with ultrasound-guided oxygen-ozone therapy, providing an anatomy/sonoanatomy overview of lumbar facet joints and summarizing the potential mechanism of action of oxygen-ozone in the treatment of facet joint osteoarthritis, not yet fully understood.

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“…Las articulaciones facetarias son las únicas articulaciones sinoviales de la columna vertebral y pueden verse afectadas por una serie de procesos como espondiloartropatías seronegativas, artritis reumatoide, artropatía por depósito de cristales, gota, infecciones (artritis séptica), osteocondroma, hemangiomas y sarcomas. 1 Aland G. Bisso-Andrade 1 La artritis facetaria séptica, o piógena, (AFS) es una condición patológica rara que constituye el 4% a 20% de todas las infecciones espinales. La AFS ocurre en la columna lumbar en el 86% al 97% de casos, 9% en la columna cervical y menos del 5% en la columna dorsal.…”

Section: Introductionunclassified

Artritis facetaria séptica en paciente joven sin factores de riesgo

Bisso-Andrade

2021

spmi

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Se reporta el caso de un varón de 22 años que presentó lumbalgia aguda grave sin respuesta a los analgésicos comunes. El estudio por resonancia magnética mostró un proceso inflamatorio en la articulación facetaria T8-T9 y una pequeña colección epidural. Se realizó drenaje con aguja bajo control tomográfico y el cultivo de la muestra aisló Streptococcus agalactiae. El paciente evolucionó en forma favorable a la terapia antibiótica administrada, penicilina G sódica intravenosa durante tres semanas y otros betalactámicos oral por 4 semanas. La infección piógena de las articulaciones facetarias es rara.

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Anatomy and pathology of facet joint

Cited by 13 publications

References 30 publications

Lumbar Facet Joint Cyst Treated With Decompression and Interlaminar Stabilization

Lumbar Facet Joint Cyst Treated With Decompression and Interlaminar Stabilization

Medical ozone therapy in facet joint syndrome

Artritis facetaria séptica en paciente joven sin factores de riesgo

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