Computed tomography of the lumbar facet joints.

Abstract

Lumbar facet joints are difficult to image with conventional radiographic techniques. A series of 100 consecutive cases of low back pain and sciatica was examined with CT [computed tomography]. Abnormal facet joints were found in 65. Abnormalities demonstrated by CT included osteophyte formation, articular processes hypertrophy, articular cartilage thinning, vacuum joint phenomenon and joint capsule calcification. In patients with sciatic or low back pain, CT is indicated to demonstrate treatable abnormalities of the facet joints.