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The correlation between exaggerated fluid in lumbar facet joints and degenerative spondylolisthesis: prospective study of 52 patients
Background Magnetic resonance imaging (MRI) is often used to evaluate low back pain; however, MRI in the supine position does not always reveal degenerative spondylolisthesis. The existence of a linear correlation between increased fluid in the facet joints seen on the supine axial T2 MRI of the lum...
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| Published in: | Journal of orthopaedics and traumatology 2011-06, Vol.12 (2), p.87-91 |
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| creator | Caterini, R. Mancini, F. Bisicchia, S. Maglione, P. Farsetti, P. |
| description | Background
Magnetic resonance imaging (MRI) is often used to evaluate low back pain; however, MRI in the supine position does not always reveal degenerative spondylolisthesis. The existence of a linear correlation between increased fluid in the facet joints seen on the supine axial T2 MRI of the lumbosacral spine and lumbar instability seen on standing lateral flexion–extension lumbosacral radiographs has recently been reported. The objective of this prospective study was to determine the incidence of increased fluid in the lumbar facet joints seen on the supine axial T2 MRI, and to evaluate the correlation of this finding with radiographic evidence of lumbar instability.
Materials and methods
We prospectively analyzed weight-bearing flexion–extension lumbosacral radiographs and lumbosacral MRI in the supine position for 52 patients (mean age 64.7 years) seen at our institution for low back pain and/or radiculopathy. The statistical analysis was performed with Fisher’s exact test. A difference was considered statistically significant if
P
|
| doi_str_mv | 10.1007/s10195-011-0141-3 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3102813</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3618185921</sourcerecordid><originalsourceid>FETCH-LOGICAL-c535t-21ca386e8f4efd4f4ef0b94df629fc68ab8f287a65324c49531c04b91b3294283</originalsourceid><addsrcrecordid>eNp1UcuKFDEULURxXn6AGwm4cFVObpJ6xIUgg6PCgJuZdUilbrrTVCdlUjXaH-B_m6LGZhQmkAecc889N6coXgN9D5Q2lwkoyKqkAHkLKPmz4hQqSUuZ1_Pjm8FJcZbSjlJoKlm_LE5YRhop-Wnx-3aLxIQYcdCTC550OP1E9AR_6c0Go56wJ3aYXU-cJ8O873QkVhucyC44PyWifU963KBfyO4eSRqD7w9DGFyatphc-kDGGNKIZoWnuT-QYEnFyJgrMItcFC-sHhK-erjPi7vrz7dXX8ub71--XX26KU3Fq6lkYDRva2ytQNuL5aSdFL2tmbSmbnXXWtY2uq44E0bIioOhopPQcSYFa_l58XHVHeduj73JvaMe1BjdXseDCtqpfxHvtmoT7hUHylrgWeDdg0AMP2ZMk9q7ZHAYtMcwJ9XWklIqQGbm2_-YuzBHn6dTUNfAm0rUiyFYWSb_UIpoj16AqiVjtWascsZqyVgtHt48HuJY8TfUTGArIWXI5xAftX5S9Q_y4rVA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1661375468</pqid></control><display><type>article</type><title>The correlation between exaggerated fluid in lumbar facet joints and degenerative spondylolisthesis: prospective study of 52 patients</title><source>Publicly Available Content Database</source><source>Springer Nature - SpringerLink Journals - Fully Open Access</source><source>PubMed Central</source><creator>Caterini, R. ; Mancini, F. ; Bisicchia, S. ; Maglione, P. ; Farsetti, P.</creator><creatorcontrib>Caterini, R. ; Mancini, F. ; Bisicchia, S. ; Maglione, P. ; Farsetti, P.</creatorcontrib><description>Background
Magnetic resonance imaging (MRI) is often used to evaluate low back pain; however, MRI in the supine position does not always reveal degenerative spondylolisthesis. The existence of a linear correlation between increased fluid in the facet joints seen on the supine axial T2 MRI of the lumbosacral spine and lumbar instability seen on standing lateral flexion–extension lumbosacral radiographs has recently been reported. The objective of this prospective study was to determine the incidence of increased fluid in the lumbar facet joints seen on the supine axial T2 MRI, and to evaluate the correlation of this finding with radiographic evidence of lumbar instability.
Materials and methods
We prospectively analyzed weight-bearing flexion–extension lumbosacral radiographs and lumbosacral MRI in the supine position for 52 patients (mean age 64.7 years) seen at our institution for low back pain and/or radiculopathy. The statistical analysis was performed with Fisher’s exact test. A difference was considered statistically significant if
P
< 0.05.
Results
In all but 5 of the 52 patients, degenerative disc disease and facet joint disease were observed on the supine MRI of the lumbosacral spine. Fifteen patients had exaggerated fluid in the lumbar facets on the axial T2 MRI (28.8%). Radiographic signs of degenerative lumbar spondylolisthesis were observed in 12 patients (23.1%), and the degenerative spondylolisthesis was not evident on the supine sagittal MRI in 10 of these 12 patients (83.3%). Among these 12 patients, the axial T2 MRI showed exaggerated fluid in the facet joints at the corresponding level in 8 patients (66%). Increased fluid in the lumbar facet joints was present on the supine axial T2 MRI in 7 patients (13.4%), even though there were no radiographic signs of corresponding lumbar instability.
Conclusion
We observed a statistical correlation between increased fluid in the lumbar facet joints on the supine axial T2 MRI and degenerative spondylolisthesis seen on standing lateral flexion–extension lumbosacral radiographs.</description><identifier>ISSN: 1590-9921</identifier><identifier>EISSN: 1590-9999</identifier><identifier>DOI: 10.1007/s10195-011-0141-3</identifier><identifier>PMID: 21597993</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Aged ; Conservative Orthopedics ; Female ; Humans ; Intervertebral Disc Degeneration - diagnostic imaging ; Intervertebral Disc Degeneration - pathology ; Joint Instability - diagnostic imaging ; Joint Instability - pathology ; Low Back Pain - diagnostic imaging ; Low Back Pain - pathology ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - pathology ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original ; Original Article ; Orthopedics ; Predictive Value of Tests ; Prospective Studies ; Radiography ; Rheumatology ; Spondylolisthesis - diagnostic imaging ; Spondylolisthesis - pathology ; Sports Medicine ; Surgical Orthopedics ; Synovial Fluid - diagnostic imaging ; Traumatic Surgery</subject><ispartof>Journal of orthopaedics and traumatology, 2011-06, Vol.12 (2), p.87-91</ispartof><rights>The Author(s) 2011</rights><rights>Springer-Verlag 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c535t-21ca386e8f4efd4f4ef0b94df629fc68ab8f287a65324c49531c04b91b3294283</citedby><cites>FETCH-LOGICAL-c535t-21ca386e8f4efd4f4ef0b94df629fc68ab8f287a65324c49531c04b91b3294283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1661375468/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1661375468?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25731,27901,27902,36989,36990,44566,53766,53768,74869</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21597993$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Caterini, R.</creatorcontrib><creatorcontrib>Mancini, F.</creatorcontrib><creatorcontrib>Bisicchia, S.</creatorcontrib><creatorcontrib>Maglione, P.</creatorcontrib><creatorcontrib>Farsetti, P.</creatorcontrib><title>The correlation between exaggerated fluid in lumbar facet joints and degenerative spondylolisthesis: prospective study of 52 patients</title><title>Journal of orthopaedics and traumatology</title><addtitle>J Orthopaed Traumatol</addtitle><addtitle>J Orthop Traumatol</addtitle><description>Background
Magnetic resonance imaging (MRI) is often used to evaluate low back pain; however, MRI in the supine position does not always reveal degenerative spondylolisthesis. The existence of a linear correlation between increased fluid in the facet joints seen on the supine axial T2 MRI of the lumbosacral spine and lumbar instability seen on standing lateral flexion–extension lumbosacral radiographs has recently been reported. The objective of this prospective study was to determine the incidence of increased fluid in the lumbar facet joints seen on the supine axial T2 MRI, and to evaluate the correlation of this finding with radiographic evidence of lumbar instability.
Materials and methods
We prospectively analyzed weight-bearing flexion–extension lumbosacral radiographs and lumbosacral MRI in the supine position for 52 patients (mean age 64.7 years) seen at our institution for low back pain and/or radiculopathy. The statistical analysis was performed with Fisher’s exact test. A difference was considered statistically significant if
P
< 0.05.
Results
In all but 5 of the 52 patients, degenerative disc disease and facet joint disease were observed on the supine MRI of the lumbosacral spine. Fifteen patients had exaggerated fluid in the lumbar facets on the axial T2 MRI (28.8%). Radiographic signs of degenerative lumbar spondylolisthesis were observed in 12 patients (23.1%), and the degenerative spondylolisthesis was not evident on the supine sagittal MRI in 10 of these 12 patients (83.3%). Among these 12 patients, the axial T2 MRI showed exaggerated fluid in the facet joints at the corresponding level in 8 patients (66%). Increased fluid in the lumbar facet joints was present on the supine axial T2 MRI in 7 patients (13.4%), even though there were no radiographic signs of corresponding lumbar instability.
Conclusion
We observed a statistical correlation between increased fluid in the lumbar facet joints on the supine axial T2 MRI and degenerative spondylolisthesis seen on standing lateral flexion–extension lumbosacral radiographs.</description><subject>Adult</subject><subject>Aged</subject><subject>Conservative Orthopedics</subject><subject>Female</subject><subject>Humans</subject><subject>Intervertebral Disc Degeneration - diagnostic imaging</subject><subject>Intervertebral Disc Degeneration - pathology</subject><subject>Joint Instability - diagnostic imaging</subject><subject>Joint Instability - pathology</subject><subject>Low Back Pain - diagnostic imaging</subject><subject>Low Back Pain - pathology</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Radiography</subject><subject>Rheumatology</subject><subject>Spondylolisthesis - diagnostic imaging</subject><subject>Spondylolisthesis - pathology</subject><subject>Sports Medicine</subject><subject>Surgical Orthopedics</subject><subject>Synovial Fluid - diagnostic imaging</subject><subject>Traumatic Surgery</subject><issn>1590-9921</issn><issn>1590-9999</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNp1UcuKFDEULURxXn6AGwm4cFVObpJ6xIUgg6PCgJuZdUilbrrTVCdlUjXaH-B_m6LGZhQmkAecc889N6coXgN9D5Q2lwkoyKqkAHkLKPmz4hQqSUuZ1_Pjm8FJcZbSjlJoKlm_LE5YRhop-Wnx-3aLxIQYcdCTC550OP1E9AR_6c0Go56wJ3aYXU-cJ8O873QkVhucyC44PyWifU963KBfyO4eSRqD7w9DGFyatphc-kDGGNKIZoWnuT-QYEnFyJgrMItcFC-sHhK-erjPi7vrz7dXX8ub71--XX26KU3Fq6lkYDRva2ytQNuL5aSdFL2tmbSmbnXXWtY2uq44E0bIioOhopPQcSYFa_l58XHVHeduj73JvaMe1BjdXseDCtqpfxHvtmoT7hUHylrgWeDdg0AMP2ZMk9q7ZHAYtMcwJ9XWklIqQGbm2_-YuzBHn6dTUNfAm0rUiyFYWSb_UIpoj16AqiVjtWascsZqyVgtHt48HuJY8TfUTGArIWXI5xAftX5S9Q_y4rVA</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Caterini, R.</creator><creator>Mancini, F.</creator><creator>Bisicchia, S.</creator><creator>Maglione, P.</creator><creator>Farsetti, P.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7QP</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20110601</creationdate><title>The correlation between exaggerated fluid in lumbar facet joints and degenerative spondylolisthesis: prospective study of 52 patients</title><author>Caterini, R. ; Mancini, F. ; Bisicchia, S. ; Maglione, P. ; Farsetti, P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c535t-21ca386e8f4efd4f4ef0b94df629fc68ab8f287a65324c49531c04b91b3294283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Conservative Orthopedics</topic><topic>Female</topic><topic>Humans</topic><topic>Intervertebral Disc Degeneration - diagnostic imaging</topic><topic>Intervertebral Disc Degeneration - pathology</topic><topic>Joint Instability - diagnostic imaging</topic><topic>Joint Instability - pathology</topic><topic>Low Back Pain - diagnostic imaging</topic><topic>Low Back Pain - pathology</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Radiography</topic><topic>Rheumatology</topic><topic>Spondylolisthesis - diagnostic imaging</topic><topic>Spondylolisthesis - pathology</topic><topic>Sports Medicine</topic><topic>Surgical Orthopedics</topic><topic>Synovial Fluid - diagnostic imaging</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Caterini, R.</creatorcontrib><creatorcontrib>Mancini, F.</creatorcontrib><creatorcontrib>Bisicchia, S.</creatorcontrib><creatorcontrib>Maglione, P.</creatorcontrib><creatorcontrib>Farsetti, P.</creatorcontrib><collection>SpringerOpen</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Databases</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of orthopaedics and traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Caterini, R.</au><au>Mancini, F.</au><au>Bisicchia, S.</au><au>Maglione, P.</au><au>Farsetti, P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The correlation between exaggerated fluid in lumbar facet joints and degenerative spondylolisthesis: prospective study of 52 patients</atitle><jtitle>Journal of orthopaedics and traumatology</jtitle><stitle>J Orthopaed Traumatol</stitle><addtitle>J Orthop Traumatol</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>12</volume><issue>2</issue><spage>87</spage><epage>91</epage><pages>87-91</pages><issn>1590-9921</issn><eissn>1590-9999</eissn><abstract>Background
Magnetic resonance imaging (MRI) is often used to evaluate low back pain; however, MRI in the supine position does not always reveal degenerative spondylolisthesis. The existence of a linear correlation between increased fluid in the facet joints seen on the supine axial T2 MRI of the lumbosacral spine and lumbar instability seen on standing lateral flexion–extension lumbosacral radiographs has recently been reported. The objective of this prospective study was to determine the incidence of increased fluid in the lumbar facet joints seen on the supine axial T2 MRI, and to evaluate the correlation of this finding with radiographic evidence of lumbar instability.
Materials and methods
We prospectively analyzed weight-bearing flexion–extension lumbosacral radiographs and lumbosacral MRI in the supine position for 52 patients (mean age 64.7 years) seen at our institution for low back pain and/or radiculopathy. The statistical analysis was performed with Fisher’s exact test. A difference was considered statistically significant if
P
< 0.05.
Results
In all but 5 of the 52 patients, degenerative disc disease and facet joint disease were observed on the supine MRI of the lumbosacral spine. Fifteen patients had exaggerated fluid in the lumbar facets on the axial T2 MRI (28.8%). Radiographic signs of degenerative lumbar spondylolisthesis were observed in 12 patients (23.1%), and the degenerative spondylolisthesis was not evident on the supine sagittal MRI in 10 of these 12 patients (83.3%). Among these 12 patients, the axial T2 MRI showed exaggerated fluid in the facet joints at the corresponding level in 8 patients (66%). Increased fluid in the lumbar facet joints was present on the supine axial T2 MRI in 7 patients (13.4%), even though there were no radiographic signs of corresponding lumbar instability.
Conclusion
We observed a statistical correlation between increased fluid in the lumbar facet joints on the supine axial T2 MRI and degenerative spondylolisthesis seen on standing lateral flexion–extension lumbosacral radiographs.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>21597993</pmid><doi>10.1007/s10195-011-0141-3</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | Publicly Available Content Database; Springer Nature - SpringerLink Journals - Fully Open Access; PubMed Central |
| subjects | Adult Aged Conservative Orthopedics Female Humans Intervertebral Disc Degeneration - diagnostic imaging Intervertebral Disc Degeneration - pathology Joint Instability - diagnostic imaging Joint Instability - pathology Low Back Pain - diagnostic imaging Low Back Pain - pathology Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - pathology Magnetic Resonance Imaging Male Medicine Medicine & Public Health Middle Aged Original Original Article Orthopedics Predictive Value of Tests Prospective Studies Radiography Rheumatology Spondylolisthesis - diagnostic imaging Spondylolisthesis - pathology Sports Medicine Surgical Orthopedics Synovial Fluid - diagnostic imaging Traumatic Surgery |
| title | The correlation between exaggerated fluid in lumbar facet joints and degenerative spondylolisthesis: prospective study of 52 patients |
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