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This course will be retired on Oct. 29, 2026.

An updated version of this course will replace this one on Oct. 29, 2026. Nothing changes for you. You can keep working on this course as usual, and you'll earn CME credit whether you finish before or after that date. If you have questions, see our FAQ.

Degenerative Joint Disease (DJD) of the Spine

Content Reviewed: December 13, 2021

Mastery Series
Preview Course

3.25 CME

26 DICOM Case Files

37 Videos

3 hr. 21 min. of video

Course Description

In this series, Dr. Dave Yousem provides his perspective on degenerative joint disease (DJD) as a practicing neuroradiologist. He reviews the current nomenclature for disc pathology, some of the common locations for disc herniation and the surgical implications/outcomes of the varying degrees of disc injury. The Degenerative Joint Disease Mastery series provides more than a dozen case reviews of the diagnoses surrounding DJD.

Some the cases/topics include:

  • Sequestrated discs
  • Herniated discs
  • Disc protrusions
  • Annular fissures
  • And more…

Degenerative joint disease in the spine lies at the crossroads of musculoskeletal and neuroimaging.

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Watch this case review for free!

4 m

Introduction to Degenerative Spine Disease

5 m

MRI Pulse Sequences for Degenerative Spine Disease

6 m

Anatomy of an Intervertebral Disc

4 m

Pulse Sequences For Lumbar Spine Imaging

10 m

Nomenclature of Intervertebral Disc Disease

12 m

Disc Protrusions vs. Extrusions

7 m

Disc Sequestration

7 m

Reporting of Lumbar Spine Degenerative Changes

14 m

Case of Lumbar Spine Degenerative Disc Disease

11 m

Case of Disc Protrusion

4 m

Appropriate Reporting of Spine Degenerative Changes

7 m

Describing Disc Protrusion Location and Important Features

3 m

Analyzing a Disc Extrusion

3 m

Foraminal/Far-Lateral Disc Herniation

5 m

Cervical Spine Disc Extrusion

8 m

Annular Fissure

3 m

Contained vs. Uncontained Disc Herniation

7 m

Terminology for Herniation Location

4 m

Modic Classification of Degenerative Marrow Changes

9 m

Modic Type 1 Endplate Changes

2 m

Identifying an Annular Fissure

3 m

Modic Type II Endplate Changes

3 m

Differentiate Postoperative Scar vs. Recurrent Herniation

7 m

Identify Common Causes of Spinal Canal Stenosis

7 m

Grading and Common Causes of Spondylolisthesis

6 m

Spondylolisthesis Secondary to Spondylolysis

3 m

Synovial Cyst

4 m

Clinical Importance of Posteriorly Projecting Synovial Cyst

3 m

Common Causes of Acquired Stenosis

6 m

Ossification of the Posterior Longitudinal Ligament (OPLL)

5 m

Diffuse Idiopathic Skeletal Hyperostosis (DISH)

3 m

Role of CT for the Identification of OPLL

4 m

Association of OPLL and OLF

3 m

Evaluation of Uncovertebral Joints

1 m

Uncovertebral Degenerative Disease and Foraminal Narrowing

3 m

Other Causes of Low Back Pain and Spinal Canal Stenosis

7 m

Course Evaluation