scholarly journals Facet joint degeneration adversely affects ultrasound imaging of the lumbar spine

2019 ◽  
Vol 21 (2) ◽  
pp. 131
Author(s):  
Karthikeyan Srinivasan ◽  
Hong Kuan Kok ◽  
Mona Mubarak ◽  
William Torregianni ◽  
Robert Whitty
Keyword(s):  
Lumbar Spine ◽  
Ligamentum Flavum ◽  
Facet Joint ◽  
Posterior Longitudinal Ligament ◽  
Joint Degeneration ◽  
Neuraxial Block ◽  
Interspinous Space ◽  
Facet Joint Degeneration ◽  
Experienced Operator ◽  
Magnetic Resonance Imaging Mri

Aim: Ultrasound of neuraxis can be used to identify the best possible inter-spinous space to perform neuraxial block. The aim of this study was to assess the anatomical correlation between neuraxial ultrasound and magnetic resonance imaging (MRI).Material and method: Twenty-one patients who underwent MRI of the lumbar spine had ultrasound of lumbar neuraxis performed by an experienced operator. Each lumbar interspinous space was graded on ultrasound as good [posteriorcomplex (ligamentum flavum and duramater) and anterior complex (posterior longitudinal ligament) visible], intermediate (either anterior complex or posterior complex visible) or poor (both anterior complex and posterior complex not visible) in both the transverse median (TM) and paramedian sagittal oblique (PSO) plane. Pre-determined MRI parameters were measured by a radiologist blinded to sonographic findings at each inter-spinal level.Results: Seventy-eight lumbar interspinous spaces were evaluated. There was a significant association (p<0.004) between the facet joint degeneration on MRI and the poor ultrasound view in the transverse median (TM) group. The odds of obtaining a poor view in TM plane was 7 times higher (95% CI 1.7-28.9, p=0.007) in the presence of facet joint degeneration. None of the other variables had a significant association with a poor neuraxial view in the TM plane. Poor views in the parasagittal oblique (PSO) plane did not correlate with any of the variables measured on MRI.Conclusion: Facet joint degeneration is a major contributing factor to poor neuraxial ultrasound views in the TM plane. 

Ligamentum flavum thickening at lumbar spine is associated with facet joint degeneration: An MRI study

2016 ◽  
Vol 29 (4) ◽  
pp. 771-777 ◽  
Author(s):  
Ergun Karavelioglu ◽  
Emre Kacar ◽  
Yucel Gonul ◽  
Mehmet Eroglu ◽  
Mehmet Gazi Boyaci ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Ligamentum Flavum ◽  
Facet Joint ◽  
Joint Degeneration ◽  
Facet Joint Degeneration ◽  
Mri Study

scholarly journals When an incidental MRI finding becomes a clinical issue

2019 ◽  
Vol 132 (1-2) ◽  
pp. 27-34
Author(s):  
Ursula Schwarz-Nemec ◽  
Klaus M. Friedrich ◽  
Michael A. Arnoldner ◽  
Felix K. Schwarz ◽  
Michael Weber ◽  
...  
Keyword(s):  
Disc Degeneration ◽  
Facet Joint ◽  
Low Grade ◽  
Obese Patients ◽  
Joint Degeneration ◽  
Clinical Issue ◽  
Hepatic Diseases ◽  
Subcutaneous Edema ◽  
Facet Joint Degeneration ◽  
Magnetic Resonance Imaging Mri

Summary Background On magnetic resonance imaging (MRI), posterior lumbar subcutaneous edema (PLSE) is a frequent incidental, yet unclear finding within the deep subcutaneous perifascial tissue. This study aimed to investigate PLSE in various pathological lumbar conditions. Methods This retrospective study included the MR images of the lumbar spine of 279 patients (age range 18–82 years) without cardiovascular, renal or hepatic diseases, 79 of whom had low-grade disc degeneration, 101 combined endplate and facet joint degeneration, 53 axial spondyloarthritis and 46 infectious spondylodiscitis. There were 232 patients with a body mass index (BMI) <30, and 47 with a BMI ≥30 (obese). For each group, the relationship between PLSE and BMI was analyzed using multiple logistic regression, and between PLSE extension and BMI using ordinal regression. Results A PLSE was found in 11/79 (13.9%) patients with disc degeneration, 37/101 (36.6%) with endplate and facet joint degeneration, 7/53 (13.2%) with spondyloarthritis, and 28/46 (60.9%) with spondylodiscitis. For each group, a statistically significant relationship was demonstrated between PLSE and BMI (P = 0.000–P = 0.031), except for spondylodiscitis (P = 0.054), as well as between PLSE extension and BMI (P = 0.000–P = 0.049). A PLSE was found in 21.1% of nonobese and 72.3% of obese patients (P = 0.000). Conclusion The presence of PLSE seems to be associated with various lumbar conditions, particularly in obese patients. Its perifascial location may suggest a potential fascial origin; however, PLSE should not to be confused with posttraumatic, postsurgical or infectious edema or edema associated with internal diseases.

scholarly journals Effect of facet-joint degeneration on the in vivo motion of the lower lumbar spine

2020 ◽  
Author(s):  
Jun Yin ◽  
Zhang Liu ◽  
Chao Li ◽  
Shiwei Luo ◽  
Qi Lai ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Facet Joint ◽  
Imaging Techniques ◽  
Lumbar Vertebra ◽  
Joint Degeneration ◽  
Lower Lumbar Spine ◽  
Significant Difference ◽  
Flexion Extension ◽  
Facet Joint Degeneration

Abstract Objective This research studied the in vivo motion characteristics of the L3-S1 lumbar spine with facet-joint degeneration during functional activities. Methods Thirteen male and 21 female patients with facet-joint degeneration at the L3-S1 spinal region were included in the study. The L3-S1 lumbar segments of all the patients were divide into 3 groups according to the degree of facet joints degeneration (mild, moderate or severe). The ranges of motion (ROM) of the vertebrae was analyzed using a combination of computed tomography and dual fluoroscopic imaging techniques. During functional postures, the ROMs were compared between the 3 groups at each spinal level (L3-L4, L4-L5, and L5-S1). Results At L3-L4 level, the primary rotations between the mild and moderate groups during left-right twisting activity were significantly different. At L4-L5 level, the primary rotation of the moderate group was significantly higher than the other groups during flexion-extension. During left-right bending activities a significant difference was observed only between the moderate and severe groups. At L5-S1 level, the rotation of the moderate group was significantly higher than the mild group during left-right bending activity. Conclusions Degeneration of the facet joint alters the ROMs of the lumbar spine. As the degree of facet-joint degeneration increased, the ROMs of the lumbar vertebra that had initially increased, declined. However, when there was severe facet-joint degeneration, the ROMs of lumbar spine declined to levels comparative to the moderate group. The relationship between the stability of the lumbar vertebra and the degree of facet-joint degeneration requires further study.

scholarly journals Effect of facet-joint degeneration on the in vivo motion of the lower lumbar spine

2020 ◽  
Author(s):  
Jun Yin ◽  
Zhang Liu ◽  
Chao Li ◽  
Shiwei Luo ◽  
Qi Lai ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Facet Joint ◽  
Imaging Techniques ◽  
Lumbar Vertebra ◽  
Joint Degeneration ◽  
Lower Lumbar Spine ◽  
Significant Difference ◽  
Flexion Extension ◽  
Facet Joint Degeneration

Abstract Objective: This research studied the in vivo motion characteristics of the L3-S1 lumbar spine with facet-joint degeneration during functional activities.Methods: Thirteen male and 21 female patients with facet-joint degeneration at the L3-S1 spinal region were included in the study. The L3-S1 lumbar segments of all the patients were divide into 3 groups according to the degree of facet joints degeneration (mild, moderate or severe). The ranges of motion (ROM) of the vertebrae was analyzed using a combination of computed tomography and dual fluoroscopic imaging techniques. During functional postures, the ROMs were compared between the 3 groups at each spinal level (L3-L4, L4-L5, and L5-S1). Results: At L3-L4 level, the primary rotations between the mild and moderate groups during left-right twisting activity were significantly different. At L4-L5 level, the primary rotation of the moderate group was significantly higher than the other groups during flexion-extension. During left-right bending activities a significant difference was observed only between the moderate and severe groups. At L5-S1 level, the rotation of the moderate group was significantly higher than the mild group during left-right bending activity.Conclusions: Degeneration of the facet joint alters the ROMs of the lumbar spine. As the degree of facet-joint degeneration increased, the ROMs of the lumbar vertebra that had initially increased, declined. However, when there was severe facet-joint degeneration, the ROMs of lumbar spine declined to levels comparative to the moderate group. The relationship between the stability of the lumbar vertebra and the degree of facet-joint degeneration requires further study.

Does Vertebral Body Tethering Cause Disc and Facet Joint Degeneration? A Preliminary MRI Study with Minimum 2-years Follow-up

2021 ◽  
Author(s):  
Altug Yucekul ◽  
Burcu Akpunarli ◽  
Atahan Durbas ◽  
Tais Zulemyan ◽  
Irem Havlucu ◽  
...  
Keyword(s):  
Vertebral Body ◽  
Facet Joint ◽  
Joint Degeneration ◽  
Facet Joint Degeneration ◽  
Mri Study

122. Does vertebral body tethering cause disc and facet joint degeneration? An MRI study with minimum two years of follow-up

2021 ◽  
Vol 21 (9) ◽  
pp. S60
Author(s):  
Altug Yucekul ◽  
Burcu Akpunarli ◽  
Atahan Durbas ◽  
Tais Zulemyan ◽  
Irem Havlucu ◽  
...  
Keyword(s):  
Vertebral Body ◽  
Facet Joint ◽  
Joint Degeneration ◽  
Facet Joint Degeneration ◽  
Mri Study

Ligamentum flavum hematoma in the rigid thoracic spinal segments

2005 ◽  
Vol 2 (4) ◽  
pp. 495-497 ◽  
Author(s):  
Naohisa Miyakoshi ◽  
Yoichi Shimada ◽  
Kyoji Okada ◽  
Michio Hongo ◽  
Yuji Kasukawa ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Ligamentum Flavum ◽  
Facet Joint ◽  
Axial Stress ◽  
Spinal Nerve ◽  
Content Type ◽  
First Case ◽  
Thoracic Spinal ◽  
Thoracolumbar Region ◽  
Spinal Segments

✓ Ligamentum flavum hematoma, a rare cause of spinal nerve root and canal compression, typically occurs in the mobile lumbar spine segments. A thoracic ligamentum flavum hematoma is extremely rare—only one such case of a thoracolumbar (T11–12) lesion has been reported. The thoracolumbar region with its floating ribs, however, is structurally and biomechanically similar to the lumbar spine and its mobility is greater than the higher thoracic levels. To the best of their knowledge, the authors report the first case of a ligamentum flavum hematoma in the region of the rigid thoracic spinal segments with the contiguous rib cage. A symptomatic T9–10 ligamentum flavum hematoma is described in the case of a 66-year-old woman with compensatory thoracic lordosis secondary to the lumbar degenerative kyphosis. The hematoma was removed and the diagnosis was histologically confirmed. The authors speculate that thoracic lordosis might have contributed to the development of the hematoma because the ligamentum flavum and the facet joint were subjected to greater axial stress than in individuals with normal spinal alignment.

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