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A Journal on Surgery

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Chirurgia 2011 April;24(2):89-92

language: English

Juxtafacet joint cysts: report of 2 cases and literature review

Voulgaris S. 1, Alexiou G. A. 1, Fotakopoulos G. 1, Zigouris A. 1, Goussia A. 2, Lampri E. 2, Mihos E. 1, Savanis G. 1, Pahatouridis D. 1

1 Department of Neurosurgery, University Hospital of Ioannina, Ioannina, Greece
2 Department of Pathology, University Hospital of Ioannina, Ioannina, Greece


Aim. Juxtafacet joint cysts (JFCs) are rare entities associated with spinal facet joints and are commonly found in the lumbar spine. Herewith we report on two cases of JFCs causing radiculopathy.
Methods. Two patients presented in our institute with lumbar radiculopathy. Computed tomography and magnetic resonance imaging revealed an intraspinal mass. Due to the diagnostic uncertainty and patient’s clinical deterioration, we decided to surgically excise the lesions.
Results. The patients were operated upon and total excision of the lesion was performed. Histopathology revealed in both cases the presence of a JFC. On follow-up examinations the patients remained symptom free.
Conclusion. Neurosurgeons should be aware of JFCs because they can mimic the symptoms of herniated discs, whereas intraoperative can easily collapse and missed.

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