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Skeletal Radiology
Published in: Skeletal Radiology 8/2007

01-08-2007 | Scientific Article

The prevalence of lumbar facet joint edema in patients with low back pain

Authors: Klaus M. Friedrich, Stefan Nemec, Philipp Peloschek, Katja Pinker, Michael Weber, Siegfried Trattnig

Published in: Skeletal Radiology | Issue 8/2007

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Abstract

Objective

The objective was to assess the prevalence of lumbar facet joint edema in patients with low back pain.

Materials and methods

Lumbar spine MR examinations (1.5 T) of 145 consecutive patients (87 women, 58 men; mean age 52.8, range 17–94 years) were retrospectively evaluated with regard to the presence of facet joint edema. The MR protocol included sagittal short-tau inversion recovery (STIR), T1- and T2-weighted as well as transverse T2-weighted images. In 9 patients follow-up MR examinations were performed and results were compared with pain. The agreement between the change in intensity of facet joint edema and the change in intensity of pain was assessed using kappa statistics and Kendall’s tau coefficient.

Results

In 21 of the 145 patients (14%) edema was found at the facet joints: in 52.4% at L4/5, in 19.0% at L5/S1, in 14.3% at L4/5 and L5/S1, in 9.5% at L3/4 and L4/5, and in 4.8% at L3/4. The agreement between the change in pain score and intensity of edema within the follow-up group was “almost perfect” (kappa = 0.81). Kendall’s tau coefficient was 0.91, indicating high agreement.

Conclusion

Sagittal STIR images detect facet joint edema in 14% of patients with low back pain. This fact may be useful for planning treatment including facet joint injections.
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Metadata
Title
The prevalence of lumbar facet joint edema in patients with low back pain
Authors
Klaus M. Friedrich
Stefan Nemec
Philipp Peloschek
Katja Pinker
Michael Weber
Siegfried Trattnig
Publication date
01-08-2007
Publisher
Springer-Verlag
Published in
Skeletal Radiology / Issue 8/2007
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-007-0293-7

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