Epiduroscopic Removal of a Lumbar Facet Joint Cyst.
10.3344/kjp.2015.28.4.275
- Author:
Hyun Seung JIN
1
;
Jun Yeol BAE
;
Chi Bum IN
;
Eun Joo CHOI
;
Pyung Bok LEE
;
Francis Sahngun NAHM
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Cyst;
Epiduroscopy;
Low back pain;
Minimally invasive procedures;
Therapy;
Zygapophyseal joint
- MeSH:
Aged, 80 and over;
Extremities;
Follow-Up Studies;
Humans;
Low Back Pain;
Magnetic Resonance Imaging;
Male;
Osteoarthritis;
Paresthesia;
Rupture;
Spine;
Spondylolisthesis;
Synovial Cyst;
Zygapophyseal Joint*
- From:The Korean Journal of Pain
2015;28(4):275-279
- CountryRepublic of Korea
- Language:English
-
Abstract:
Facet joint synovial cysts are usually associated with osteoarthritis of the adjacent facet joint and/or spondylolisthesis. In between the conservative and operative ends of the treatment spectrum lie minimally invasive techniques such as cyst rupture using epiduroscopy. In this report, we describe an 82-year-old male patient presenting with low back pain radiating to his lower left extremity and associated paresthesia. Magnetic resonance imaging of the lumbar spine revealed a synovial cyst at left L4/5 facet joint. Using epiduroscopy, the cyst was mechanically ruptured by popping it with the tip of the scope. The patient remained symptom-free at his successive visits until 12 months after the procedure, and was opened for desired follow up.
