Spine
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A clinical study was undertaken to formulate better criteria for accurate diagnosis of the lumbar facet syndrome and for predicting treatment response to facet joint injection. Twenty-two consecutive patients with a clinical diagnosis of lumbar facet syndrome, made by conventional diagnostic criteria, who were then treated with facet joint injection, were reviewed for their treatment responses. New diagnostic criteria were formulated based on a scoring system derived from the values observed in this review study. ⋯ A score of 60 points or more indicates a very high probability of satisfactory response to facet joint injection (100% prolonged response in this study). When only the conventional criteria were used, the overall results of prolonged relief of pain after facet joint injection was 50%. A "scorecard" system is proposed that may give a higher degree of diagnostic accuracy and predictability of successful response to facet joint injection.
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Vertebral transpedicular screws provide secure attachment for posterior spinal fixation devices. Screw design details, biomechanics, and implantation safety depend upon anatomic constraints, especially from the pedicle and body. Previous morphometric data were limited; thus, a retrospective study was undertaken using computerized axial tomograms (CT) of 91 vertebrae (T9-L5). ⋯ Good correlation is shown to occur between CT scan and direct physical measurements of human vertebrae. Implications for spinal implant screw dimensions and safety of implantation are discussed. Comparison with previously available data is made.