Interlaminar stabilization and decompression for the treatment of bilateral juxtafacet cysts: Case report and literature review.

Publication/Presentation Date

1-1-2019

Abstract

INTRODUCTION: Lumbar juxtafacet cysts (JFCs) are a common cause of lumbar radiculopathy which tend to occur in areas of increased facet mobility. While resection alone is a possible treatment, recent publications suggest that laminectomy alone for JFCs may not yield as favorable an outcome as laminotomies reinforced with posterior dynamic hardware. The Coflex

PRESENTATION OF CASE: A 71-year-old man who developed a progressive left L4 radiculopathy along with new urinary incontinence was found to have bilateral L3/4 JFCs causing significant lumbar stenosis and neurogenic claudication. After treatment with primary cyst resection and interlaminar stabilization, the patient experienced complete symptom resolution and was discharged to inpatient-rehabilitation on post-operative day 1.

DISCUSSION: While current recommendations for the management of juxtafacet cysts causing progressive neurologic symptoms include surgical cyst removal and lumbar decompression with or without fusion, the role of dynamic interlaminar stabilization has not been explored.

CONCLUSION: Direct decompression followed by interlaminar stabilization may represent an alternative for patients to simultaneously benefit from a decompression of their juxtafacet cysts while affording posterior element reconstruction.

Volume

57

First Page

155

Last Page

159

ISSN

2210-2612

Disciplines

Medicine and Health Sciences

PubMedID

30959365

Department(s)

Department of Surgery

Document Type

Article

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