Abstract Archives of the RSNA, 2014
MKE265
Facet Joint Syndrome: A Comprehensive Approach for the Radiologist
Education Exhibits
Presented in 2014
Hugues Gilles Brat MD, Presenter: Research Consultant, Medtronic, Inc
Tino Tancredi MD, Abstract Co-Author: Nothing to Disclose
Dominique Fournier MD, Abstract Co-Author: Nothing to Disclose
Tarik Bouziane MD, Abstract Co-Author: Nothing to Disclose
1. To understand complexity of facet joint syndrome
2. To differentiate facet joint related pain and disability from other causes
3. To use appropriate evaluation methods and diagnostic modalities
4. To use an age-related management algorithm for suspected facet joint related back pain
5. To understand current treatment options with their limitations and success rates
1. Definition of facet joint syndrome
2. Epidemiology
3. Clinics
Clinical presentation and physiopathology
Red and yellow flag signs
Spine and "other-than-spine" differential diagnosis of facet joint syndrome
4. Diagnosis
Physical examination
Pain and disability evaluation: VAS and Roland-Morris Disability Questionnaire (RMDQ)
When to use imaging?
Imaging strategy (focus on contrast-enhanced MRI and SPECT-CT)
Semi-invasive diagnosis (CT-guided facet block)
5. Treatment
Proposal of an age-related algorithm
Physical treatment and medication strategy
Levels of evidence
Intra-articular or peri-articular facet joint infiltration
Radiofrequency facet denervation/neurotomy
Multidisciplinarity and follow-up
6. Conclusion
Take home messages
http://abstract.rsna.org/uploads/2014/14000937/14000937_scx7.pdf
Brat, H,
Tancredi, T,
Fournier, D,
Bouziane, T,
Facet Joint Syndrome: A Comprehensive Approach for the Radiologist. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14000937.html