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Management of lumbar spine juxtafacet cysts.
World Neurosurg. 2012 Jan; 77(1):141-6.WN

Abstract

OBJECTIVE

We review a series of 21 patients with lumbar juxtafacet cysts (LJFCs) treated in two institutions.

METHODS

The charts of 21 patients with a diagnosis of LJFCs during a 6- year period, January 2001 to December 2006, treated at Hamad Hospital, Doha, Qatar, and El Ribat University Hospital, Khartoum, Sudan, were reviewed. Demographic data, clinical and imaging findings, management, and outcome were reviewed.

RESULTS

Twenty-one patients with 23 LJFCs were identified (14 men, 7 women) with a mean age of 54 years. All presented with back pain and radicular symptoms. Ten patients presented with neurogenic claudication due to spinal canal stenosis. All had magnetic resonance imaging and dynamic spine radiographs. Fourteen LJFCs were found at L4-5 level, 8 at L5-S1 level, and 1 at L3-4 level. Three patients had sustained improvement with conservative treatment and 17 patients underwent surgical management, mainly through a microsurgical approach. Nine of 10 patients with lumbar canal stenosis underwent decompressive laminectomy; one patient refused treatment. One patient with bilateral LJFCs and mobile spondylolisthesis underwent spinal fusion. All patients, except one, were followed up for a period of 12-72 months.

CONCLUSIONS

LJFCs may lead to symptoms similar to degenerative disc disease. Surgery is reserved for symptomatic patients who do not improve satisfactorily with conservative treatment. The microsurgical approach is our preferred surgical method and spinal fusion should be reserved for patients with spinal instability. Long-term outcome with surgical treatment appears satisfactory.

Authors+Show Affiliations

Neuro Spine Center, El Ribat University Hospital, Khartoum, Sudan. fatihbashir@gmail.comNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22405394

Citation

Bashir, El Fatih, and Olufemi Ajani. "Management of Lumbar Spine Juxtafacet Cysts." World Neurosurgery, vol. 77, no. 1, 2012, pp. 141-6.
Bashir el F, Ajani O. Management of lumbar spine juxtafacet cysts. World Neurosurg. 2012;77(1):141-6.
Bashir, e. l. . F., & Ajani, O. (2012). Management of lumbar spine juxtafacet cysts. World Neurosurgery, 77(1), 141-6. https://doi.org/10.1016/j.wneu.2011.06.034
Bashir el F, Ajani O. Management of Lumbar Spine Juxtafacet Cysts. World Neurosurg. 2012;77(1):141-6. PubMed PMID: 22405394.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of lumbar spine juxtafacet cysts. AU - Bashir,El Fatih, AU - Ajani,Olufemi, PY - 2011/01/23/received PY - 2011/05/14/revised PY - 2011/06/23/accepted PY - 2012/3/13/entrez PY - 2012/3/13/pubmed PY - 2012/4/28/medline SP - 141 EP - 6 JF - World neurosurgery JO - World Neurosurg VL - 77 IS - 1 N2 - OBJECTIVE: We review a series of 21 patients with lumbar juxtafacet cysts (LJFCs) treated in two institutions. METHODS: The charts of 21 patients with a diagnosis of LJFCs during a 6- year period, January 2001 to December 2006, treated at Hamad Hospital, Doha, Qatar, and El Ribat University Hospital, Khartoum, Sudan, were reviewed. Demographic data, clinical and imaging findings, management, and outcome were reviewed. RESULTS: Twenty-one patients with 23 LJFCs were identified (14 men, 7 women) with a mean age of 54 years. All presented with back pain and radicular symptoms. Ten patients presented with neurogenic claudication due to spinal canal stenosis. All had magnetic resonance imaging and dynamic spine radiographs. Fourteen LJFCs were found at L4-5 level, 8 at L5-S1 level, and 1 at L3-4 level. Three patients had sustained improvement with conservative treatment and 17 patients underwent surgical management, mainly through a microsurgical approach. Nine of 10 patients with lumbar canal stenosis underwent decompressive laminectomy; one patient refused treatment. One patient with bilateral LJFCs and mobile spondylolisthesis underwent spinal fusion. All patients, except one, were followed up for a period of 12-72 months. CONCLUSIONS: LJFCs may lead to symptoms similar to degenerative disc disease. Surgery is reserved for symptomatic patients who do not improve satisfactorily with conservative treatment. The microsurgical approach is our preferred surgical method and spinal fusion should be reserved for patients with spinal instability. Long-term outcome with surgical treatment appears satisfactory. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/22405394/Management_of_lumbar_spine_juxtafacet_cysts_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1878-8750(11)00809-6 DB - PRIME DP - Unbound Medicine ER -