Table 1:

Grading of facet joint inflammation using fat-saturated MRI signal characteristicsa

Grade
0No signal abnormality
1Signal abnormality limited to joint capsule
2Periarticular signal abnormality involving <50% of the facet joint perimeterb
3Periarticular signal abnormality involving >50% of the facet joint perimeter
4Grade 3 with additional signal abnormality within the neural foramen, pedicle, ligamentum flavum, transverse process, or vertebral bodyc
  • a Grading scale adapted from Czervionke and Fenton.6

  • b Periarticular signal abnormality includes T2 hyperintensity or gadolinium enhancement on T1-weighted images.

  • c Signal abnormality within the pedicle must be continuous with other perifacet signal abnormalities and cannot represent posterior extension of vertebral body edema.