Single photon emission computerized tomography (SPECT) scan–positive facet joints and other spinal structures in a hospital-wide population with spinal pain

Makki, Daoud; Khazim, Rabi; Zaidan, Abu Amar; Ravi, Kuppuswamy; Toma, Tagreed

doi:10.1016/j.spinee.2009.06.004

Cited by 36 publications

(21 citation statements)

References 22 publications

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“…In the past, few other studies examined hypermetabolic facet arthropathy with nuclear or hybrid imaging modalities. While the majority of these studies used SPECT or SPECT/CT with 99 mTc-labelled phosphate derivatives 3,8,10,[16][17][18][19][20][21][22][23] or PET/CT with 18 F 14,24 for the identification of hypermetabolic facet arthropathy, 18 F-FDG has also been proven useful in this indication. For instance, Rosen et al 25 23,26 yielded similar outcomes.…”

Section: Discussionmentioning

confidence: 99%

Value of¹⁸F‐FDG PET/MRIfor the outcome ofCT‐guided facet block therapy in cervical facet syndrome: initial results

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Value of¹⁸F‐FDG PET/MRIfor the outcome ofCT‐guided facet block therapy in cervical facet syndrome: initial results

et al. 2016

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“…Historically, bone scan has emerged as a useful imaging technique in the 1980s for the evaluation of patients with LBP, having been deemed to be especially useful in the differential diagnosis between neoplastic and inflammatory/infectious diseases of the spine [15,50]. Although in the last years there has been an increased interest in employing bone scan (and more recently single photon emission computerized tomography/SPECT) [43] for the evaluation of degenerative spinal diseases, the focus of all previous studies have been on the use of bone scan for the diagnosis of facet joint degeneration/ inflammation as a possible source of low back pain [16,25]. In fact, to our knowledge, no previous study in the literature has evaluated the possible role of bone scan endplate uptake in the diagnosis of discogenic pain.…”

Section: Discussionmentioning

confidence: 99%

The ‘Lumbar Fusion Outcome Score’ (LUFOS): a new practical and surgically oriented grading system for preoperative prediction of surgical outcomes after lumbar spinal fusion in patients with degenerative disc disease and refractory chronic axial low back pain

Mattei¹,

Rehman

Teles

et al. 2016

Neurosurg Rev

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In order to evaluate the predictive effect of non-invasive preoperative imaging methods on surgical outcomes of lumbar fusion for patients with degenerative disc disease (DDD) and refractory chronic axial low back pain (LBP), the authors conducted a retrospective review of 45 patients with DDD and refractory LBP submitted to anterior lumbar interbody fusion (ALIF) at a single center from 2007 to 2010. Surgical outcomes - as measured by Visual Analog Scale (VAS/back pain) and Oswestry Disability Index (ODI) - were evaluated pre-operatively and at 6 weeks, 3 months, 6 months, and 1 year post-operatively. Linear mixed-effects models were generated in order to identify possible preoperative imaging characteristics (including bone scan/99mTc scintigraphy increased endplate uptake, Modic endplate changes, and disc degeneration graded according to Pfirrmann classification) which may be predictive of long-term surgical outcomes . After controlling for confounders, a combined score, the Lumbar Fusion Outcome Score (LUFOS), was developed. The LUFOS grading system was able to stratify patients in two general groups (Non-surgical: LUFOS 0 and 1; Surgical: LUFOS 2 and 3) that presented significantly different surgical outcomes in terms of estimated marginal means of VAS/back pain (p = 0.001) and ODI (p = 0.006) beginning at 3 months and continuing up to 1 year of follow-up. In conclusion, LUFOS has been devised as a new practical and surgically oriented grading system based on simple key parameters from non-invasive preoperative imaging exams (magnetic resonance imaging/MRI and bone scan/99mTc scintigraphy) which has been shown to be highly predictive of surgical outcomes of patients undergoing lumbar fusion for treatment for refractory chronic axial LBP.

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“…One possibility that has been entertained is that advanced imaging capable of detecting inflammation, such as single photon emission CT or radionuclide bone scanning, may be able to identify a subgroup of patients likely to respond to IA steroid injections [80]. Although no study has evaluated the ability of these diagnostic tools for SIJ pain, researchers have found a positive association between positive single photon emission CT scans and response to steroids injected into facet joints [81,82].…”

Section: Ia Steroid Injectionsmentioning

confidence: 99%

Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment

Cohen

Chen

Neufeld

2013

Expert Review of Neurotherapeutics

324

236

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Sacroiliac joint (SIJ) pain is an underappreciated source of mechanical low back pain, affecting between 15 and 30% of individuals with chronic, nonradicular pain. Predisposing factors for SIJ pain include true and apparent leg length discrepancy, older age, inflammatory arthritis, previous spine surgery, pregnancy and trauma. Compared with facet-mediated and discogenic low back pain, individuals with SIJ pain are more likely to report a specific inciting event, and experience unilateral pain below L5. Owing in part to its size and heterogeneity, the pain referral patterns of the SIJ are extremely variable. Although no single physical examination or historical feature can reliably identify a painful SIJ, studies suggest that a battery of three or more provocation tests can predict response to diagnostic blocks. Evidence supports both intra- and extra-articular causes for SIJ pain, with clinical studies demonstrating intermediate-term benefit for both intra- and extra-articular steroid injections. In those who fail to experience sustained relief from SIJ injections, radiofrequency denervation may provide significant relief lasting up to 1 year. This review covers all aspects of SIJ pain, with the treatment section being primarily focused on procedural interventions.

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Single photon emission computerized tomography (SPECT) scan–positive facet joints and other spinal structures in a hospital-wide population with spinal pain

Cited by 36 publications

References 22 publications

Value of¹⁸F‐FDG PET/MRIfor the outcome ofCT‐guided facet block therapy in cervical facet syndrome: initial results

Value of¹⁸F‐FDG PET/MRIfor the outcome ofCT‐guided facet block therapy in cervical facet syndrome: initial results

The ‘Lumbar Fusion Outcome Score’ (LUFOS): a new practical and surgically oriented grading system for preoperative prediction of surgical outcomes after lumbar spinal fusion in patients with degenerative disc disease and refractory chronic axial low back pain

Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment

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Single photon emission computerized tomography (SPECT) scan–positive facet joints and other spinal structures in a hospital-wide population with spinal pain

Cited by 36 publications

References 22 publications

Value of18F‐FDG PET/MRIfor the outcome ofCT‐guided facet block therapy in cervical facet syndrome: initial results

Value of18F‐FDG PET/MRIfor the outcome ofCT‐guided facet block therapy in cervical facet syndrome: initial results

The ‘Lumbar Fusion Outcome Score’ (LUFOS): a new practical and surgically oriented grading system for preoperative prediction of surgical outcomes after lumbar spinal fusion in patients with degenerative disc disease and refractory chronic axial low back pain

Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment

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Product

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Value of¹⁸F‐FDG PET/MRIfor the outcome ofCT‐guided facet block therapy in cervical facet syndrome: initial results

Value of¹⁸F‐FDG PET/MRIfor the outcome ofCT‐guided facet block therapy in cervical facet syndrome: initial results