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Lumbar juxta-facet cyst after trauma
Hiroshi Kono1, Hiroaki Nakamura, Masahiko Seki
1Department of Orthopaedic Surgery, Osaka City Kita Hospital, Osaka, Japan.
Summary
This study details a traumatic lumbar facet cyst diagnosed via magnetic resonance imaging (MRI) following an injury. Surgical removal of the cyst provided successful pain relief for the patient.
Area of Science:
- Neurosurgery
- Radiology
- Orthopedic Surgery
Background:
- Traumatic juxta-facet cysts are rare spinal pathologies.
- Prompt diagnosis and management are crucial for patient outcomes.
Observation:
- A 59-year-old male sustained a sacroiliac injury, presenting with acute low back and leg pain.
- Initial MRI revealed high signal intensity in the L4/5 facet joint.
- A subsequent MRI confirmed a cyst continuous with the facet joint.
Findings:
- The case demonstrates the development of a lumbar facet cyst post-trauma.
- Detailed MRI findings illustrate the cyst's origin and characteristics.
- Literature review on traumatic juxta-facet cysts is provided.
Implications:
- Early MRI detection of facet joint changes may indicate potential cyst formation.
- Surgical intervention for symptomatic lumbar facet cysts can be effective.
- This case contributes to understanding traumatic spinal cyst etiology and management.