{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T04:17:51Z","timestamp":1788495471898,"version":"build-2803163510"},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Various indicators of vertebral instability in patients with lumbar degenerative disease can be identified in myelo-computed tomography (CT) studies.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Of 120 patients, 45 with lumbar degenerative spondylolisthesis (LDS; 53 lumbar lesions) and 75 with lumbar spinal stenosis alone (LSS; 105 lesions) (2015\u20132019) myelo-CT studies and surgery confirmed the presence of lumbar instability. Myelo-CT findings indicative of instability included facet joint thickness (FJT), fluid in the facet joint, facet tropism, and air in the facet and\/or disc.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n For the 120 study patients, FJT was significantly elevated in both the LDS and LSS groups.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n FJT on myelo-CT is more specific for lumbar instability than other imaging parameters when evaluating LDS. An increase in FJT suggests vertebral instability likely warranting fusion.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_652_2023","type":"journal-article","created":{"date-parts":[[2023,9,21]],"date-time":"2023-09-21T21:07:25Z","timestamp":1695330445000},"page":"342","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Facet joint thickness and lumbar instability documented on myelo-computed tomography studies in patients with lumbar degenerative disease"],"prefix":"10.25259","volume":"14","author":[{"given":"Shunsuke","family":"Ikeda","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, International Medical Center, Saitama Medical University, Hidaka, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidetoshi","family":"Ooigawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, International Medical Center, Saitama Medical University, Hidaka, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuki","family":"Kimura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, International Medical Center, Saitama Medical University, Hidaka, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Tanabe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tanabe Neurosurgical Hospital, Osaka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Kurita","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, International Medical Center, Saitama Medical University, Hidaka, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2023,9,22]]},"reference":[{"key":"10.25259\/SNI_652_2023\/ref-1","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s10195-011-0141-3","article-title":"The correlation between exaggerated fluid in lumbar facet joints and degenerative spondylolisthesis: Prospective study of 52 patients","volume":"12","author":"Caterini","year":"2011","journal-title":"J Orthop Traumatol"},{"key":"10.25259\/SNI_652_2023\/ref-2","doi-asserted-by":"crossref","first-page":"1883","DOI":"10.1097\/BRS.0b013e318113271a","article-title":"The significance of increased fluid signal on magnetic resonance imaging in lumbar facets in relationship to degenerative spondylolisthesis","volume":"32","author":"Chaput","year":"2007","journal-title":"Spine (Phila Pa 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Spine"},{"key":"10.25259\/SNI_652_2023\/ref-6","doi-asserted-by":"crossref","first-page":"176","DOI":"10.4055\/cios.2019.11.2.176","article-title":"The prevalence of facet tropism and its correlation with low back pain in selected community-based populations","volume":"11","author":"Ko","year":"2019","journal-title":"Clin Orthop Surg"},{"key":"10.25259\/SNI_652_2023\/ref-7","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1097\/BRS.0000000000004262","article-title":"Facet joint opening on computed tomography is a predictor of poor clinical outcomes after minimally invasive decompression surgery for lumbar spinal stenosis","volume":"47","author":"Yamada","year":"2022","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_652_2023\/ref-8","doi-asserted-by":"crossref","first-page":"376","DOI":"10.3171\/2021.6.SPINE21721","article-title":"Relationship between facet joint opening on CT and facet joint effusion on MRI in patients with lumbar spinal stenosis: Analysis of a less invasive decompression procedure","volume":"36","author":"Yamada","year":"2022","journal-title":"J Neurosurg Spine"}],"container-title":["Surgical Neurology 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