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Facet joint involvement in the inflammatory rheumatic disease
Arsen Shpigelman1, Aniela Shouval2, Ilai Koder3
1Spine Unit, Department of Orthopedic Surgery, Lady Davis Carmel Medical Center, Haifa, Israel; Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Joint Bone Spine
|December 15, 2023
Summary
Facet joint (FJ) disease is common in inflammatory rheumatic conditions like axial spondyloarthritis and rheumatoid arthritis. Further research is needed to understand its full impact and prevalence in these diseases.
Area of Science:
- Rheumatology
- Spinal Health
- Inflammatory Arthritis
Background:
- Facet joint (FJ) involvement in inflammatory rheumatic disorders is not well understood.
- Current knowledge gaps exist regarding FJ disease patterns in various rheumatic conditions.
Purpose of the Study:
- To review FJ disease from a rheumatologist's viewpoint.
- To highlight clinical presentations and patterns of FJ involvement in axial spondyloarthritis (axSpA), psoriatic arthritis (PsA), rheumatoid arthritis (RA), and crystal-related arthropathies.
- To discuss challenges in studying FJ involvement in rheumatic diseases.
Main Methods:
- A systematic PubMed search was conducted.
- Relevant articles were extracted and critically assessed.
- Data was interpreted and organized based on authors' expertise.
Main Results:
- FJ involvement is frequent in radiographic axSpA, particularly in the thoracic spine.
- Altered spinal biomechanics may contribute to FJ fusion in axSpA.
- Cervical FJ involvement is suggested in PsA, but requires further study.
- Cervical FJ disease in RA can cause significant morbidity; thoracic and lumbar FJ involvement in RA is underexplored.
- FJ disease is possible in crystal-related arthropathies, necessitating high clinical suspicion.
Conclusions:
- Facet joint involvement is a common feature of inflammatory rheumatic diseases.
- Prospective studies are essential to elucidate the epidemiology and significance of FJ disease in these conditions.
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