Newsletter
Language
Language:
 
News
Archival Issues
Volume 19, 2017
Volume 18, 2016
Volume 17, 2015
Volume 16, 2014
Volume 15, 2013
Volume 14, 2012
Volume 13, 2011
Volume 12, 2010
Volume 11, 2009
Volume 10, 2008
Volume 9, 2007
Volume 8, 2006
Volume 7, 2005
Volume 6, 2004
Volume 5, 2003
Volume 4, 2002
Volume 3, 2001
Volume 2, 2000
Volume 1, 1999
Search
 » 
Journal Abstract
 
Posterior Branches of Lumbar Spinal Nerves – part II: Lumbar Facet Syndrome – Pathomechanism, Symptomatology and Diagnostic Work-up
Katarzyna Kozera, Bogdan Ciszek, Paweł Szaro
Ortop Traumatol Rehabil 2017; 19(2):101-109
ICID: 1237716
Article type: Review article
IC™ Value: 2.40
Abstract provided by Publisher
 
Posterior branches of the lumbar spinal nerves are the anatomic substrate of pain in the lower back, sacrum and the gluteal area. Such pain may be associated with various pathologies which cause pain in the posterior branches of the lumbar spinal nerves due to entrapment, mechanical irritation or inflammatory reaction and/or degeneration. The posterior branches are of significant functional importance, which is related to the function of the structures they supply, including facet joints, which are the basic biomechanical units of the spine.
Low back pain caused by facet joint pathology may be triggered e.g. by simple activities, such as body rotations, unnatural positions, lifting heavy weights or excessive bending as well as chronic overloading with spinal hyperextension.
Pain usually presents at the level of the lumbosacral junction (L 5 -S 1 ) and in the lower lumbar spine (L 4-5 , L 3-4 ). In the absence of specific diagnostic criteria, it is only possible to conclude that patients display tenderness at the level of the affected facet joint and that the pain is triggered by extension. Differential diagnosis for low back pain is difficult, since the pain may originate from various structures.
The most reliable method of identifying Lumbar Facet Syndrome has been found to be a positive response to an analgesic procedure in the form of a block of the medial branch or intraarticular injection.
There appear to be good grounds for conducting further studies and developing unequivocal diagnostic tests.

ICID 1237716

DOI 10.5604/15093492.1237716
 
FULL TEXT 297 KB


Related articles
  • in IndexCopernicus™
         posterior branches of spinal nerves [0 related records]
         ból dolnego odcinka kręgosłupa [0 related records]
         stawy międzykręgowe [0 related records]
         zespół stawów międzykręgowych [0 related records]
         gałęzie tylne nerwów rdzeniowych [0 related records]
         lumbar facet syndrome [0 related records]
         zygapophysial joints [1 related records]
         low-back pain [0 related records]


  •  

    Copyright © Ortopedia Traumatologia Rehabilitacja  2017
    Page created by Index Copernicus Ltd. All Rights reserved.