Bilateral Lumbar Facet Synovial Cysts as a Cause of Radiculopathy

Remarkable advancements in endoscopic spinal surgery have led to successful outcomes comparable to those of conventional open surgery with the benefits of less traumatization and postoperative spinal instability. Bilateral lumbar facet cysts are rarely found in the spinal canal. We report a rare cas...

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Bibliographic Details
Published in:Case reports in orthopedics 2022-11, Vol.2022, p.1-6
Main Authors: Kasempipatchai, Pawin, Kuansongtham, Verapan, Ruangchainikom, Monchai, Lwin, Khin Myat Myat
Format: Article
Language:English
Subjects:
Back pain
Case Report
Case reports
Cysts
Endoscopy
Epidural
Magnetic resonance imaging
Patients
Surgery
Surgical techniques
X-rays
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Summary:Remarkable advancements in endoscopic spinal surgery have led to successful outcomes comparable to those of conventional open surgery with the benefits of less traumatization and postoperative spinal instability. Bilateral lumbar facet cysts are rarely found in the spinal canal. We report a rare case of L4–L5 bilateral lumbar facet cysts compressing the nerve root in a patient who presented with L5 radiculopathy. Endoscopic decompression and removal of the cysts without fusion were performed. Histopathology revealed synovial cysts. Postoperatively, the patient showed a total resolution of symptoms with sustained benefits at the final evaluation. No recurrence of pain and no further segmental instability were observed at the 1-year follow-up.
ISSN:2090-6749
2090-6757
DOI:10.1155/2022/2519468