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Global Spine J. 2014 Aug;4(3):175-8. doi: 10.1055/s-0033-1363591. Epub 2013 Dec 19.

Giant, completely calcified lumbar juxtafacet cyst: report of an unusual case.

Global spine journal

Kevin T Huang, Timothy R Owens, Teresa S Wang, Jessica R Moreno, Jacob H Bagley, Carlos A Bagley

Affiliations

  1. Division of Neurosurgery, Duke University Medical Center, Durham, North Carolina, United States.

PMID: 25083359 PMCID: PMC4111943 DOI: 10.1055/s-0033-1363591

Abstract

Study Design Case report. Objective To report the case of one patient who developed a giant, completely calcified, juxtafacet cyst. Methods A 57-year-old woman presented with a 2-year history of progressively worsening lower back pain, left leg pain, weakness, and paresthesias. Imaging showed a giant, completely calcified mass arising from the left L5-S1 facet joint, with coexisting grade I L5 on S1 anterolisthesis. The patient was treated with laminectomy, excision of the mass, and L5-S1 fixation and fusion. Results The patient had an uncomplicated postoperative course and had complete resolution of her symptoms as of 1-year follow-up. Conclusions When presented with a solid-appearing, calcified mass arising from the facet joint, a completely calcified juxtafacet cyst should be considered as part of the differential diagnosis.

Keywords: case report; complete calcification; juxtafacet cyst; synovial cyst

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