Facet Cyst Haematoma in the Lumbar Spine: A Report of Four Cases

Facet Cyst Haematoma in the Lumbar Spine: A Report of Four Cases

We present 4 cases of facet cyst haematoma in the ligamentum flavum of the lumbar spine. All patients presented with a one-to-3-month history of back pain or numbness in the legs, and sudden neurological deterioration. One also developed cauda equina syndrome and another developed radiculopathy. In...

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Main Authors: N Miyatake, T Aizawa, H Hyodo, H Sasaki, T Kusakabe, T Sato
Format: Article
Language:English
Published: SAGE Publishing 2009-04-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/230949900901700118
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spelling doaj-3db3b35d52484134817b34a6a2e4511b2020-11-25T03:16:20ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902009-04-011710.1177/230949900901700118Facet Cyst Haematoma in the Lumbar Spine: A Report of Four CasesN Miyatake0T Aizawa1H Hyodo2H Sasaki3T Kusakabe4T Sato5 Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan Department of Orthopaedic Surgery, Sendai Orthopaedic Hospital, Sendai, Japan Department of Orthopaedic Surgery, Sendai Orthopaedic Hospital, Sendai, Japan Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan Department of Orthopaedic Surgery, Sendai Orthopaedic Hospital, Sendai, JapanWe present 4 cases of facet cyst haematoma in the ligamentum flavum of the lumbar spine. All patients presented with a one-to-3-month history of back pain or numbness in the legs, and sudden neurological deterioration. One also developed cauda equina syndrome and another developed radiculopathy. In all cases, magnetic resonance imaging showed a mass with high signal intensity on both T1- and T2-weighted images. Facet arthrography and computed tomography revealed communication between the mass and the neighbouring facet joint. The haematomas were removed en bloc with the ligamentum flavum. They were surrounded by the ligament and contained degenerated and lacerated elastic fibres but no synovial lining cells. Facet cyst haematoma is so-named because of bleeding from tissue adjacent to the facet joint into a pre-existing facet cyst.https://doi.org/10.1177/230949900901700118
collection DOAJ
language English
format Article
sources DOAJ
author N Miyatake
T Aizawa
H Hyodo
H Sasaki
T Kusakabe
T Sato
spellingShingle N Miyatake
T Aizawa
H Hyodo
H Sasaki
T Kusakabe
T Sato
Facet Cyst Haematoma in the Lumbar Spine: A Report of Four Cases
Journal of Orthopaedic Surgery
author_facet N Miyatake
T Aizawa
H Hyodo
H Sasaki
T Kusakabe
T Sato
author_sort N Miyatake
title Facet Cyst Haematoma in the Lumbar Spine: A Report of Four Cases
title_short Facet Cyst Haematoma in the Lumbar Spine: A Report of Four Cases
title_full Facet Cyst Haematoma in the Lumbar Spine: A Report of Four Cases
title_fullStr Facet Cyst Haematoma in the Lumbar Spine: A Report of Four Cases
title_full_unstemmed Facet Cyst Haematoma in the Lumbar Spine: A Report of Four Cases
title_sort facet cyst haematoma in the lumbar spine: a report of four cases
publisher SAGE Publishing
series Journal of Orthopaedic Surgery
issn 2309-4990
publishDate 2009-04-01
description We present 4 cases of facet cyst haematoma in the ligamentum flavum of the lumbar spine. All patients presented with a one-to-3-month history of back pain or numbness in the legs, and sudden neurological deterioration. One also developed cauda equina syndrome and another developed radiculopathy. In all cases, magnetic resonance imaging showed a mass with high signal intensity on both T1- and T2-weighted images. Facet arthrography and computed tomography revealed communication between the mass and the neighbouring facet joint. The haematomas were removed en bloc with the ligamentum flavum. They were surrounded by the ligament and contained degenerated and lacerated elastic fibres but no synovial lining cells. Facet cyst haematoma is so-named because of bleeding from tissue adjacent to the facet joint into a pre-existing facet cyst.
url https://doi.org/10.1177/230949900901700118
work_keys_str_mv AT nmiyatake facetcysthaematomainthelumbarspineareportoffourcases
AT taizawa facetcysthaematomainthelumbarspineareportoffourcases
AT hhyodo facetcysthaematomainthelumbarspineareportoffourcases
AT hsasaki facetcysthaematomainthelumbarspineareportoffourcases
AT tkusakabe facetcysthaematomainthelumbarspineareportoffourcases
AT tsato facetcysthaematomainthelumbarspineareportoffourcases
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