Efficacy of conservative treatment for Lumbar Juxta-Facet Cyst (LJFC)

DOI

Bibliographic Information

Other Title
  • 腰椎椎間関節近傍囊腫に対する保存療法の有効性について

Abstract

<p>Introduction: The lumbar juxta-facet cyst (LJFC) reportedly affects 1.7% of patients who undergo magnetic resonance imaging (MRI) examination for lower back pain. Owing to the high risk of LJFC recurrence, the intervertebral arthrodesis was selected for surgery in the absence of conservative treatment. In our hospital, patients with LJFC were treated with facet block (FB) and selective nerve root block before surgery. We retrospectively reported the outcomes of these nonsurgical treatments and investigated their effectiveness factors.</p><p>Methods: A total of 59 patients with LJFC diagnosed by MRI or myelo-computed tomography and treated conservatively at our hospital since 2014 were included in the study. The patients who did not undergo surgery were considered to be effectively treated by conservative treatment. Conversely, conservative treatment was considered ineffective on patients who underwent surgery. The effectiveness factors of conservative treatment were also examined.</p><p>Results: The conservative treatment was effective in 34 cases (58%). Additionally, it was significantly effective in patients with high signal inside the cyst on T2-weighted images and mild symptoms after FB alone.</p><p>Conclusions: A prior minimally invasive conservative treatment for LJFC before surgery is important.</p>

Journal

  • Journal of Spine Research

    Journal of Spine Research 15 (4), 707-712, 2024-04-20

    The Japanese Society for Spine Surgery and Related Research

Keywords

Details 詳細情報について

  • CRID
    1390862853908520960
  • DOI
    10.34371/jspineres.2024-0404
  • ISSN
    24351563
    18847137
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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