Juxta-facet cysts as a differential diagnosis for lumbar neuralgia

Zeitschrift für Orthopädie und ihre Grenzgebiete
K-St DelankP Eysel

Abstract

The aim of the current investigation it was to evaluate the incidence, clinical symptoms and the results of surgical treatment of lumbar juxta-facet cysts. Between January 2002 and July 2003 305 patients underwent decompression of the lumbar spinal canal. In 3.6 % of these (n = 11) juxta-facet cyst were found to be responsible for the complaints and resection of the cyst was performed. All patients underwent standardized clinical examination and pain evaluation by the means of a visual analogue scale in a follow-up of 6.8 month on average. The average history of lumbar pain was 26 months, that of leg pain 23 weeks, respectively. Radicular symptoms appeared in 7 patients, and 9 of 11 patients complained about spinal claudication. Clinical examination showed a typical pain provocation during reclination of the lumbar spine. However none showed a segmental instability. Preoperative MRI revealed facet cysts with an average diameter of 9 mm (4-18 mm). All of the patients showed signs of degenerative spondylarthritis. Postoperative examination revealed in 8 cases a very good and in 2 cases a good result. One patient complained about persisting sciatica in spite of MR-tomographic demonstration of complete resection of the cyst. The wa...Continue Reading

Citations

Feb 27, 2013·Neurologia Medico-chirurgica·Mario GanauAlberto Maleci

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