A series of 60 juxtafacet cysts: clinical presentation, the role of spinal instability, and treatment.

A series of 60 juxtafacet cysts: clinical presentation, the role of spinal instability, and treatment. Research Abstract Details 

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A series of 60 juxtafacet cysts: clinical presentation, the role of spinal instability, and treatment. Abstract Text:

Laurence A G Marshman,Jonathan C Benjamin,Karoly M David,Andrew King,Sanjiv J Chawda,Laurence A G Marshman,Jonathan C Benjamin,Karoly M David,Andrew King,Sanjiv J Chawda,

Spinal instability may be a cause of juxtafacet cyst formation and the pain and disability that occur after surgical excision of the cyst. To determine the role of instability, a retrospective review of charts identified 60 facet cysts in 56 patients treated over a 6-year period. Three patients developed an asynchronous cyst at the same level but on the opposite side of the previously resected cyst and one patient had a recurrent cyst in the same location. Forty-one cysts were present in patients with radiculopathy and 16 in patients with neurogenic claudication. Two patients presented with myelopathy and one had cauda equina syndrome. Thirty-six of the 60 cysts were located at L4-5, the most mobile segment. Fifteen patients had spondylolisthesis, of whom two experienced worsening spondylolisthesis postoperatively. Seven patients had scoliosis and 20 had systemic arthritis. Fifty-five cysts were resected via mesial facetectomy. Six of the patients undergoing this procedure had transverse process fusions at initial surgery for preoperative instability. Two others required fusion for post-operative instability and increased spondylolisthesis. Follow-up review was available in 95% of patients with an average duration of 12 months. Forty patients had excellent relief of symptoms, 12 had occasional back pain, and one patient did poorly. Flexion/extension views of the spine are recommended both pre- and postoperatively to identify the need for fusion in patients with juxtafacet cysts.

A series of 60 juxtafacet cysts: clinical presentation, the role of spinal instability, and treatment. Publishing Authors By Initials

LA Marshman,JC Benjamin,KM David,A King,SJ Chawda,LA Marshman,JC Benjamin,KM David,A King,SJ Chawda,

For similar nervous system diseases: central nervous system diseases: spinal cord diseases research abstracts see: nervous system diseases: central nervous system diseases: spinal cord diseases research

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A series of 60 juxtafacet cysts: clinical presentation, the role of spinal instability, and treatment. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of neurosurgery

VOLUME: 85

Page Numbers: 560-5

Journal Abbreviation: J. Neurosurg.

ISSN: 0022-3085

DAY: 11

MONTH: Oct

YEAR: 1996

A series of 60 juxtafacet cysts: clinical presentation, the role of spinal instability, and treatment. Information

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LANGUAGE: eng

NlmUniqueID: 253357

A series of 60 juxtafacet cysts: clinical presentation, the role of spinal instability, and treatment. Keywords Mesh Terms:

KEYWORDS: Spinal Cord Diseases

MESH TERMS: surgery

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Grant and Affiliation Information for A series of 60 juxtafacet cysts: clinical presentation, the role of spinal instability, and treatment.

AFFILIATION: Department of Neurological Surgery, University of Illinois College of Medicine at Peoria, USA.

Country: UNITED STATES

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MEDLINETA: J Neurosurg

REFSOURCE: J Neurosurg. 2007 Nov;107(5):1062-3

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