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Lumbar Facet Joint Cyst Treated With Decompression and Interlaminar Stabilization
Navraj S Sagoo1, Harvinder Bhatti2, Scott E Rowe3,4
1Orthopedic Surgery, The University of Texas Medical Branch at Galveston, Galveston, USA.
Cureus
|August 28, 2020
Summary
Spinal facet joint cysts (FJCs) causing back pain are challenging to treat. A novel interlaminar stabilization device offers a motion-preserving alternative to fusion for FJC management.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Disorders
Background:
- Spinal facet joint cysts (FJCs) are increasingly recognized causes of lower back pain and neurological deficits.
- Their etiology is linked to degenerative facet joint changes, and conservative treatments offer limited success.
Observation:
- FJCs cause radiculopathy and neurological deficits due to nerve root proximity.
- Traditional treatments include cyst aspiration or decompression with spinal fusion, which carries risks like pseudoarthrosis.
Findings:
- The Coflex interlaminar stabilization (ILS) device is a motion-preserving alternative to fusion.
- This case report details the successful treatment of an FJC using decompression and Coflex ILS implantation.
Implications:
- The Coflex ILS device presents a viable, motion-preserving option for managing FJCs.
- This approach may reduce complications associated with traditional instrumented spinal fusion.
