Bilateral Lumbar Facet Synovial Cysts as a Cause of Radiculopathy.

IF 0.4 Q4 ORTHOPEDICS
Case Reports in Orthopedics Pub Date : 2022-11-07 eCollection Date: 2022-01-01 DOI:10.1155/2022/2519468
Pawin Kasempipatchai, Verapan Kuansongtham, Monchai Ruangchainikom, Khin Myat Myat Lwin
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引用次数: 0

Abstract

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.

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双侧腰椎关节突滑膜囊肿是神经根病的病因。
内窥镜脊柱手术的显著进步导致了与传统开放手术相当的成功结果,其创伤和术后脊柱不稳定的好处更少。双侧腰椎关节突囊肿在椎管中很少发现。我们报告一例罕见的L4-L5双侧腰椎关节突囊肿压迫神经根的病例,患者表现为L5神经根病。内镜下对囊肿进行减压和切除,不进行融合。组织病理学显示滑膜囊肿。术后,患者在最终评估中表现出症状的完全缓解和持续的益处。在1年的随访中没有观察到疼痛复发和进一步的节段不稳定。
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审稿时长
14 weeks
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