Harvinder Bhatti
State Medical University, United StatesTitle: Lumbar Facet Joint Cyst Treated With Decompression and Interlaminar Stabilization
Abstract
Spinal facet joint cysts (FJCs) are an increasingly reported cause of lower back pain, radiculopathy, and
neurological deficits owing to their proximity to adjacent nerve roots. The etiology of these cysts has not yet
been fully elucidated, although they appear to be related to degenerative changes in the facet joints
themselves. Conservative management strategies including physical therapy and oral analgesics rarely
result in spontaneous regression of an FJC, often providing only short-term relief. The current treatment
modalities reported for FJCs generally range from percutaneous cyst aspiration to decompression surgery
with or without instrumented spinal fusion. However, instrumented fusion often results in a higher rate of
complications such as pseudoarthrosis and adjacent segment disease. The Coflex® (Paradigm Spine, LLC,
New York, NY) interlaminar stabilization (ILS) implant is a novel titanium, U-shaped device which acts as a
motion-preserving stabilizer and has proven to be a viable alternative to instrumental fusion. Here, we
discuss a case of an FJC treated with both decompression and placement of a Coflex ILS device.
Biography
Harvinder Bhatti, State Medical University, United States
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