Spinecare Topics
Facet Joints
A joint is an area where two or more bones are joined but
able to move. On each side of the spine the upper articular process of one
vertebrae and the lower articular process of the adjacent vertebrae linked to
form a facet joint. There is a pair of
facet joints at most levels of the spine. The facet joints are hinge-like and
help link adjacent vertebrae together. The facet joints are synovial joints
which mean that each facet joint is surrounded by a special membrane (synovial
membrane) which lies inside a thicker lining of connective tissue referred to
as the joint capsule. The synovial
lining of the joint produces a fluid (synovial fluid) which helps to nourish
and lubricate the joint. The presence of synovial fluid also reduces weight
bearing friction on the facet joint surfaces. Each of the articular processes
has a relatively flat and smooth surface.
The surface is covered by a thin layer of cartilage.
The facet
joints help to control the amount and direction of spinal movement. The
relationship of the facet surfaces to one another is different in each part of
the spine. For example, the low back facet joints are aligned in ways that
promote flexion and extension while limiting the degree of side bending and
rotation. The facet joints of the neck allow for more rotation because of their
angle.
These
smooth surfaces are configured somewhat like the facets of a diamond thus their
name facet joints. They are also
referred to as zygapophyseal joints.
Each facet joint is aligned with cartilage and is lubricated with a
special substance referred to as synovial fluid. The synovial fluid helps reduce the friction
between the adjacent articular (joint) surfaces. Regular and repetitive movement is critical
to the health of the cartilage and to maintain appropriate density of the bone.
This includes the bone underlying the cartilaginous surface of the facet joint. Facet joints can be affected by wear
and tear as well as arthritic disorders. Degenerative enlargement
(osteoarthritis) of the facet joint can result in spinal nerve compression.