149x Filetype PPTX File size 1.81 MB Source: strtn.org
OBJECTIVE: To study the results of facet joint intraarticular steroid injections in a patient with symptomatic lumbar facet joint synovial cysts developped in intra ductal. INTRODUCTION Facet joint synovial cyst is an Expansion of the joint capsule and synovium into the spinal canal By definition it communicates with the adjacent joint The average age when it occured is 60 years It‘s a rare cause of radicular pain Clinical signs are unilateral nerve root or radicular claudication bilateral lower Is easily diagnosed by new medical imaging modalities Image-guided percutaneous steroid injections presents often an effective alternative to surgery CASE REPORT The patient is a 59-years woman Without individual medical history outside of an overweight complaining of low back sciatica type left L5, associated with a left cruralgia, refractory to medical treatment EXPLORATION BY IMAGING Radiographs of the lumbosacral spine : a degenerative spinal disco, more advanced at L4-L5 segment, associated with a degenerative Low- grade isthmic spondylolisthesis. The CT scan : an intra ductal synovial cyst, next to the left posterior facet joint L4-L5, measuring 2cm long axis, which causes a conflict with the L5 root at its emergence, and L4 ipsilateral root. THERAPEUTIC MANAGEMENT A well conducted medical treatment with rest did not lead to a favorable outcome. A surgical treatment proposed refused by the patient She was entrusted to us for a percutaneous treatment
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