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SPECT CT of the lumbosacral spine showing increase uptake of the right L5-S1 facet joint in favor of facet arthropathy.

SPECT CT of the lumbosacral spine showing increase uptake of the right L5-S1 facet joint in favor of facet arthropathy.

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Low back pain is one of the most reported symptoms in adult life. Different etiologies have been evoked. Degenerative disease of the spine is the most common cause. Facet joint arthropathy is the second leading cause of low back pain in degenerative disease. Failure of medical treatment will lead to more invasive therapeutic option. Radio frequency...

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... the SPECT CT scan is normal or if there is a severe psychological problem, conservative treatment is considered. Otherwise, in case where the SPECT CT confirms the presence of facet arthropathy (Figure 2), patients are referred for facet block under fluoroscopy at the pain clinic. In case of improvement that lasts more than 3 months, reevaluation and second facet block are offered to the patient. ...