Facet joint synovial cyst

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Back pain.

Patient Data

Age: 45 years
Gender: Female
mri

Osteoarthritis of both facet joints at L5/S1 with a right synovial cyst protruding into the spinal canal and displacing the S1 root.

Lumbar spondylosis with disc lesions.

Bilateral L3-4, left L4-5 and bilateral L5-S1 facet arthropathy.

Case Discussion

Spinal synovial cysts, also known as lumbar extradural cysts, juxtafacet cysts or spinal ganglion cysts, are cystic formations connected to the facet joint and containing synovial fluid. They may result in lumbar radiculopathy in a significant number of cases.

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