scholarly journals Unilateral Degenerative Facet Joint Pathology Eliciting Rapidly Progressive Cervical Spondylotic Myelopathy

Cureus ◽  
2021 ◽  
Author(s):  
Yasuhiro Takeshima ◽  
Ai Okamoto ◽  
Shohei Yokoyama ◽  
Ichiro Nakagawa ◽  
Hiroyuki Nakase
Keyword(s):  
Cervical Spondylotic Myelopathy ◽  
Facet Joint ◽  
Joint Pathology

scholarly journals Hyperlordosis is Associated With Facet Joint Pathology at the Lower Lumbar Spine

2017 ◽  
Vol 30 (3) ◽  
pp. 129-135 ◽  
Author(s):  
Thorsten Jentzsch ◽  
James Geiger ◽  
Matthias A. König ◽  
Clément M.L. Werner
Keyword(s):  
Lumbar Spine ◽  
Facet Joint ◽  
Joint Pathology ◽  
Lower Lumbar Spine ◽  
Lower Lumbar

Facet Joint Pathology

2021 ◽  
pp. 45-84
Author(s):  
Paola D’Aprile ◽  
Alfredo Tarantino
Keyword(s):  
Facet Joint ◽  
Joint Pathology

Cervical and lumbar spine

2013 ◽  
Author(s):  
David A. Walsh
Keyword(s):  
Lumbar Spine ◽  
Intervertebral Disc ◽  
Social Impact ◽  
Facet Joint ◽  
Treatment Plan ◽  
Spinal Pain ◽  
Recurrent Pain ◽  
Disc Disease ◽  
Spinal Claudication ◽  
Joint Pathology

Cervical and lumbar spine pain are major causes of disability and distress. Careful assessment is needed of the nature and extent of the problem, for diagnosis and exclusion of important (treatable) differential diagnoses, and for the formulation and engagement of the patient in an appropriate treatment plan. Acute spinal pain frequently does not indicate underlying joint pathology. Chronic spinal pain is often associated with intervertebral disc disease or which is often classified together with facet joint osteoarthritis as spondylosis. Sciatica, brachalgia, or spinal claudication may each be a consequence of either spondylosis or intervertebral disc prolapse. Simple mechanical low back and neck pain may respond well to conservative management with analgesics and physiotherapy. Specific spinal problems, such as neuronal compromise, may require additional treatments. The roles of injections and surgery in the management of spinal pain continue to evolve. Although ongoing management is largely determined by the individual's clinical response, comprehensive health economic analyses inform healthcare policies which may limit treatment availability. Many people with spinal problems suffer long-term or recurrent pain and disability, with significant psychological and social impact. Multidisciplinary approaches are needed to facilitate pain management and enable people with spinal pain to lead fulfilling lives when the underlying condition cannot be cured.

Thoracic Facet Dysfunction/Costotransverse Joint Pathology

2018 ◽  
Author(s):  
Brian A. Young ◽  
Phillip S. Sizer ◽  
Miles Day
Keyword(s):  
Minimally Invasive ◽  
Clinical Reasoning ◽  
Facet Joint ◽  
Response To Treatment ◽  
Thoracic Pain ◽  
Referral Patterns ◽  
Treatment Approaches ◽  
Interventional Techniques ◽  
Significant Pain ◽  
Joint Pathology

The thoracic facet and costotransverse joints are often implicated as the source of thoracic pain, yet definitive diagnostic and treatment guidance is significantly limited. This chapter reviews the anatomy, innervation, and biomechanics of these joints, as well as associated pathology. Definitive innervation of the posterior primary rami has yet to be established, and significant pain pattern overlap between the thoracic facet joint, costotransverse joints, and visceral referral patterns, as well as the limitations of current biomechanics, challenge the clinician’s ability to examine pain of suspected thoracic origin. The use of clinical reasoning in the absence of definitive diagnostic and treatment approaches is necessary to optimize outcomes in patients with pain of suspected thoracic musculoskeletal origin. A progression from noninvasive to minimally invasive to interventional techniques may be warranted based on the patient’s response to treatment.

scholarly journals Synovial Cyst Mimicking an Intraspinal Sacral Mass

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Jason Hoover ◽  
Stephen Pirris
Keyword(s):  
Spinal Canal ◽  
Facet Joint ◽  
Clinical History ◽  
Synovial Cyst ◽  
Cystic Mass ◽  
Leg Pain ◽  
Joint Pathology ◽  
History Of ◽  
Sacral Canal ◽  
Spine Mri

A 68-year-old female had a three-week history of severe low back pain radiating down the posterior left buttocks and left leg exacerbated by standing and walking. Lumbar spine MRI revealed cystic mass with similar intensity to cerebrospinal fluid located on dorsolateral left side of the sacral spinal canal inferior to the S1 pedicle. There was compression of left exiting S1 and traversing S2 nerve roots. Neurosurgery consult was requested to evaluate the cystic mass in the sacral spinal canal. After clinical evaluation, an unusually located synovial cyst was thought possible. Cyst contents were heterogeneous, suggestive of small hemorrhage and acute clinical history seemed reasonable. Left S1 and partial left S2 hemilaminectomy was performed and an epidural, partially hemorrhagic cyst was removed. There was no obvious connection to the ipsilateral L5-S1 facet joint. Pathology revealed synovial cyst, and the patient’s leg pain was improved postoperatively. This synovial cyst was unusual as it had no connection with the facet joint intraoperatively and its location in the sacral canal was uncommon.

Effect of CT-based attenuation correction on uptake ratios in skeletal SPECT

2007 ◽  
Vol 46 (01) ◽  
pp. 38-42 ◽  
Author(s):  
V. Schulz ◽  
I. Nickel ◽  
A. Nömayr ◽  
A. H. Vija ◽  
C. Hocke ◽  
...  
Keyword(s):  
Vertebral Body ◽  
Facet Joint ◽  
One Dimension ◽  
Patient Specific ◽  
Data Sets ◽  
Facet Joints ◽  
Lumbar Vertebral Body ◽  
Ct System ◽  
Ct Data ◽  
Attenuation Corrected

SummaryThe aim of this study was to determine the clinical relevance of compensating SPECT data for patient specific attenuation by the use of CT data simultaneously acquired with SPECT/CT when analyzing the skeletal uptake of polyphosphonates (DPD). Furthermore, the influence of misregistration between SPECT and CT data on uptake ratios was investigated. Methods: Thirty-six data sets from bone SPECTs performed on a hybrid SPECT/CT system were retrospectively analyzed. Using regions of interest (ROIs), raw counts were determined in the fifth lumbar vertebral body, its facet joints, both anterior iliacal spinae, and of the whole transversal slice. ROI measurements were performed in uncorrected (NAC) and attenuation-corrected (AC) images. Furthermore, the ROI measurements were also performed in AC scans in which SPECT and CT images had been misaligned by 1 cm in one dimension beforehand (ACX, ACY, ACZ). Results: After AC, DPD uptake ratios differed significantly from the NAC values in all regions studied ranging from 32% for the left facet joint to 39% for the vertebral body. AC using misaligned pairs of patient data sets led to a significant change of whole-slice uptake ratios whose differences ranged from 3,5 to 25%. For ACX, the average left-to-right ratio of the facet joints was by 8% and for the superior iliacal spines by 31% lower than the values determined for the matched images (p <0.05). Conclusions: AC significantly affects DPD uptake ratios. Furthermore, misalignment between SPECT and CT may introduce significant errors in quantification, potentially also affecting leftto- right ratios. Therefore, at clinical evaluation of attenuation- corrected scans special attention should be given to possible misalignments between SPECT and CT.

Evaluation of Positive Contrast Arthrography in Canine Cranial Cruciate Ligament Disease

1996 ◽  
Vol 09 (01) ◽  
pp. 10-3 ◽  
Author(s):  
D.N. Aron ◽  
R. Roberts ◽  
J. Stallings ◽  
J. Brown ◽  
C.W. Hay
Keyword(s):  
Articular Surface ◽  
Cruciate Ligament ◽  
Positive Contrast ◽  
Joint Effusion ◽  
Radiographic Evaluation ◽  
Cranial Cruciate Ligament ◽  
Joint Pathology ◽  
Meniscal Pathology ◽  
Cranial Cruciate Ligament Disease ◽  
Better Than

SummaryArthrographic and intraoperative evaluations of stifles affected with cranial cruciate disease were compared. Arthrography did not appear to be helpful in predicting cranial cruciate ligament pathology. The caudal cruciate ligament was consistently not visualized in the arthrograms and was normal at surgery. The menisci were visualized consistently in the arthrograms, but conclusions could not be made as to the benefit of arthrography in predicting meniscal pathology. Arthrography was not helpful in predicting joint capsule and femoral articular surface pathology. Survey radiographic evaluation was better than arthrography in evaluating joint pathology. When cruciate injury is suspected, after history and physical examination, survey radiographs are better than positive contrast arthrograms at supporting the diagnosis.Positive contrast arthrography was evaluated as a diagnostic aid in canine cranial cruciate ligament disease. It did not appear to be useful in predicting joint pathology. With arthrography, both menisci could be visualized and evaluated for abnormalities. Joint effusion and presence of osteophytes evaluated on survey radiographs was better than arthrography in evaluating joint pathology.

Neuropsychological Improvement in Patients with Cervical Spondylotic Myelopathy after Cervical Laminoplasty

2009 ◽  
Vol 23 (2) ◽  
pp. 305-306
Author(s):  
Minoru Hoshimaru ◽  
Schun-ichi Kihara ◽  
Toru Koizumi ◽  
Hiroyuki Yukawa ◽  
Shigeo Ueda ◽  
...  
Keyword(s):  
Cervical Spondylotic Myelopathy ◽  
Cervical Laminoplasty
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