The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Epiduroscopic Removal of a Lumbar Facet Joint Cyst

  • Jin, Hyun Seung (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • Bae, Jun Yeol (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • In, Chi Bum (Seoul National University Bundang Hospital) ;
  • Choi, Eun Joo (Seoul National University Bundang Hospital) ;
  • Lee, Pyung Bok (Seoul National University Bundang Hospital) ;
  • Nahm, Francis Sahngun (Seoul National University Bundang Hospital)
  • Received : 2015.06.19
  • Accepted : 2015.09.15
  • Published : 2015.10.01
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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.

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References

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