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picture1_Report Ppt 71031 | Uxjrdx 183215


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File: Report Ppt 71031 | Uxjrdx 183215
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 ...

icon picture PPTX Filetype Power Point PPTX | Posted on 30 Aug 2022 | 3 years ago
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        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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...Objective to study the results of facet joint intraarticular steroid injections in a patient with symptomatic lumbar synovial cysts developped intra ductal introduction cyst is an expansion capsule and synovium into spinal canal by definition it communicates adjacent average age when occured years s rare cause radicular pain clinical signs are unilateral nerve root or claudication bilateral lower easily diagnosed new medical imaging modalities image guided percutaneous presents often effective alternative surgery case report woman without individual history outside overweight complaining low back sciatica type left l associated cruralgia refractory treatment exploration radiographs lumbosacral spine degenerative disco more advanced at segment grade isthmic spondylolisthesis ct scan next posterior measuring cm long axis which causes conflict its emergence ipsilateral therapeutic management well conducted rest did not lead favorable outcome surgical proposed refused she was entrusted us ...

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