The right L4-L5
facet joint was visualized by fluoroscopy.
KEYWORDS:
Facet joint, Spinal stenosis, Radiculopathy, Triamcinolone.
Local soft tissue involvement includes the supraspinous ligaments, paraspinous musculature,
facet joint capsules, dura and intervertebral disc [80, 81].
Radiofrequency therapy has been used for 30 years in pain syndromes caused by cervicogenic headache, medulla spinalis injuries, intercostal neuralgia, back pain due to
facet joint dysfunction, discogenic pain, and sacroiliac joint pain [30, 31].
We explored three hypotheses: (1) there were more back muscle activities and less front muscle activities in LDH patients; (2) in the lumbar pathological region, the compressive forces decreased while the anteroposterior shear forces increased in patients with LDH; and (3) there were more interventions of
facet joint in the LDH group.
Surgical excision of ganglion cysts of the cervical spine with posterior laminectomy appears to be a straightforward for decompressing the spinal cord, removing the ganglion cysts, addressing the connection to the
facet joint, and taking histologic specimens for definitive diagnosis.
A conclusive diagnosis cannot rely solely on radiology: anamnesis and laboratory findings stand as cornerstones of the preoperative diagnosis: for example, in our case, there was no history of previous malignancies, coagulation disorders, or infections and laboratory findings did not disclose relevant findings, and preoperative MRI (Figure 1) demonstrated the
facet joint integrity.
classified these into interspinous spacer, pedicle screw-based, and total
facet joint replacement systems [9].
Also known as
facet joint syndrome, osteoarthritis is one of the main causes of chronic back pain and describes the degeneration of the motion segment in the spine, which leads to chronic inflammation and pain.
Presence and extent of severe
facet joint osteoarthritis are associated with back pain in older adults.
(1,5) Although cervical
facet joint infection is the least common site for pyogenic infection in the axial skeleton, several studies have helped elucidate a typical presentation.
(3,11) Intra-articular meniscoids have been found in the majority (86%) of the cervical spine
facet joints. (12) Previous literature has described three types of synovial folds that include type I, which are adipose tissue and crescent shaped, type II which are elliptical shaped and project into the
facet joint and type III which are made of fibrous tissue and are ragged shaped.