The relationship between facet joint osteoarthritis and disc degeneration of the lumbar spine: an MRI study

Fujiwara, Atsushi; Tamai, Kazuya; Yamato, Minoru; An, Howard S.; Yoshida, Hiroyuki; Saotome, Koichi; Kurihashi, Akira

doi:10.1007/s005860050193

Cited by 391 publications

(323 citation statements)

References 28 publications

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“…Naturally, of the factors mentioned above, only those that can be evaluated on MRI were addressed in this study. The segmental distribution of the degenerative findings as seen on MRI in our study is comparable to what has been published previously [16,22,46,47]. In general, the two lowest discs show the greatest proportion of degenerated changes in the lumbar spine.…”

Section: Discussionsupporting

confidence: 89%

Do MRI findings correlate with mobility tests? An explorative analysis of the test validity with regard to structure

Quack

Schenk²,

Laeubli³

et al. 2006

Eur Spine J

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To find out whether segmental magnetic resonance imaging (MRI) findings such as intervertebral disc degeneration (DD) and facet joint osteoarthritis (FJO) are associated with motion deficiencies as seen in common mobility tests and observed range of motion (ROM). A total of 112 female subjects, nurses and office workers, with and without low back pain, were examined by clinical experts, and lumbar mobility was measured including modified Schober, fingertip-to-floor distance (FTFD) and ZEBRIS motion analysis. An MRI of the lumbar spine was made. Mobility findings were correlated with segmental morphologic changes as seen on MRI at the levels of L1-2 through L5-S1. Only a few statistically significant correlations between MRI findings and the results of the mobility tests could be found. Lateral bending was weakly and negatively correlated to DD and FJO but only on the level of L5-S1. The FTFD showed a weak positive correlation to endplate changes on the level of L4-5. When ROM is observed by clinical experts, there are several significant relationships between MRI findings and the observed motion. There is a highly significant segmental correlation between DD and disc form alteration as seen on MRI on the level of single motion segments. Pain history and current pain level did not moderate any association between MRI and mobility. There is no clear relationship between the structural changes represented by MRI and the measured mobility tests used in this study. Our findings suggest that close observation of spinal motion may provide at least equal information about the influence of spinal structures on motion than the commonly used measured mobility tests do.

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Section: Discussionsupporting

confidence: 89%

Do MRI findings correlate with mobility tests? An explorative analysis of the test validity with regard to structure

Quack

Schenk²,

Laeubli³

et al. 2006

Eur Spine J

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“…A biomechanical investigation demonstrated that a decrease in disc height resulted in increased loading of the lumbar facet joint [9]. Clinical support for the hypothesis that disc degeneration leads to facet osteoarthritis is found in radiographic studies that demonstrated lumbar facet joint osteoarthritis rarely occurred without prior disc degeneration [5,11]. Although the lumbar and cervical spine are exposed to different compressive loads and have different facet joint anatomy, ALL and anterior annulus injuries sustained in whiplash could hypothetically lead to increased loading, pain and osteoarthritis of the cervical facet joints.…”

Section: Discussionmentioning

confidence: 99%

Injury of the anterior longitudinal ligament during whiplash simulation

Ivancic

Pearson

Panjabi

et al. 2004

European Spine Journal

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“…MR signs of FJOA were defined according to Fujiwara classification [17], a four-point MRI-based grading scale ranging from mild degenerative changes to severe OA and including the following features: narrowing of the joint space, osteophytosis of articular processes, hypertrophy of articular processes subchondral erosions and subchondral cysts. [18][19][20].…”

Section: Patientsmentioning

confidence: 99%

In vivo feasibility of real-time MR–US fusion imaging lumbar facet joint injections

Sartoris

Orlandi²,

Corazza

et al. 2017

J Ultrasound

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Objectives Traditionally, facet joint injections (FJI) are performed under fluoroscopic or computed tomography (CT) guidance, mainly due to the deep anatomical location and the presence of bony landmarks. Fusion imaging technology, which couples the ultrasound scan with the corresponding CT or magnetic resonance (MR) image obtained from the diagnostic examination and reformatted in real time according to the ultrasound scanning plane, allows to combine the panoramic view and the elevated anatomical detail of MR or CT with the ease of use of ultrasound without patient exposure to ionizing radiation. Methods Thirty eight patients (24 females; mean age ± SD: 64 ± 9 years) received MR fusion-assisted ultrasound-guided FJI of 1 ml of a mixture of local anaesthetic and corticosteroid using a ultrasound machine (Logiq E9, GE Healthcare) equipped with a GPS-enhanced fusion imaging technology which couples real-time B-mode images with those of the previous recent diagnostic MR examination. Low-dose CT needle positioning confirmation was performed in the first 28 patients. Patients' pain was recorded using a visual analogue scale (VAS), at baseline and at 2, 4 and 8 weeks.Results All fusion imaging-guided injections were performed successfully. Out of 112, 96 FJI had optimal intraarticular needle positioning (accuracy: 85.7%). Patients VAS significantly decreases after the procedure with no differences among who received CT needle positioning control and who did not receive it. No major complications were observed. Conclusions Ultrasound needle guidance with MR fusion assistance allows for safe and effective injection of degenerative facet joint disease.Keywords Facet joint Á Injection Á Fusion imaging Á Ultrasound Á Magnetic resonance Sommario Obiettivi Tradizionalmente, le iniezioni delle faccette articolari (FJI) sono state eseguite sotto guida fluoroscopica o tomografia computerizzata (TC), principalmente a causa della posizione anatomica profonda e la presenza di reperi ossei. L'imaging di fusione permette di accoppiare le immagine ecografiche con quelle TC o di risonanza magnetica (RM) corrispondenti, ottenute da un precedente esame diagnostico e riformattate in tempo reale in base al piano di scansione ecografico. Questa tecnica permette di coniugare la visione panoramica e l'elevato dettaglio anatomico della RM o TC con la praticità della guida ecografica senza ulteriore esposizione del paziente a radiazioni ionizzanti. Metodi Trentotto pazienti (24 femmine, età media ± DS: 64 ± 9 anni) hanno ricevuto FJI guidata da fusione ecografia-RM di 1 ml di una miscela di anestetico locale e corticosteroide utilizzando una apparecchiatura ecografica (Logiq E9, GE Healthcare) dotata di tecnologia fusion. Nei (2017( ) 20:23-31 DOI 10.1007 primi 28 pazienti il posizionamento dell'ago è stato confermato mediante esame TC a bassa dose. Il dolore dei pazienti è stato registrato utilizzando una scala analogica visiva (VAS), al tempo 0 e dopo 2, 4 e 8 settimane.Risultati Tutte le iniezioni fusion guidate sono state esegui...

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The relationship between facet joint osteoarthritis and disc degeneration of the lumbar spine: an MRI study

Cited by 391 publications

References 28 publications

Do MRI findings correlate with mobility tests? An explorative analysis of the test validity with regard to structure

Do MRI findings correlate with mobility tests? An explorative analysis of the test validity with regard to structure

Injury of the anterior longitudinal ligament during whiplash simulation

In vivo feasibility of real-time MR–US fusion imaging lumbar facet joint injections

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