Abstract
Facet joints are a major source of neck and low-back pain. Facet joint syndrome is defined as a constellation of symptoms that result in diffuse pain that does not fit a clear nerve root pattern (e.g. not sciatica). Both cervical and lumbar facet syndromes have been described (Cavanaugh et al. 2006).
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References
Anderson PA (2003) The Future of the Cervical Spine: Presidential Address to the Cervical Spine Research Society. Spine 28:2643–2647
Apostolaki E, Davies AM, Evans N, Cassar-Pullicino (2000) MR imaging of lumbar facet joint synovial cysts. Eur Radiol 10:615–623
Barry M, Livesly P (1997) Facet joint hypertrophy: the crosssectional area of the superior articular process of L4 and L5. Eur Spine J 6:121–124
Boden SD, Riew KD, Yamaguchi K, Branch TP, Schellinger D, Wiesel SW (1996) Orientation of the lumbar facet joints: association with degenerative disc disease. J Bone Joint Surg Am 78:403–411
Brown TR, Quinn SF, D’Agostino AN (1991) Deposition of calcium pyrophosphate dihydrate crystals in the ligamentum flavum: evaluation with MR imaging and CT. Radiology 178:871–873
Butler D, Trafimow JH, Andersson GB, McNeill TW, Huckman MS (1990) Discs degenerate before facets. Spine 15:111–113
Butt S, Saifuddin A (2005) The imaging of lumbar spondylolisthesis. Clin Radiol 60:533–546
Cakir E, Kuzeyli K, Usul H, Peksoylu B, Yazar U, Reis A, Karaarslan G (2004) Ligamentum flavum cyst. J Clin Neurosci 11:67–69
Carrera GF (1980) Lumbar facet joint injection in low back pain and sciatica. Radiology 137:661–664
Carrera GF, Haughton VM, Syvertsen A, Williams AL (1980) Computed tomography of the lumbar facet joints. Radiology 134:145–158
Cassidy JD, Loback D, Yong-Hink K, Tchang S (1992) Lumbar facet joint asymmetry. Intervertebral disc herniation. Spine 17:570–574
Cavanaugh JM, Lu Y, Chen C, Kallakuri S (2006) Pain generation in lumbar and cervical facet joints. J Bone Joint Surg Am 88[Suppl 2]:63–67
Chen CKH, Yeh LR, Resnick D, Lai HL, Liang HL, Pan HB, Yang CF (2004) Intraspinal posterior epidural cysts associated with Baastrup’s disease: report of 10 patients. AJR Am J Roentgenol 182:191–194
Chen HC, Hsu PW, Lin CY, Tzaan WC (2005) Symptomatic hematoma of cervical ligamentum flavum. Spine 30: E489–E491
Chiba K, Toyama Y, Matsumoto M, Maruiwa H, Watanabe M, Nishizawa T (2001) Intraspinal cyst communicating with the intervertebral disc in the lumbar spine: discal cyst. Spine 26:2112–2118
Cinotti G, De Santis P, Nofroni I, Postacchini F (2002) Stenosis of lumbar intervertebral foramen: anatomic study on predisposing factors. Spine 27:223–229
Demondion X, Vidal C, Glaude E, Subocz L, Francke JP, Cotton A (2005) The posterior lumbar ramus: CT correlation and propositions of new sites of infiltration. AJNR Am J Neuroradiol 26:706–710
Doyle AJ, Merrilees M (2004) Synovial cysts of the lumbar facet joints in a symptomatic population. Prevalence on magnetic resonance imaging. Spine 29:874–878
Farfan HF, Huberdeau RM, Dubow HI (1972) Lumbar intervertebral disc degeneration: the influence of geometrical features on the pattern of disc degeneration: a post mortem study. J Bone Joint Surg Am 54:492–510
Fujiwara A, Lim TH, An HS, Tanaka N, Jeon CH, Andersson GBJ, Haughton VM (2000) The effect of disc degeneration and facet joint osteoarthritis on the segmental flexibility of the lumbar spine. Spine 25:3036–3044
Fujiwara A, Tamai K, An HS, Lim TH, Yoshida H, Kurihashi A, Saotome K (2001a) Orientation and osteoarthritis of the lumbar facet joint. Clin Orthopaed Rel Res 385:88–94
Fujiwara A, An HS, Lim TH, Haughton VM (2001b) Morphologic changes in the lumbar intervertebral foramen due to flexion-extension, lateral bending, and axial rotation: an in vitro anatomic and biomechanical study. Spine 26:876–882
Gadgil AA, Eisenstein SM, Darby A, Cassar-Pullicino V (2002) Bilateral symptomatic synovial cysts of the lumbar spine caused by calcium pyrophosphate deposition disease: a case report. Spine 27:E428–E431
Gray H (1918) Anatomy of the human body. Lea and Febiger, Philadelphia; available online at http://Bartleby.com/107/
Grenier N, Kressel HY, Schiebler ML, Grossman RI, Dalinka MK (1987) Normal and degenerative posterior spinal structures: MR imaging. Radiology 165:517–525
Grobler LJ, Robertson PA, Novotny JE, Pope MH (1993) Etiology of spondylolisthesis. Assessment of the role played by lumbar facet joint morphology. Spine 18:80–91
Grogan J, Nowicki BH, Schmidt TA, Haughton VM (1997) Lumbar facet joint tropism does not accelerate degeneration of the facet joints. AJNR Am J Neuroradiol 18:1325–1329
Hagen T, Daschner H, Lensch T (2001) Juxtafacettenzysten: Magnetresonanztomographische Diagnostik (Juxta-facet cysts: MR imaging). Radiologe 41:1056–1062
Hagg O, Wallner A (1990) Facet joint asymmetry and protrusion of the intervertebral disc. Spine 15:356–359
Haig AJ, Harris A, Quint DJ (2001) Baastrup’s disease correlating with diffuse lumbar paraspinal atrophy: a case report. Arch Phys Med Rehabil 82:250–252
Hasegawa T, An HS, Haughton VM, Nowicki BH (1995) Lumbar foraminal stenosis: critical heights of the intervertebral discs and foramina. J Bone Joint Surg Am 77:32–38
Hirai T, Korogi Y, Takahashi M, Shimomura O (2001) Ossification of the posterior longitudinal ligament and ligamentum flavum: imaging features. Semin Musculoskelet Radiol 5:83–88
Hirakawa K, Hanakita J, Suwa H, Matsuoka N, Oda M, Muro H, Fukushima T (2000) A post-traumatic ligamentum flavum progressive hematoma. Spine 25:1182–1184
Hollenberg GM, Beattie PF, Meyers SP, Weinberg EP, Adams MJ (2002) Stress reactions of the lumbar pars interarticularis: the development of a new MRI classification system. Spine 27:181–186
Hsu KY, Zucherman JF, Shea WJ, Jeffry RA (1995) Lumbar intraspinal synovial and ganglion cysts (facet cysts). Ten-year experience in evaluation and treatment. Spine 20:80–89
Jenis LG, An HS (2000) Spine update. Lumbar foraminal stenosis. Spine 25:389–394
Jinkins JR (2001) Acquired degenerative changes of the intervertebral segments at and supradjacent to the lumbosacral junction. A radioanatomic analysis of the nondiskal structures of the spinal column and perispinal soft tissues. Rad Clinics North Am 39:73–99
Karacan I, Aydin T, Sahin Z, Cidem M, Koyuncu H, Aktas I, Uludag M (2004) Facet angles in lumbar disc herniation: their relation to anthropometric features. Spine 29:1132–1136
Kono K, Nakamura H, Inoue Y, Shakudo M, Yamada R (1999) Intraspinal extradural cysts communicating with adjacent herniated disks: imaging characteristics and possible pathogenesis. AJNR Am J Neuroradiol 20:1373–7
Lunardi P, Acqui M, Ricci G, Agrillo A, Ferrante L (1999) Cervical synovial cysts: case report and review of the literature. Eur Spine J 8:232–237
Lyons MK, Atkinson JL, Wharen RE, Deen HG, Zimmerman RS, Lemens SM (2000) Surgical evaluation and management of lumbar synovial cysts: the Mayo Clinic experience. J Neurosurg 93(1 Suppl):53–57
Mahalatti H, Wallace CJ, Hunter KM, Bilbao JM, Clark AW (1999) MR imaging of a hemorrhagic and granulomatous cyst of the ligamentum flavum with pathologic correlation. AJNR Am J Neuroradiol 20:1166–1168
Malanga GA, Chimes GP, Memmo P (2006) Lumbrosacral facet syndrome. eMedicine, Stedman’s Health Professions and Nursing Dictionary. Lippincott Williams and Wilkins, Baltimore
Manchikanti L, Pampati V, Fellows B, Baha AG (2000) The inability of the clinical picture to characterize pain from facet joints. Pain Physician 3:158–166
Manchikanti L, Singh V, Pampati V, Damron KS, Beyer CD, Barnhill RC (2002) Is there correlation of facet joint pain in lumbar and cervical spine? An evaluation of prevalence in combined chronic low back and neck pain. Pain Physician 5:365–371
Manchikanti L, Boswell MV, Singh V, Pampati V, Damron KS, Beyer CD (2004) Prevalence of facet joint pain in chronic spinal pain of cervical, thoracic, and lumbar regions. BMC Musculoskeletal Disord 5:15–22
Miyasaka K, Kaneda K, Sato S, Iwasaki Y, Abe S, Takei H, Tsuru M, Tashira K, Abe H, Fujioka Y (1983) Myelopathy due to ossification or calcification of the ligamentum flavum: radiologic and histologic evaluations. AJNR Am J Neuroradiol 4:629–632
Morrison JL, Kaplan PA, Dussault RG, Anderson MW (2000) Pedicle marrow signal intensity changes in the lumbar spine: a manifestation of facet degenerative joint disease. Skeletal Radiol 29:703–707
Muthukumar N, Karuppaswamy U, Sankarasubbu B (2000) Calcium pyrophosphate dihydrate deposition disease causing thoracic cord compression: case report. Neurosurgery 46:222–225
Nowicki BH, Haughton VM, Schmidt TA, Lim TH, An HS, Riley LH III, Yu L, Hong JW (1996) Occult lumbar lateral spinal stenosis in neural foramina subjected to physiologic loading. AJNR Am J Neuroradiol 17:1605–1614
Oertel MF, Ryang YM, Gilsbach JM, Rohde V (2006) Lumbar foraminal and far lateral juxtafacet cyst of intraspinal origin. Surg Neurol 66:197–199
Palmieri F, Cassar-Pullicino VN, Lalam RK, Tins BJ, Tyrrell PN, McCall IW (2006) Migrating lumbar facet joint cysts. Skeletal Radiol 35:220–226
Paolini S, Ciapetta P, Santoro A, Ramieri A (2002) Rapid, symptomatic enlargement of a lumbar juxtafacet cyst. Spine 27:E281–E283
Park JB, Chang H, Kim KW, Park SJ (2001) Facet tropism. A comparison between far lateral and posterolateral lumbar disc herniations. Spine 26:677–679
Pascal-Moussellard H, Cabre P, Smadja D, Catonne Y (2005) Symptomatic ossification of the ligamentum flavum: a clinical series from the French Antilles. Spine 30:E400–E405
Pathria M, Sartoris DJ, Resnick D (1987) Osteoarthritis of the facet joints: accuracy of oblique radiographic assesment: Radiology 164:227–230
Pinto PS, Boutin RD, Resnick D (2004) Spinous process fractures associated with Baastrup disease. Clin Imaging 28:219–222
Rajasekaran S, Pithwa YK (2003) Baastrup’s disease as a cause of neurogenic claudication: a case report. Spine 28:E273–E275
Ruiz Santiago F, Alcazar Romero PP, Lopez Machado E, Garcia Espona MA (1997) Calcification of lumbar ligamentum flavum and facet joints capsule. Spine 22:1730–1734
Sarazin L, Chevrot A, Pessis E, Minoui A, Drape JL, Chemla N, Godefroy D (1999) Titel facet joint arthrography posterior approach. Radiographics 19:93–104
Sato K, Wakamatsu E, Yoshizumi A, Watanabe N, Irei O (1989) The configuration of the laminas and facet joints in degenerative spondylolisthesis. A clinicoradiologic study. Spine 14:1265–1271
Sauvage P, Grimault L, Ben Salem D, Roussin I, Huguenin M, Falconnet M (2000) Lumbar intraspinal synovial cysts: imaging and treatment by percutaneous injection. Report of thirteen cases. J Radiol 81:33–38
Schellinger D, Wener L, Ragsdale BD, Patronas NJ (1987) Facet joint disorders and their role in the production of back pain and sciatica. RadioGraphics 7:923–944
Schmid G, Willburger R, Jergas M, Pennekamp W, Bickert U, Koster O (2002) Lumbar intraspinal juxtafacet cysts: MR imaging and CT-arthrography. Rofo 174:1247–52.
Shah RV, Lutz GE (2003) Lumbar intraspinal synovial cysts: conservative management and review of the world’s literature. Spine J 3:479–488
Shaw M, Birch N (2004) Facet joint cysts causing cauda equina compression. J Spinal Disord Tech 17:442–445
Sherif H, Mahfouz AE (2004) Epidural fat interposition between dura mater and spinous process: a new sign for the diagnosis of spondylolysis on MR imaging of the lumbar spine. Eur Radiol 14:970–973
Silbergleit R, Mehta BA, Sanders WP, Talati SJ (2001) Imaging-guided injection techniques with fluoroscopy and CT for spinal pain management Radiographics 21:927–939
Song JK, Musleh W, Christie SD, Fessler RG (2006) Cervical juxtafacet cysts: case report and literature review. Spine J 6:279–281
Stäbler A, Paulus R, Steinborn M, Bosch R, Matzko M, Reiser M (2000) Spondylolysis in adolescents: the diagnostic value of MRI. Fortschr Röntgenstr 172:33–37
Stoodley MA, Jones NR, Scott G (2000) Cervical and thoracic juxtafacet cysts causing neurologic deficits. Spine 25:970–973
Swartz PG, Murtagh FR (2003) Spontaneous resolution of an intraspinal synovial cyst. AJNR Am J Neuroradiol 24:1261–1263
Sys J, Michielsen J, Bracke P, Martens M, Verstreken J (2001) Nonoperative treatment of active spondylolysis in elite athletes with normal X-ray findings: literature review and results of conservative treatment. Eur Spine J 10:498–504
Taylor JR, McCormick CC (1991) Lumbar facet joint fat pads: their normal anatomy and their appearance when enlarged. Neuroradiology 33:38–42
Terada H, Yokoyama Y, Kamata N, Hozumi T, Kondo T (2001) Cyst of the ligamentum flavum. Neuroradiology. 43:49–51
Thalgott JS, Albert TJ, Vaccaro AR, Aprill CN, Giuffre JM, Drake JS, Henke JP (2004) A new classification system for degenerative disc disease of the lumbar spine based on magnetic resonance imaging, provocative discography, plain radiographs and anatomic considerations. Spine J 4:167S–172S
Tillich M, Trummer M, Lindbichler F, Flaschka G (2001) Symptomatic intraspinal synovial cysts of the lumbar spine: correlation of MR and surgical findings. Neuroradiology 43:1070–1075
Ulmer JL, Elster AD, Mathews VP, King JC (1994) Distinction between degenerative and isthmic spondylolisthesis on sagittal MR images: importance of increased anteroposterior diameter of the spinal canal (“wide canal sign”). AJR Am J Roentgenol 163:411–416
Ulmer JL, Mathews VP, Elster AD, King JC (1995a) Lumbar spondylolysis without spondylolisthesis: recognition of isolated posterior element subluxation on sagittal MR. AJNR Am J Neuroradiol 16:1393–1398
Ulmer JL, Elster AD, Mathews VP, Allen AM (1995b) Lumbar spondylolysis: reactive marrow changes seen in adjacent pedicles on MR images. AJR Am J Roentgenol 164:429–433
Ulmer JL, Mathews VP, Elster AD, Mark LP, Daniels DL, Mueller W (1997) MR imaging of lumbar spondylolysis: the importance of ancillary observations. AJR Am J Roentgenol 169:233–239
van den Hauwe L, Van Goethem JW, Parizel PM, De Schepper AM (1993) Magnetic resonance imaging of calcified thoracic disk herniation. Eur J Radiol 17:148–149
Van Goethem JW, Maes M, Ozsarlak O, van den Hauwe L, Parizel PM (2005) Imaging in spinal trauma. Eur Radiol 15:582–590
Van Schaik JP, Verbiest H, Van Schaik FD (1984) The orientation and shape of the lower lumbar facet joints: a computed tomographic study of their variation in 100 patients with low back pain and a discussion of their possible clinical implications. In: Post MJ (ed) Computed tomography of the spine Williams and Wilkins, Baltimore, pp 495–505
Weishaupt D, Zanetti M, Boos N, Hodler J (1999) MR imaging and CT in osteoarthritis of the lumbar facet joints. Skeletal Radiol 28:215–219
Weishaupt D, Schmid MR, Zanetti M, Boos N, Romanowski B, Kissling RO, Dvorak J, Hodler J (2000) Positional MR imaging of the lumbar spine: does it demonstrate nerve root compromise not visible at conventional MR imaging? Radiology 215:247–253
Wildermuth S, Zanetti M, Duewell, S, Schmid MR, Romanowski B, Benini A, Böni T, Hodler J (1998) Lumbar spine: quantitative and qualitative assessment of positional (upright and extension) MR and myelography. Radiology 207:391–398
Wiltse LL, Newman PH, Macnab I (1976) Classification of spondylolysis and spondylolisthesis. Clin Orthop 117:23–29
Wybier M (2001) Imaging of lumbar degenerative changes involving structures other than disk space. Radiol Clin North Am 39:101–114
Xiong L, Zeng QY, Jinkins JR (2001) CT and MRI characteristics of ossification of the ligamnta flava in the toracic spine. Eur Radiol 11:1798–1802
Xu GL, Haughton VM, Carrera GF (1990) Lumbar facet joint capsule: appearance at MR imaging and CT. Radiology 177:415–420
Yamashita Y, Takahashi M, Matsuno Y, Sakamoto Y, Yoshizumi K, Oguni T, Kojima R (1990) Spinal cord compression due to ossification of ligaments: MR imaging. Radiology 175:843–848
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van den Hauwe, L. (2007). Pathology of the Posterior Elements. In: Van Goethem, J.W.M., van den Hauwe, L., Parizel, P.M. (eds) Spinal Imaging. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68483-1_7
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