• Spine J · Jul 2005

    Case Reports

    Hemorrhagic lumbar synovial facet cyst secondary to anticoagulation therapy.

    • Jason C Eck and Steven J Triantafyllou.
    • Department of Orthopaedic Surgery, Memorial Hospital, 325 S, Belmont Avenue, York, PA 17403, USA. jason-laurie@suscom.net
    • Spine J. 2005 Jul 1;5(4):451-3.

    Background ContextAcute onset of radicular symptoms has been reported following hemorrhage into lumbar synovial cysts after trauma or in cases of spinal instability. No previous cases have been linked to anticoagulation therapy.PurposeTo present a case of symptomatic hemorrhagic lumbar synovial cyst occurring after anticoagulation therapy.Study DesignA case report and review of the literature.MethodsA patient presented with low back and radicular pain secondary to a large synovial facet cyst. Magnetic resonance imaging revealed a large facet cyst compressing the thecal sac and L3 exiting nerve root.ResultsThe synovial cyst was excised during a lumbar decompression and fusion. Gross blood was present in the cyst.ConclusionsThis is the first reported case of symptomatic hemorrhagic lumbar facet cyst associated with anticoagulation therapy.

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