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L5 Root Compression Due to Facet Synovial Cyst

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L5 Root Compression Due to Facet Synovial Cyst. Rev Med Clin [Internet]. 2020 Sep. 1 [cited 2024 May 19];4(3):e01092004006. Available from: https://medicinaclinica.org/index.php/rmc/article/view/227

Abstract

Introduction: Low back pain with root compression represents a symptomatology frequently seen in the rehabilitation departments. Lumbar synovial facetary cysts are rare, being lesions related with facet joints degenerations. Its predominant location is at L4-L5 level, magnetic resonance imaging is the choice method for its diagnosis. Surgery is the best alternative if there is persistent pain and neurological
symptoms. Case Report: A 51-year-old female patient, without a history of interest, who went to the Rehabilitation consultation with three-month L5 root compression evolution, which did not respond to the prescribed pharmacological treatment. Whit L4/L5 synovial cyst diagnosed by magnetic resonance, She was sent to Neurosurgery, performing hemilaminectomy and cystectomy and rehabilitation program, discharging asymptomatic patient. Conclusion: Low back pain due to root compression due to facet synovial cyst is rare, however it must
be part of the differential diagnosis.

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