What question did this study set out to answer?

To assess the clinical outcomes and safety of targeted facet joint surface remodeling in patients with chronic lumbar facet joint syndrome.

September 1, 2026Journal of Craniovertebral Junction and SpineOpen Access

Targeted facet joint surface remodeling for lumbar facet syndrome: A retrospective case series

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Authors

NNNikou NikmaramUniversity Clinical Centre KMKeyvan Mostofi

Discussion

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Implication

Retrospective case series demonstrates sustained pain reduction and functional improvement in lumbar facet syndrome, indicating motion-preserving remodeling is a viable surgical alternative.

Key Points

To assess the clinical outcomes and safety of targeted facet joint surface remodeling in patients with chronic lumbar facet joint syndrome.
Retrospective monocentric case series evaluating 32 patients (18 women, 14 men; ages 39–69) treated between January 2022 and March 2025.
Patients had chronic axial low back pain confirmed by diagnostic facet injection and underwent targeted joint surface shaving and osteophyte removal via open or endoscopic approaches without fusion or decompression.
Outcomes were tracked preoperatively and at 1, 3, 6, and 9 months postoperatively using the Visual Analog Scale (VAS) and Oswestry Disability Index (ODI).
Mean VAS pain scores decreased from 7.34 preoperatively to 4.12 at 1 month, 3.99 at 3 months, 3.95 at 6 months, and 3.92 at 9 months postoperatively.
Mean functional disability on the ODI decreased from 39 preoperatively to 24 at 1 month, 21 at 3 months, 20 at 6 months, and 19 at 9 months.
Zero intraoperative or postoperative complications were reported across all treated patients.

Cite This Study

Nikmaram et al. (2026) studied this question.

synapsesocial.com/papers/6aade59a0adfe422ba1832e6 https://doi.org/10.4103/jcvjs.jcvjs_14_26

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Implication

Retrospective case series demonstrates sustained pain reduction and functional improvement in lumbar facet syndrome, indicating motion-preserving remodeling is a viable surgical alternative.