Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (5): 56-61.doi: 10.6040/j.issn.1671-7554.0.2019.109

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Diagnosis and treatment of lumbar facet cysts

WANG Haifeng, WANG Feng, TAN Bingyi, HAN Shijie, XU Xiqiang, WANG Dachuan   

  1. Department of Spine Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China
  • Published:2022-09-27

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Abstract: Objective To explore the essentials of diagnosis and treatment of lumbar facet cysts. Methods The clinicopathological data of 12 patients with lumbar facet cysts treated during Dec. 2011 and Apr. 2018 were retrospectively analyzed, including history, signs, imaging manifestations, and treatment. The patients included 5 male and 7 female, aged 51-68 years, average 59.3 years. All patients received X-ray inspection in anteroposterior and lateral position and in anterior flexion and posterior extension position and CT and MRI inspection. Two patients received conservative treatment, 9 patients received cyst enbloc resection surgery through partial facet joint with partial interlaminar ligamentum flavum removal, and 1 patient who had spondylolisthesis and intervertebral instability received decompression and internal fixation. All patients were followed up for 6-62 months. Results MRI could conform the specific diagnosis of lumbar facet cysts. No recurrence was observed during the follow-up. Conclusion MRI inspection is important in the diagnosis of lumbar facet cysts. The complete resection of lumbar facet cysts through partial facet joint and partial interlaminar ligamentum flavum removal is an effective treatment.

Key words: Facet cyst, Synovial cyst, Lumbar spine, Diagnosis, Treatment, Complete resection

CLC Number: 

  • R681.5
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