• Cardiovasc Intervent Radiol · Jan 2016

    Case Reports

    Percutaneous Facet Screw Fixation in the Treatment of Symptomatic Recurrent Lumbar Facet Joint Cyst: A New Technique.

    • Nicolas Amoretti, Giacomo Gallo, Anne-Sophie Bertrand, Robert L Bard, and Alexis Kelekis.
    • Centre Hospitalier Universitaire de Nice, Nice, France. amorettinicolas@yahoo.fr.
    • Cardiovasc Intervent Radiol. 2016 Jan 1; 39 (1): 127-31.

    AbstractWe present a case of percutaneous treatment of symptomatic recurrent lumbar facet joint cyst resistant to all medical treatments including facet joint steroid injection. Percutaneous transfacet fixation was then performed at L4-L5 level with a cannulated screw using CT and fluoroscopy guidance. The procedure time was 30 min. Using the visual analog scale (VAS), pain decreased from 9.5, preoperatively, to 0 after the procedure. At 6-month follow-up, an asymptomatic cystic recurrence was observed, which further reduced at the 1-year follow-up. Pain remained stable (VAS at 0) during all follow-ups. CT- and fluoroscopy-guided percutaneous cyst rupture associated with facet screw fixation could be an alternative to surgery in patients suffering from a symptomatic recurrent lumbar facet joint cyst.

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