Lumbar Facet Joint Osteoarthritis: A Review
Seminars in Arthritis and RheumatismPublished 27 March 2007
Leonid Kalichman, David J. Hunter
Citations264
SJR quartileQ1
SJR score1.87
SNIP1.70
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TL;DR
Up-to-date knowledge of this subject can be helpful in the development of diagnostic techniques and in the prevention of lumbar FJ osteoarthritis and low back pain and can assist in the determination of future research goals.
Abstract
An up-to-date knowledge of this subject can be helpful in the development of diagnostic techniques and in the prevention of lumbar FJ osteoarthritis and low back pain and can assist in the determination of future research goals.
Keywords
MedicineEngineering
Journal of Bone and Joint SurgeryAbnormal magnetic-resonance scans of the cervical spine in asymptomatic subjects. A prospective investigation.
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Clinical Biomechanics of the Spine
2,273 Citations1978Augustus A. White, Manohar M. Panjabi
Combining orthopedic surgery with biomechanical engineering, this reference and teaching text reviews and analyzes the clinical and scientific data on the mechanics of the human spine.
Journal of Bone and Joint SurgeryAbnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation.
2,059 Citations1990Scott D. Boden, D O Davis +3 more
It is concluded that abnormalities on magnetic resonance images must be strictly correlated with age and any clinical signs and symptoms before operative treatment is contemplated.
Diagnosis of Bone and Joint Disorders
2,017 Citations1987Donald Resnick
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The results demonstrate the presence of sex differences in OA prevalence and incidence, with females generally at a higher risk and females also tend to have more severe knee OA, particularly after menopausal age.
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1,139 Citations2000Bruce F. Walker
A systematic literature review of population prevalence studies of low back pain between 1966 and 1998 was conducted to investigate data homogeneity and appropriateness for pooling, and a model using uniform best-practice methods is proposed.
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SpineClinical Features of Patients with Pain Stemming from the Lumbar Zygapophysial Joints
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The zygapophysial joint is an important source of pain but the existence of a “facet syndrome” must be questioned.
Clinical Orthopaedics and Related ResearchThe Facet Syndrome
584 Citations1976Vert Mooney, James T. Robertson
Clinical experience with a group of 100 consecutive patients suggests that this treatment alone can achieve long-term relief in one-fifth of the patients with lumbago and sciatica and partial relief in another one-third of these patients.
Skeletal RadiologyMR imaging and CT in osteoarthritis of the lumbar facet joints
541 Citations1999Dominik Weishaupt, Marco Zanetti +2 more
With regard to osteoarthritis of the lumbar facet joints there is moderate to good agreement between MR imaging and CT, and in the presence of an MR examination CT is not required for the assessment of facet joint degeneration.
SpineThe Innervation of the Lumbar Spine
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The distribution of the intrinsic nerves of the lumbar vertebral column systematically identifies those structures that are potential sources of primary low-back pain.
SpineMechanism of Facet Load Transmission as a Hypothesis for Low-Back Pain
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The mechanism for the transmission of axial load across a facet joint is established and a facet-related hypothesis for low-back pain is proposed, which is a stiffening spring in compression and weak in tension.
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Acta Orthopaedica ScandinavicaLumbar Intradiscal Pressure: Experimental Studies on Post-Mortem Material
496 Citations1960Alf Nachemson
RadiologyMR 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.
494 Citations1998Dominik Weishaupt, Marco Zanetti +2 more
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Annals of the Rheumatic DiseasesOsteo-arthrosis and Disk Degeneration in an Urban Population
474 Citations1958Jan Kellgren, J. S. Lawrence
This study of osteo-arthrosis is based on the same survey material as the corresponding paper on rheumatoid arthritis, and a one-in-ten random sample of the population aged 55-64 years in the Lancashire town of Leigh was studied clinically, radiologically, and serologically for all forms of arthritis.
Annual Review of Public HealthCost, Controversy, Crisis: Low Back Pain and the Health of the Public
462 Citations1991R. A. Deyo, D Cherkin +2 more
Annals of the Rheumatic DiseasesPrevalence and clinical features of lumbar zygapophysial joint pain: a study in an Australian population with chronic low back pain.
448 Citations1995Anthony C. Schwarzer, S C Wang +3 more
Pain originating from the zygapophysial joint is not uncommon, but this study failed to find any clinical predictors in patients with such pain.
European Spine JournalThe relationship between facet joint osteoarthritis and disc degeneration of the lumbar spine: an MRI study
443 Citations1999Atsushi Fujiwara, Kazuya Tamai +5 more
The present study supports the hypothesis that “disc degeneration precedes facet joint osteoarthritis”, and also supports the concept that it may take 20 or more years to develop facet joint fractures following the onset of disc degeneration.
SpineRole of Ligaments and Facets in Lumbar Spinal Stability
428 Citations1995Manoj Sharma, Noshir A. Langrana +1 more
This study provides a comprehensive study on the role of facets and ligaments and their geometry in preserving segmental stability and predicts that facet osteoerthritis or hypertrophy leading to spinal stenosis is most likely under flexion-anterior shear loading, and selective facetectomy may restore spinal canal size without compromising the stability of the segment.
Arthritis & RheumatismUncoupling of type II collagen synthesis and degradation predicts progression of joint damage in patients with knee osteoarthritis
398 Citations2002Patrick Garnero, X Ayral +5 more
Patients with knee OA are characterized by an uncoupling of type II collagen synthesis and degradation which can be detected by assays for serum PIIANP and urinary CTX-II, and the combination of these two new markers could be useful for identifying patients at high risk for rapid progression of joint damage.
Journal of Bone and Joint Surgery - British VolumeDisc space narrowing and the lumbar facet joints
398 Citations1984RB Dunlop, Michael A. Adams +1 more
Cadaveric lumbar spine specimens of "motion segments", each including two vertebrae and the linking disc and facet joints, were compressed and pressure between the facets increased significantly with narrowing of the disc space and with increasing angles of extension.
Journal of Bone and Joint Surgery - British VolumeThe effect of posture on the role of the apophysial joints in resisting intervertebral compressive forces
397 Citations1980Michael A. Adams, WC Hutton
Clinical Orthopaedics and Related ResearchNewest Knowledge of Low Back Pain A Critical Look
397 Citations1992Alf Nachemson
Although today there is a better understanding of pain, the pathomechanism of low back pain is unknown, for patients with sciatica, spondylolisthesis, and spinal stenosis, physicians are beginning to get a better perception of what causes the pain.
SpineDiscs Degenerate Before Facets
396 Citations1990David William. Butler, Jordan Trafimow +3 more
It is concluded that disc degeneration occurs before facet joint osteoarthritis, which may be secondary to mechanical changes in the loading of the facet joints.
PubMedThe human lumbar dorsal rami.
388 Citations1982Nikolai Bogduk, A. S. Wilson +1 more
The comparative anatomy of the lumbar dorsal rami is discussed and the applied anatomy with respect to 'rhizolysis', 'facet denervation' and diagnostic paraspinal electromyography is described.
JAMADiagnosis of Bone and Joint Disorders
379 Citations1995Leonard F. Peltier
The multiplication of techniques for imaging and studying the bone and soft tissues has made choosing the best method for examination of the patient more difficult and, in an environment in which cost-effectiveness has become a byword, more important.
SpineThe Mechanical Function of the Lumbar Apophyseal Joints
365 Citations1983Michael A. Adams, William Hutton
Experiments were carried out on cadaveric lumbar spines to determine the mechanical function of the apophyseal joints and it was found that they resist most of the intervertebral shear force and share in resisting the interVertebral compressive force, but only in lordotic postures.
RadiologyOsteoarthritis of the facet joints: accuracy of oblique radiographic assessment.
338 Citations1987Mini N. Pathria, D J Sartoris +1 more
Conventional radiography is a useful technique in screening for facet joint osteoarthritis but is insensitive compared with CT, and receiver operating characteristic curve analysis indicated that oblique radiography was most accurate in distinguishing the presence from the absence of disease.
SpineArticular Facets of the Human Spine Quantitative Three-Dimensional Anatomy
335 Citations1993M M Panjabi, Thomas R. Oxland +4 more
The quantitative anatomy of the facets may improve the understanding of the spinal anatomy, help improve the clinical diagnosis and treatment, and provide the necessary data for constructing more realistic mathematical models of the spine.
PubMedEtiology of spondylolisthesis. Assessment of the role played by lumbar facet joint morphology.
328 Citations1993Leon J. Grobler, P. A. Robertson +2 more
Clinical Journal of PainInternational Spinal Injection Society Guidelines for the Performance of Spinal Injection Procedures.
318 Citations1997Nikolai Bogduk
The literature is meagre, the prevalence of thoracic zygapophysial joint pain is not known, and the utility is, as yet, only conjectural.
Acupuncture in MedicineBiomechanics of Back Pain
305 Citations2004Michael A. Adams
This book provides the 'missing link' in the wealth of literature available on back pain, written by four of the foremost researchers in the field representing some of the main market groups.
Medical Entomology and ZoologyClinical Anatomy of the Lumbar Spine
304 Citations1987Lance Twomey, Nikolai Bogduk
A comprehensive account of the structure and function of the lumbar spine, which provides therapists with a basis for the diagnosis and management of low back pain and mechanical disorder.
Lara D. VeekenDEGENERATIVE CHANGES IN THE INTERVERTEBRAL DISCS OF THE LUMBAR SPINE AND THEIR SEQUELAE
302 Citations1977B. Vernon‐Roberts, C. J. Pirie
Journal of Bone and Joint SurgeryOrientation of the Lumbar Facet Joints
300 Citations1996Scott D. Boden, K. Daniel Riew +4 more
The increase in facet angles at levels other than that of the spondylolisthesis suggests that increased facet angles represent variations in anatomy rather than a secondary result of spondyolistshesis.
SpineThe Ability of Computed Tomography to Identify a Painful Zygapophysial Joint in Patients With Chronic Low Back Pain
298 Citations1995Anthony C. Schwarzer, Shih-chang Wang +4 more
Computed tomography has no place in the diagnosis of lumbar zygapophysial joint pain and the results of a repeat assessment with two radiologists showed no statistically significant difference in joint scores between those with and those without pain originating from the zygapsial joint.
SpineThe Longitudinal Assessment of Imaging and Disability of the Back (LAIDBack) Study
296 Citations2001Jeffrey Jarvik, William Hollingworth +3 more
The prevalence of magnetic resonance imaging findings in the lumbar spine among persons without current low back pain or sciatica is determined and which findings are related to age or previous back symptoms are examined.
RadiologyMagnetic resonance imaging of intervertebral disk disease. Clinical and pulse sequence considerations.
296 Citations1984Michael T. Modic, William Pavlicek +5 more
Comparison with radiographs, high-resolution CT scans, and myelograms showed that MR was the most sensitive for identification of degeneration and disk space infection, separating the normal nucleus pulposus from the annulus and degenerated disk.
BoneCollagen type II C-telopeptide fragments as an index of cartilage degradation
286 Citations2001Stephan Christgau, Patrick Garnero +6 more
The Cartilaps assay showed high technical precision and an ability to differentiate populations with an elevated joint metabolism from normal controls, suggesting that the assay may have clinical value in assisting in the diagnosis of joint diseases and in monitoring progression and therapy in RA and OA.
RadiologyAnnular tears and disk herniation: prevalence and contrast enhancement on MR images in the absence of low back pain or sciatica.
265 Citations1998Tadeusz Stadnik, R. R. Lee +4 more
Annular tears and focal disk protrusions on MR images, with or without contrast enhancement, are frequently found in an asymptomatic population.
The LancetPREVALENCE OF LUMBAR DISC DEGENERATION OBSERVED BY MAGNETIC RESONANCE IN SYMPTOMLESS WOMEN
261 Citations1986M.C. Powell, P. Szypryt +3 more
The high prevalence of symptomless disc degeneration must be taken into account when magnetic resonance is used for assessment of spinal symptoms.
Journal of Bone and Joint SurgeryDegenerative spondylolisthesis. Predisposing factors
258 Citations1975NJ Rosenberg
Study of twenty skeletons and two hundred patients with degenerative spondylolisthesis established that it occurred four times more frequently in females, six to nine timesMore frequently at the interspace between the fourth and fifth lumbar vertebrae than at adjoining levels, three times morerequently in blacks than in whites.
Spine1988 Volvo Award in Clinical Sciences: Facet Joint Injection in Low-Back Pain
257 Citations1988Roger P. Jackson, Rae R. Jacobs +1 more
Pain PhysicianPrevalence of Lumbar Facet Joint Pain in Chronic Low Back Pain
256 Citations1999Laxmaiah Manchikanti
It is demonstrated that the facet joint is a source of pain in 45% of the patients suffering with chronic low back pain in an interventional pain management setting in a private practice, and history of previous surgery showed a negative correlation.
SpineInjection Therapy for Subacute and Chronic Benign Low Back Pain
244 Citations2001Patricia J. Nelemans, R deBie +2 more
Conincing evidence is lacking regarding the effects of injection therapy on low back pain, and additional well-designed explanatory trials in this field are needed.
RadiologyPrevalence of lumbosacral intervertebral disk abnormalities on MR images in pregnant and asymptomatic nonpregnant women.
243 Citations1989J.C. Weinreb, LAWRENCE B. WOLBARSHT +3 more
The results suggest that lumbosacral disk bulges or herniations are common in women of childbearing age, whether pregnant or not, and that, contrary to an earlier report, pregnant women do not have an increased prevalence of disk abnormalities.
Current Review of PainThe diagnostic validity and therapeutic value of lumbar facet joint nerve blocks with or without adjuvant agents
227 Citations2000Laxmaiah Manchikanti, Vidyasagar Pampati +2 more
Comparison of duration of relief and therapeutic value following controlled medial branch blocks with or without adjuvant agents Sarapin and Depo-medrol showed that the relief was significantly superior in Group III compared with Group I and Group II, whereas Group II was superior to Group I.
RadiologyLow Back Pain: Prediction of Short-term Outcome of Facet Joint Injection with Bone Scintigraphy
208 Citations2006Spiros G. Pneumaticos, Sofia Chatziioannou +3 more
Bone scintigraphy with SPECT can help identify patients with low back pain who would benefit from facet joint injections, and the number of facets treated with injection was decreased.
SpineContemporary Concepts in Spine Care
207 Citations1995Stuart M. Weinstein, Stanley A. Herring +1 more
This Contemporary Concepts review summarizes theoretic concepts, clinical applications, and data from the literature regarding the use of lumbar epidural steroid injections and provides current recommendations and suggestions for future research.
PainRadiofrequency lumbar facet denervation: analysis of prognostic factors
199 Citations1994Richard B. North, Misop Han +2 more
Percutaneous radiofrequency lumbar facet denervation has a moderate overall long‐term yield, with no morbidity in the experience, and so remains a clinically useful technique in properly selected patients.
SpineFacet Orientation in the Thoracolumbar Spine
196 Citations2004Youssef Masharawi, Bruce M. Rothschild +5 more
A comprehensive database for facet orientation in the thoracolumbar vertebrae and to determine the normal human condition are established and asymmetry in facet orientation is a normal characteristic inThe thorax.
Journal of Bone and Joint SurgeryMechanosensitive afferent units in the lumbar facet joint.
192 Citations1990Toshihiko Yamashita, John M. Cavanaugh +3 more
The purpose of this study was to characterize somatosensory units of the lumbar facet joint, which may play a central role in idiopathic low-back pain, and found 14 mechanosensitive units in the muscle, tendon, and interspinous ligament that responded to movement of the joint.
SpineMagnetic Resonance Imaging Findings and Their Relationships in the Thoracic and Lumbar Spine
186 Citations1995Tapio Videman, Michele C. Battié +4 more
With the exception of endplate irregularities and herniations, the magnetic resonance imaging findings appeared to be associated with the same pathogenic process, and the degeneration common in the lower parts of the thoracic and lumbar spine could be an outcome of vulnerability for torsional forces.
SpineLoad-Bearing Characteristics of Lumbar Facets in Normal and Surgically Altered Spinal Segments
185 Citations1983Mark Lorenz, Avinash G. Patwardhan +1 more
This study indicates that the load on the remaining facet is reduced substantially after a facetectomy although peak pressure increases, and demonstrates the substantial difference in facet loadings between L2-L3 segments and L4-L5 segments.
British journal of rheumatologyThe value of SPECT scans in identifying back pain likely to benefit from facet joint injection
180 Citations1996A. L. Dolan
It is suggested that SPECT can enhance the identification of back pain sufferers likely to obtain short-term benefit from facet joint injection, and not correspond with sites of increased uptake on SPECT scan.
European Spine JournalThe relationship between the magnetic resonance imaging appearance of the lumbar spine and low back pain, age and occupation in males
180 Citations1997RA Savage, G. H. Whitehouse +1 more
Although MRI is an excellent technique for evaluating the lumbar spine, this study shows that it does not provide a suitable pre-employment screening technique capable of identifying those at risk of LBP.
SpineThe Facet Joint and Its Role in Spine Pain
178 Citations1984ALAN B. LIPPITT
The author suggests that facet joint injections offer a simple, safe, and often dramatically effective means for managing mechanical derangements of the lumbar spine with the absence of nerve root irritation or compromise.
SpineSynovial Cysts of the Lumbar Facet Joints in a Symptomatic Population
177 Citations2004Anthony Doyle, Mervyn J. Merrilees
Statistically significant associations with increased frequency and severity of facet joint osteoarthritis and with spondylolisthesis were demonstrated compared to patients without cysts.
Journal of Orthopaedic Research®Morphological basis for back pain: The demonstration of nerve fibers and neuropeptides in the lumbar facet joint capsule but not in ligamentum flavum
171 Citations1992I. K. Ashton, B. A. Ashton +4 more
This study provides further evidence that the facet capsule but not the ligamentum flavum has substantial innervation by sensory and autonomic nerve fibers and has a structural basis for pain perception.
Clinical Orthopaedics and Related ResearchFacet Joint Degeneration as a Cause of Low Back Pain
167 Citations1986GEORGE E. LEWINNEK, Carol A. Warfield
Patients began to inject facet joints in June 1982 and have experience now with 21 patients, each injected under fluoroscopic control with a mixture of local anesthetic and steroid, and three factors characterized the patients: a negative screening examination for other causes of back pain or sciatica; back pain with tenderness localized over one or more facet joints; and radiologic changes of degenerative joint disease within the facet joints.
NeurosurgerySpinal Extradural Benign Synovial or Ganglion Cyst: Case Report and Review of the Literature
160 Citations1983Bruce D. Pendleton, B Carl +1 more
A lumbar spinal extradural ganglions cyst is reported, and the world literature on spinal ganglion cysts is reviewed.
RadiologyNormal and degenerative posterior spinal structures: MR imaging.
156 Citations1987N. Grenier, H Y Kressel +3 more
A retrospective study of the magnetic resonance (MR) images of the lumbar spines of 13 healthy subjects and 30 patients with degenerative changes was done, finding MR images in the sagittal plane were useful in demonstrating hypertrophy of the ligamentum flavum or the vertebral facets.
Journal of Bone and Joint SurgeryThe articular facets in relation to low-back pain and sciatic radiation
154 Citations1941Carl E. Badgley
Clinical evidence, in case of low-back pain with or without sciatic radiation, of pathology in or affecting the articular facets, requires serious consideration of the articulation in all cases of this syndrome.
SpineLumbar Zygapophysial (Facet) Joint Injections
152 Citations1995Paul Dreyfuss, Susan J. Dreyer +1 more
A critical review of previous studies assessing the role of diagnostic and potentially therapeutic zygapophysial joint injection procedures is presented, and the need for future studies is addressed, and current recommendations for the role in treatment based on this critical scientific review are provided.
SpinePercutaneous Lumbar Medial Branch Neurotomy
152 Citations1980Nikolai Bogduk, Donlin M. Long
It is suggested that the greater accuracy of medial branch neurotomy will permit a more adequate trial of the rationale and efficacy of facet denervation.
Surgical and Radiologic AnatomySpinal stability as defined by the three-column spine concept
148 Citations1985René Louis
The three-joint motion segment is characterized by a triangular disposition of joints with opposing joint spaces, thus supporting the articular orthogonal triangulation concept and having a clinical relevance in the field of spinal growth, changes consequent upon wear in spinal joints and clinical instability.
Journal of Bone and Joint Surgery - British VolumeThe lumbar facet arthrosis syndrome. Clinical presentation and articular surface changes
145 Citations1987SM Eisenstein, CR Parry
A lumbar facet syndrome in which disabling symptoms are associated with normal or near-normal plain radiographs is described, and it is suggested that there are both clinical and histological similarities between the facet arthrosis syndrome and chondromalacia patellae.
PubMedLumbar facet joint tropism does not accelerate degeneration of the facet joints.
143 Citations1997J P Grogan, B H Nowicki +2 more
Age, spinal level, and overall facet joint angle are more important factors in facet joint degeneration than is tropism.
SpineSubstance P Innervation of Lumbar Spine Facet Joints
142 Citations1993Douglas Beaman, Gregory P. Graziano +3 more
The presence of substance P nerve fibers within subchondral bone of degenerative lumbar facet joints implicates this type of joint in the etiology of low back pain.
SpineThe Symptomatic Lumbar Disc in Patients with Low-Back Pain
134 Citations1993Graham Buirski, Morry Silberstein
Compared with symptom-free controls, magnetic resonance imaging is accurate in determining nuclear anatomy, but until more suitable techniques become available, discography is still the only method for symptomatic assessment in low-back pain.
International OrthopaedicsOrientation and tropism of lumbar facet joints in degenerative spondylolisthesis
129 Citations2001Lihua Dai
It is suggested that morphological abnormalities of the lumbar facet joints are a predisposing factor in the development of degenerative spondylolisthésis dégénératif.
Clinical Orthopaedics and Related ResearchInnervation of the Lumbar Spine
121 Citations1976Michael Edgar, J. A. Ghadially
Evidence that impulses reaching the spinal nerve root through the sinu-vertebral nerve and possibly the posterior ramus may potentiate the irritability of that root and contribute to the claudication of degenerative spinal stenosis is not known.
Clinical Orthopaedics and Related ResearchOrientation and Osteoarthritis of the Lumbar Facet Joint
119 Citations2001Atsushi Fujiwara, Kazuya Tamai +5 more
A significant association was found between sagittal orientation and osteoarthritis of the lumbar facet joints, even in patients without degenerative spondylolisthesis.
European Spine JournalFacet joint remodeling in degenerative spondylolisthesis: an investigation of joint orientation and tropism
116 Citations1998U. Berlemann, Dezsö Jeszenszky +2 more
The results support the view that the pronounced sagittal alignment of facet joints in patients with DS represents a secondary remodeling rather than a pre-existing morphology and does not seem to play a major role in the development of DS.
PubMedPlanar and high-resolution SPECT bone imaging in the diagnosis of facet syndrome.
114 Citations1995Lawrence E. Holder, Jane L. Machin +3 more
Higher spatial resolution SPECT images are better accepted by referring physicians who correlate them with CT or MR images, and the high negative predictive value allows radionuclide bone imaging to be used to select appropriate patients to undergo the invasive facet injection procedure.
Acta NeurochirurgicaRetrospective study of 77 patients harbouring lumbar synovial cysts: Functional and neurological outcome
111 Citations2005Philippe Métellus, S. Fuentès +8 more
There is no reliable criterion which allows the development of a symptomatic spinal instability to be predicted in patients with a preoperative spondylolisthesis and therefore fusion as a first line procedure is still debatable.
SpineLumbar Olisthesis and Lower Back Symptoms in Elderly White Women
108 Citations1998Molly T. Vogt, David A. Rubin +5 more
Anterolisthesis of 3 mm or more in the lower lumbar spine is relatively common among elderly women but is not correlated with back problems, while retrolisthesis at L3‐L4 is associated with increased back pain and impaired back function.
Annals of the Rheumatic DiseasesUrinary CTX-II levels are associated with radiographic subtypes of osteoarthritis in hip, knee, hand, and facet joints in subject with familial osteoarthritis at multiple sites: the GARP study
108 Citations2005Ingrid Meulenbelt, M Kloppenburg +6 more
The total ROA score of GARP patients, representing cartilage abnormalities at the most prevalent ROA joint locations, showed an excellent correlation with UCTX-II levels, which may be a sensitive quantitative marker of ROA.
Annals of the Rheumatic Diseases99mTc HMDP bone scanning in generalised nodal osteoarthritis. II. The four hour bone scan image predicts radiographic change.
107 Citations1986Charles Hutton, E R Higgs +3 more
In 14 patients with generalised nodal osteoarthritis a four hour bone scan image was found to predict the changes that occur on the radiograph at follow up between three and five years later.
RadiologyComputed tomography of the lumbar facet joints.
102 Citations1980G F Carrera, V M Haughton +2 more
In patients with sciatic or low back pain, CT is indicated to demonstrate treatable abnormalities of the facet joints and osteophyte formation, hypertrophy of articular processes, articular cartilage thinning, vacuum joint phenomenon, and calcification of the joint capsule.
European Spine JournalEarly histologic changes in lower lumbar discs and facet joints and their correlation
101 Citations2000N. C. Gries, U. Berlemann +2 more
Clinical Orthopaedics and Related ResearchThe Facet
101 Citations1992ROGER P. JACKSON
Responsibility to facet joint injection in patients with LBP does not correlate with or predict their clinical results after solid posterior lumbar fusion, and it should not be used preoperatively as a clinical criterion in selection of patients for fusion.
Acta Orthopaedica ScandinavicaOsteoarthritis in Lumbar Synovial Joints: A Morphologic Study
100 Citations1964Thord Lewin
SpineExpression of Estrogen Receptor of the Facet Joints in Degenerative Spondylolisthesis
97 Citations2005Kee-Yong Ha, Cheong-Ho Chang +4 more
The findings suggest that the higher expression of estrogen receptor might aggravate degenerative change of the facet articular cartilage and might also be considered one of the causative factors for DS in postmenopausal women.
SpineThe Menisci of the Lumbar Zygapophyseal Joints
96 Citations1984Nikolai Bogduk, Roger Engel
The theory of meniscus entrapment is appraised, but is considered to have been an overstated cause of those forms of “acute locked back” that responds to manipulation.
European Journal of RadiologyAcquired degenerative changes of the intervertebral segments at and suprajacent to the lumbosacral junction
92 Citations2003J. R. Jinkins
Findings indicate that the posterior elements are major locations of degenerative spinal and perispinal disease that may accompany or even precede degenerative disc disease.
SpineOsteoarthrosis of the Facet Joints Resulting From Anular Rim Lesions in Sheep Lumbar Discs
91 Citations1999Robert J. Moore, Tania N. Crotti +3 more
The results shows that facet joints in sheep undergo osteoarthrotic changes in response to disc degeneration and confirm the sheep as a suitable model for the study of degenerative spinal disorders.
Lara D. VeekenIMMUNOHISTOCHEMICAL DEMONSTRATION OF NOCICEPTORS IN THE CAPSULE AND SYNOVIAL FOLDS OF HUMAN ZYGAPOPHYSEAL JOINTS
88 Citations1987L GILES, Andrew R. Harvey
Substance P immunofluorescent nerves are demonstrated in the inferior joint recess capsule and its synovial folds in human lumbosacral zygapophyseal joints, which may have clinical significance in spinal pain.
RadiologyIntraarticular facet block: diagnostic test or therapeutic procedure?
85 Citations1984Jean Raymond, J M Dumas
A comparatively low success rate of the intraarticular facet block as a diagnostic test for facet joint disease is found in 25 patients in whom maximal volumes were strictly controlled to avoid extravasation.
European Spine JournalDetailed pathological changes of human lumbar facet joints L1–L5 in elderly individuals
84 Citations2005Thomas Tischer, Thomas Aktas +2 more
Journal of Bone and Joint Surgery - British VolumeDegenerative spondylolisthesis
79 Citations1999T. W. Love, Andrew Fagan +1 more
The findings confirmed the presence of more sagittally-orientated facet joints in patients with degenerative spondylolisthesis but did not show that the gender difference can be explained by the morphology of the facet joint.
Journal of BiomechanicsExperimental verification of facet load transmission by direct measurement of facet lamina contact pressure
79 Citations1989A. El-Bohy, King-Hay Yang +1 more
This paper presents results of a new measuring technique by means of which facet tip contact pressure data were obtained to demonstrate by direct measurement the existence of a load transmission mechanism through the facet joint.
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