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Septic Facet Joint Arthritis
Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          TERMINOLOGY

          • Synonyms

            • Pyogenic facet joint infection
          • Definitions

            • Suppurative bacterial infection of facet joint, adjacent soft tissue

          IMAGING

          • General Features

            • Radiographic Findings

              • Fluoroscopic Findings

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Yoon J et al: Septic arthritis of the lumbar facet joint. Case and literature review. J Clin Neurosci. 71:299-303, 2020
                                              2. Lavi ES et al: MR Imaging of the spine: urgent and emergent indications. Semin Ultrasound CT MR. 39(6):551-69, 2018
                                              3. Babic M et al: Infections of the spine. Infect Dis Clin North Am. 31(2):279-97, 2017
                                              4. Torres C et al: Imaging of spine infection. Semin Roentgenol. 52(1):17-26, 2017
                                              5. Moritani T et al: Pyogenic and non-pyogenic spinal infections: emphasis on diffusion-weighted imaging for the detection of abscesses and pus collections. Br J Radiol. 87(1041):20140011, 2014
                                              6. Diehn FE: Imaging of spine infection. Radiol Clin North Am. 50(4):777-98, 2012
                                              7. Peterson C et al: Adverse events from diagnostic and therapeutic joint injections: a literature review. Skeletal Radiol. 40(1):5-12, 2011
                                              8. Mas-Atance J et al: Septic arthritis of a posterior lumbar facet joint in an infant: a case report. Spine (Phila Pa 1976). 34(13):E465-8, 2009
                                              9. Narváez J et al: Spontaneous pyogenic facet joint infection. Semin Arthritis Rheum. 35(5):272-83, 2006
                                              10. Coscia MF et al: Pyogenic lumbar facet joint arthritis with intradural extension: a case report. J Spinal Disord Tech. 15(6):526-8, 2002
                                              11. Muffolerro AJ et al: Hematogenous pyogenic facet joint infection of the subaxial cervical spine. A report of two cases and review of the literature. J Neurosurg. 95(1 Suppl):135-8, 2001
                                              12. Muffoletto AJ et al: Hematogenous pyogenic facet joint infection. Spine. 26(14):1570-6, 2001
                                              13. Rombauts PA et al: Septic arthritis of a lumbar facet joint caused by Staphylococcus aureus. Spine. 25(13):1736-8, 2000
                                              14. Fujiwara A et al: Septic arthritis of a lumbar facet joint: report of a case with early MRI findings. J Spinal Disord. 11(5):452-3, 1998
                                              15. Baltz MS et al: Lumbar facet joint infection associated with epidural and paraspinal abscess. Clin Orthop. (339):109-12, 1997
                                              16. Ergan M et al: Septic arthritis of lumbar facet joints. A review of six cases. Rev Rhum Engl Ed. 64(6):386-95, 1997
                                              17. Swayne LC et al: Septic arthritis of a lumbar facet joint: detection with bone SPECT imaging. J Nucl Med. 30(8):1408-11, 1989
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Pathology

                                                      TERMINOLOGY

                                                      • Synonyms

                                                        • Pyogenic facet joint infection
                                                      • Definitions

                                                        • Suppurative bacterial infection of facet joint, adjacent soft tissue

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • Fluoroscopic Findings

                                                            • CT Findings

                                                              • MR Findings

                                                                • Ultrasonographic Findings

                                                                  • Nuclear Medicine Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Yoon J et al: Septic arthritis of the lumbar facet joint. Case and literature review. J Clin Neurosci. 71:299-303, 2020
                                                                                          2. Lavi ES et al: MR Imaging of the spine: urgent and emergent indications. Semin Ultrasound CT MR. 39(6):551-69, 2018
                                                                                          3. Babic M et al: Infections of the spine. Infect Dis Clin North Am. 31(2):279-97, 2017
                                                                                          4. Torres C et al: Imaging of spine infection. Semin Roentgenol. 52(1):17-26, 2017
                                                                                          5. Moritani T et al: Pyogenic and non-pyogenic spinal infections: emphasis on diffusion-weighted imaging for the detection of abscesses and pus collections. Br J Radiol. 87(1041):20140011, 2014
                                                                                          6. Diehn FE: Imaging of spine infection. Radiol Clin North Am. 50(4):777-98, 2012
                                                                                          7. Peterson C et al: Adverse events from diagnostic and therapeutic joint injections: a literature review. Skeletal Radiol. 40(1):5-12, 2011
                                                                                          8. Mas-Atance J et al: Septic arthritis of a posterior lumbar facet joint in an infant: a case report. Spine (Phila Pa 1976). 34(13):E465-8, 2009
                                                                                          9. Narváez J et al: Spontaneous pyogenic facet joint infection. Semin Arthritis Rheum. 35(5):272-83, 2006
                                                                                          10. Coscia MF et al: Pyogenic lumbar facet joint arthritis with intradural extension: a case report. J Spinal Disord Tech. 15(6):526-8, 2002
                                                                                          11. Muffolerro AJ et al: Hematogenous pyogenic facet joint infection of the subaxial cervical spine. A report of two cases and review of the literature. J Neurosurg. 95(1 Suppl):135-8, 2001
                                                                                          12. Muffoletto AJ et al: Hematogenous pyogenic facet joint infection. Spine. 26(14):1570-6, 2001
                                                                                          13. Rombauts PA et al: Septic arthritis of a lumbar facet joint caused by Staphylococcus aureus. Spine. 25(13):1736-8, 2000
                                                                                          14. Fujiwara A et al: Septic arthritis of a lumbar facet joint: report of a case with early MRI findings. J Spinal Disord. 11(5):452-3, 1998
                                                                                          15. Baltz MS et al: Lumbar facet joint infection associated with epidural and paraspinal abscess. Clin Orthop. (339):109-12, 1997
                                                                                          16. Ergan M et al: Septic arthritis of lumbar facet joints. A review of six cases. Rev Rhum Engl Ed. 64(6):386-95, 1997
                                                                                          17. Swayne LC et al: Septic arthritis of a lumbar facet joint: detection with bone SPECT imaging. J Nucl Med. 30(8):1408-11, 1989