Presentation
Back pain.
Patient Data
Age: 80 years
Gender: Female
From the case:
Synovial cyst from degenerative facet joint disease
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Laminectomy and spinal fixation at L3-S1 levels, multilevel reduced disc height/hydration with normal vertebral alignment.
L2-3 level: diffuse disc bulge minimally indenting the thecal sac, bilateral facet joint arthropathy with effusion and facet joint hypertrophy, and right-sided 10 x 8 mm facet joint synovial cyst encroaching on the thecal sac displacing it into the left side abutting the traversing nerve roots and causing right lateral recess stenosis and lumbar foraminal stenosis.
Bilateral renal cysts.
Case Discussion
Facet joint arthropathy can cause local pain at its level and referred pain felt at the buttocks, thighs, and hips.
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