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KMID : 0363120150280040275
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Korean Journal of Pain
2015 Volume.28 No. 4 p.275 ~ p.279
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Epiduroscopic Removal of a Lumbar Facet Joint Cyst
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Jin Hyun-Seung
Bae Jun-Yeol
In Chi-Bum
Choi Eun-Joo
Lee Pyung-Bok
Francis Sahngun Nahm
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Abstract
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Facet joint synovial cysts are usually associated with osteoarthritis of the adjacent facet joint and/or spondylolisthesis. In between the conservative and operative ends of the treatment spectrum lie minimally invasive techniques such as cyst rupture using epiduroscopy. In this report, we describe an 82-year-old male patient presenting with low back pain radiating to his lower left extremity and associated paresthesia. Magnetic resonance imaging of the lumbar spine revealed a synovial cyst at left L4/5 facet joint. Using epiduroscopy, the cyst was mechanically ruptured by popping it with the tip of the scope. The patient remained symptom-free at his successive visits until 12 months after the procedure, and was opened for desired follow up.
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KEYWORD
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Cyst, Epiduroscopy, Low back pain, Minimally invasive procedures, Therapy, Zygapophyseal joint
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