Percutaneous Facet Screw Fixation in the Treatment of Symptomatic Recurrent Lumbar Facet Joint Cyst: A New Technique

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• 作者：Nicolas Amoretti ; Giacomo Gallo…
• 关键词：Lumbar pain ; Lumbar facet joint ; Synovial cyst ; Screw fixation
• 刊名：CardioVascular and Interventional Radiology
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：39
• 期：1
• 页码：127-131
• 全文大小：689 KB
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• 作者单位：Nicolas Amoretti (1)
  Giacomo Gallo (1)
  Anne-Sophie Bertrand (1)
  Robert L. Bard (2)
  Alexis Kelekis (3)
  
  1. Centre Hospitalier Universitaire de Nice, Nice, France
  2. New York Medical College, New York, USA
  3. University General Hospital “ATTIKON”, Athens, Greece
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Imaging and Radiology
  Nuclear Medicine
  Ultrasound
  Cardiology
  
• 出版者：Springer New York
• ISSN：1432-086X

文摘

We present a case of percutaneous treatment of symptomatic recurrent lumbar facet joint cyst resistant to all medical treatments including facet joint steroid injection. Percutaneous transfacet fixation was then performed at L4–L5 level with a cannulated screw using CT and fluoroscopy guidance. The procedure time was 30 min. Using the visual analog scale (VAS), pain decreased from 9.5, preoperatively, to 0 after the procedure. At 6-month follow-up, an asymptomatic cystic recurrence was observed, which further reduced at the 1-year follow-up. Pain remained stable (VAS at 0) during all follow-ups. CT- and fluoroscopy-guided percutaneous cyst rupture associated with facet screw fixation could be an alternative to surgery in patients suffering from a symptomatic recurrent lumbar facet joint cyst. Keywords Lumbar pain Lumbar facet joint Synovial cyst Screw fixation