KEN OKAZAKI    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Professor and Division head
Article types	Case report
Language	English
Peer review	Peer reviewed
Title	Pyogenic arthritis of a lumbar facet joint.
Journal	Formal name：American journal of orthopedics (Belle Mead, N.J.) Abbreviation：Am J Orthop (Belle Mead NJ) ISSN code：(1078-4519)1078-4519(Linking)
Domestic / Foregin	Foregin
Volume, Issue, Page	29(3),pp.222-224
Author and coauthor	OKAZAKI K, SASAKI K, MATSUDA S, YUGE I, OMIYA K, KIDO H, UEDA H
Authorship	Lead author
Publication date	2000/03
Summary	We herein report the case of a 68-year-old man with diabetes who developed pyogenic arthritis of a lumbar facet joint after spinal injection. We performed magnetic resonance imaging (MRI), computed tomography (CT), technetium 99 methylene diphosphonate scintigraphy, and single photon emission computed tomography (SPECT) for this patient. MRI showed a lesion in the facet joint and no evidence of spondylodiscitis. CT showed a swelling of periarticular soft tissue around the facet joint. Bone scintigraphy showed a characteristic vertical uptake. In particular, SPECT was able to clearly confirm the location of the infection. An infection of the facet joint has only been rarely reported, but we recommended that this area should be carefully evaluated whenever a patient develops an infection of the lumbar spine after a spinal injection.
PMID	10746474