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http://dx.doi.org/10.3344/kjp.2015.28.4.275

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)
Publication Information
The Korean Journal of Pain / v.28, no.4, 2015 , pp. 275-279 More about this Journal
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.
Keywords
Cyst; Epiduroscopy; Low back pain; Minimally invasive procedures; Therapy; Zygapophyseal joint;
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