L4-L5 Spondylolisthesis and Facet cyst
Faset eklem kistleri genellike birleşik fasetteki osteoartrit ve/ veya spondilolistezise bağlıdır. Biz bu vakada 45 yaşında sol bacak ağrısı olan bir bayan hastayı sunduk. Hastanın manyetik lomber görüntülemesinde L4-L5 seviyesinde fase kisti ve 2. derece spondilolistezis izleniyordu. Cerrahide L3 parsiyel,L4 total laminektomiyi takiben total faset kist eksisyonu uygulandı. Spondilolistezis nedeniyle L3-L4-L5 posterior pediküler fiksasyon ve füzyon yapıldı. Hastanın ameliyat sonrası herhangi bir semptomu kalmadı.
L4-L5 SPONDİLOLİSTEZİS VE FASET KİSTİ
Facet joint cysts are usually associated with osteoarthritis of the adjent facet joint and/ or spondylolisthesis.In this report we describe a 45 year old woman patıent peresenting with left leg pain. Magnetic resonans imaging of spine revealed a facet cyst at L4-L5left facet joint with L4-L5 grade 2 spondylolisthesis. At the surgery L3 parsiel, L4 total laminectomy and total cyst exision was done. Because of the spondylolisthesis L3-L4-L5 posterior transpedicülar fixation and fusion made. The patient remained semptom free after operation.
___
- 1. Lattig F, Fekete TF, Grob D, Kleinstück FS, Jeszenszky D, Mannion AF. Lumbar facet joint effusion in MRI: a sign of instability in degenerative spondylolisthesis? Eur Spine J. 2012;21(2):276-81.
- 2. Massey GM Caputo AM Michael KW, Isaacs RE. Lumbar facet cyst resolution following anterior interbody fusion. Clin Neurosci. 2013;20(12):1771-3.
- 3. Reust P, Wendling D, Lagier R, Pageaut G, Reverdin A, Jacquet G at all. Degenerative spondylolisthesis, synovial cyst of the zygapophyseal joints, and sciatic syndrome: report of two cases and review of the literature. Arthritis Rheum. 1988;31(2):288-94.
- 4. Campa-Santamarina JT, Towne S, Alimi M, NavarroRamirez R, Roger H. Minimally Invasive Approach For Extraforaminal Synovial Cyst L5-S1. Curues. 2015; 7(10):362
- 5. Chaput C, Padon D, Rush J, Lenehan E, Rahm M. The significance of increased fluid signal on magnetic resonance imaging in lumbar facets in relationship to degenerative spondylolisthesis. 2007;32(17):1883-7.
- 6. HS Bae JY, In CB, Choi EJ, Lee PB , Nahm FS Epiduroscopic Removal of a Lumbar Facet Joint Cyst. Korean J Pain. 2015;28(4):275-9.
- 7. Cambron SC, McIntyre JJ, Guerin SJ, Li Z, Pastel DA. Lumbar facet joint synovial cysts: does T2 signal intensity predict outcomes after percutaneous rupture? AJNR Am J Neuroradiol. 2013;34(8):1661-4.
- 8. Nakayama S, Fujino H, Inomori S, Shuto T, Basugi N, Kuwabara T. A case of a lumbar spinal synovial cyst located on the midline. No Shinkei Geka. 1998;26(8):717-22.
- 9. Kjerulf TD, Terry DW Jr, Boubelik RJ. Lumbar synovial or ganglion cysts. Neurosurgery. 1986; 9(3):415-20.
- 10. Doyle AJ, Merrilees M. Synovial cysts of the lumbar facet joints in a symptomatic population: prevalence on magnetic resonance imaging. Spine. 2004; 29(8):874-8.
- 11. Apostolaki E, Davies AM, Evans N, Cassar-Pullicino VN. MR imaging of lumbar facet joint synovial cysts. Eur Radiol. 2000;10(4):615-23.