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01-01-2011 | Review Article

The lumbar facet joint: a review of current knowledge: part 1: anatomy, biomechanics, and grading

Authors: Gerard P. Varlotta, Todd R. Lefkowitz, Mark Schweitzer, Thomas J. Errico, Jeffrey Spivak, John A. Bendo, Leon Rybak

Published in: Skeletal Radiology | Issue 1/2011

Abstract

We present a two-part review article on the current state of knowledge of lumbar facet joint pathology. This first article discusses the functional anatomy, biomechanics, and radiological grading systems currently in use in clinical practice and academic medicine. Facet joint degeneration is presented within the larger context of degenerative disc disease to enable the reader to better understand the anatomical changes underlying facet-mediated lower back pain. Other less-common, but equally important etiologies of lumbar facet joint degeneration are reviewed. The existing grading systems are discussed with specific reference to the reliability of CT and MR imaging in the diagnosis of lumbar facet osteoarthritis. It is hoped that this discussion will stimulate debate on how best to improve the diagnostic reliability of these tests so as to improve both operative and non-operative treatment outcomes.

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Title: The lumbar facet joint: a review of current knowledge: part 1: anatomy, biomechanics, and grading
Authors: Gerard P. Varlotta
Todd R. Lefkowitz
Mark Schweitzer
Thomas J. Errico
Jeffrey Spivak
John A. Bendo
Leon Rybak
Publication date: 01-01-2011
Publisher: Springer-Verlag
Published in: Skeletal Radiology / Issue 1/2011
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-010-0983-4

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The lumbar facet joint: a review of current knowledge: part 1: anatomy, biomechanics, and grading

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