Spondylolisthesis - distended facet sign

Case contributed by Muneesh Sharma
Diagnosis almost certain

Presentation

Low back pain

Patient Data

Age: 40 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

MR demonstrates the "distended facet sign" at L4-5. It implies the presence of spondylolisthesis (with or without lysis).

Case Discussion

The abnormal range of movement at the facet joints in the supine non-weight-bearing position results in fluid distension which would disappear on weight-bearing.

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