Synovial cyst of spinal facet

1974 ◽  
Vol 41 (3) ◽  
pp. 372-376 ◽  
Author(s):  
Chun C. Kao ◽  
Stefan S. Winkler ◽  
J. H. Turner
Keyword(s):  
Facet Joint ◽  
Synovial Cyst ◽  
Cervical Disc ◽  
Content Type ◽  
Synovial Cysts ◽  
Extradural Cyst ◽  
Cervical Facet ◽  
Cervical Facet Joint ◽  
Herniated Cervical Disc ◽  
Fine Print

✓The authors report a case in which a true synovial cyst was found attached to a cervical facet joint. The differential diagnosis involving herniated cervical disc as well as other types of extradural cyst is discussed. The anatomically oriented term “juxta-facet cyst” is proposed to include both ganglion and synovial cysts seen in this area.

Hematogenous pyogenic facet joint infection of the subaxial cervical spine

2001 ◽  
Vol 95 (1) ◽  
pp. 135-138 ◽  
Author(s):  
Anthony J. Muffoletto ◽  
Remi Nader ◽  
Richard M. Westmark ◽  
Haring J. W. Nauta ◽  
Kim J. Garges ◽  
...  
Keyword(s):  
Epidural Abscess ◽  
Facet Joint ◽  
Joint Infection ◽  
Tissue Formation ◽  
Granulation Tissue Formation ◽  
Content Type ◽  
Joint Infections ◽  
Cervical Facet ◽  
Cervical Facet Joint ◽  
Fine Print

✓ Two cases of hematogenous, pyogenic, subaxial cervical facet joint infection are reported, and the literature is reviewed. Infection of the cervical facet joint is a rarely diagnosed condition; only one case has been reported in the literature. Lumbar facet joint infections are also rare but more commonly reported. Approximately one fourth of facet joint infections in the lumbar spine are complicated by epidural abscess formation, which can lead to a neurological deficit. Because of the paucity of reports on cervical facet joint infections, the clinical characteristics of this entity are not well known. Both patients presented with an acute onset of unilateral neck pain that radiated into the ipsilateral shoulder. Frank radicular pain was initially absent. Unilateral upper-extremity motor weakness that was attributed to associated epidural abscess or granulation tissue formation was also demonstrated in both patients. Leukocyte count and erythrocyte sedimentation rate were elevated in both cases. Magnetic resonance imaging was necessary to obtain an accurate diagnosis. Staphylococcus aureus was identified as the offending pathogen in both cases. Decompressive surgery and antibiotic therapy were required to cure the condition. One patient recovered completely and the other sustained a permanent motor deficit. Hematogenous cervical facet joint infection is a rare clinical entity that has many characteristics in common with the more-common lumbar homolog. All three reported cases, however, have been complicated by epidural abscess or granulation tissue formation that has led to a neurological deficit. This finding suggests that a facet joint infection in the cervical spine may have a less benign clinical course than that in the lumbar spine.

Localized cervical facet joint kinematics under physiological and whiplash loading

2005 ◽  
Vol 3 (6) ◽  
pp. 471-476 ◽  
Author(s):  
Brian D. Stemper ◽  
Narayan Yoganandan ◽  
Thomas A. Gennarelli ◽  
Frank A. Pintar
Keyword(s):  
Facet Joint ◽  
Human Head ◽  
Facet Joints ◽  
Synovial Joint ◽  
Joint Injury ◽  
Content Type ◽  
Joint Motions ◽  
Cervical Facet ◽  
Cervical Facet Joint ◽  
Fine Print

Object. Although facet joints have been implicated in the whiplash injury mechanism, no investigators have determined the degree to which joint motions in whiplash are nonphysiological. The purpose of this investigation was to quantify the correlation between facet joint and segmental motions under physiological and whiplash loading. Methods. Human cadaveric cervical spine specimens were exercise tested under physiological extension loading, and intact human head-neck complexes were exercise tested under whiplash loading to correlate the localized component motions of the C4–5 facet joint with segmental extension. Facet joint shear and distraction kinematics demonstrated a linear correlation with segmental extension under both loading modes. Facet joints responded differently to whiplash and physiological loading, with significantly increased kinematics for the same-segmental angulation. The limitations of this study include removal of superficial musculature and the limited sample size for physiological testing. Conclusions. The presence of increased facet joint motions indicated that synovial joint soft-tissue components (that is, synovial membrane and capsular ligament) sustain increased distortion that may subject these tissues to a greater likelihood of injury. This finding is supported by clinical investigations in which lower cervical facet joint injury resulted in similar pain patterns due to the most commonly reported whiplash symptoms.

Malformation of a cervical facet joint with inclusion of an arthrolith

1994 ◽  
Vol 80 (4) ◽  
pp. 745-747 ◽  
Author(s):  
Franz Jürgen Prestar ◽  
Peter C. Potthoff
Keyword(s):  
Nerve Root ◽  
Facet Joint ◽  
Content Type ◽  
Cervical Facet ◽  
Cervical Facet Joint ◽  
Fine Print

✓ The authors present the case of a 49-year-old man with an isolated malformation of the left cervical facet joint at C5–6, with secondary spondylarthrotic hypertrophy of the joint leading to involvement of the C-6 nerve root. The etiology of this cervical joint malformation is discussed.

Synovial Cyst of a Cervical Facet Joint: Case Report

Neurosurgery ◽  
1985 ◽  
Vol 16 (6) ◽  
pp. 850-852 ◽  
Author(s):  
Mont J. Cartwright ◽  
Daniel G. Nehls ◽  
Carlos A. Carrion ◽  
Robert F. Spetzler
Keyword(s):  
Case Report ◽  
Facet Joint ◽  
Spastic Paraparesis ◽  
Synovial Cyst ◽  
Cervical Spine Fracture ◽  
Lumbar Region ◽  
Synovial Cysts ◽  
Cervical Facet ◽  
Cervical Facet Joint ◽  
Satisfactory Recovery

Abstract Intraspinal synovial cysts are rare. Those reported have occurred in the lumbar region. We report a case of an extradural true synovial cyst of the cevical spine causing spastic paraparesis. The cyst occurred after a cervical spine fracture and, hence, was probably related to trauma. Surgical therapy resulted in a satisfactory recovery.

Synovial cyst of a cervical facet joint

Neurosurgery ◽  
1985 ◽  
Vol 16 (6) ◽  
pp. 850???2 ◽  
Author(s):  
M J Cartwright ◽  
D G Nehls ◽  
C A Carrion ◽  
R F Spetzler
Keyword(s):  
Facet Joint ◽  
Synovial Cyst ◽  
Cervical Facet ◽  
Cervical Facet Joint

A posttraumatic lumbar spinal synovial cyst

1987 ◽  
Vol 66 (2) ◽  
pp. 293-296 ◽  
Author(s):  
Joel I. Franck ◽  
Robert B. King ◽  
George R. Petro ◽  
Michael D. Kanzer
Keyword(s):  
Preoperative Diagnosis ◽  
Ligamentum Flavum ◽  
Facet Joint ◽  
Synovial Cyst ◽  
Content Type ◽  
Lumbar Spinal ◽  
Fine Print

✓ A patient with posttraumatic lumbar radicular paresthesias is presented. The preoperative diagnosis of an epidural synovial cyst was considered. At surgery, an epidural synovial microcystic mass was found emanating from a distracted L4-5 facet joint and dissecting into the layers of the ligamentum flavum. A brief review of the condition is presented.

scholarly journals Three-dimensional spiral CT observation of the facet joints of the lower cervical spine and its clinical significance

2021 ◽  
Author(s):  
Qiu An Wang ◽  
Chong Guo ◽  
Ma Ji Sun ◽  
Feng Yuan
Keyword(s):  
Cervical Spine ◽  
Clinical Significance ◽  
Facet Joint ◽  
Spiral Ct ◽  
Cervical Disc ◽  
Joint Interface ◽  
Facet Joints ◽  
Left And Right ◽  
Cervical Facet ◽  
Cervical Facet Joint

Abstract Objective By observing the 3D anatomy of normal adult cervical facet joints, using the picture archiving and communication system to measure its 3D parameters and discussing its clinical significance, the aim of this study was to provide a reliable morphological basis for the design and manufacture of lower cervical facet joint interface distractors. Methods We selected 200 patients who underwent cervical spine 3D spiral computed tomography (CT) examination in the imaging department of our hospital from September 2019 to May 2020 and whose spiral CT images showed no cervical spinal canal stenosis, cervical disc herniation, obvious bone hyperplasia, or infection. The anterior and posterior diameters of the facet joints on both sides of the cervical spine, the space between the joints, and the left and right diameters were measured on the sagittal, cross-sectional and coronal planes after reconstruction with 3D spiral CT. Results The anterior and posterior diameters of the facet joints of the cervical spine, the space between the joints, and the left and right diameters all increased from top to bottom along the cervical spine. The 3D parameters of the C2-3~C6-7 segments were significantly different between the male and female groups. Conclusion The anteroposterior diameter, joint space interval, and left and right diameter of cervical facet joints are different in each segment and between the sexes. The lower cervical facet joint interface fusion device designed according to the measurement results can fully meet the needs of most patients.

Intradural herniated cervical disc

1982 ◽  
Vol 57 (2) ◽  
pp. 278-280 ◽  
Author(s):  
José M. Roda ◽  
Cesáreo Gonzalez ◽  
Martín G. Blázquez ◽  
Marcelino P. Alvarez ◽  
Cesar Arguello
Keyword(s):  
Unusual Case ◽  
Cervical Disc ◽  
Content Type ◽  
Pathogenic Factors ◽  
Herniated Cervical Disc ◽  
Fine Print

✓ An unusual case is presented in which a fragment of cervical disc was found within the dura. The literature has been reviewed and only two similar cases, which are described, have been found. The pathogenic factors of the lesion are discussed.

Radicular pain caused by synovial cyst: an underdiagnosed entity in the elderly?

2000 ◽  
Vol 92 (1) ◽  
pp. 57-60 ◽  
Author(s):  
Dhany R. Charest ◽  
Brendan G. Kenny
Keyword(s):  
Preoperative Diagnosis ◽  
World Literature ◽  
The Elderly ◽  
Synovial Cyst ◽  
Radicular Pain ◽  
Age Group ◽  
Content Type ◽  
The World ◽  
Synovial Cysts ◽  
Fine Print

Object. Synovial cyst is a recognized but infrequent cause of nerve root or spinal canal compression. The authors undertook a review of 839 decompressive spinal procedures performed over a 5-year period. They found seven cases in which the symptoms were caused by synovial cysts. Methods. Six of these cases were in a subgroup of 80 patients who were older than 60 years of age, which represents 7.5% of the total for this age group. More than 200 cases of this abnormality have been reported in the world literature, but the incidence, prevalence, and natural history remain unknown. Conclusions. The authors propose that the incidence of synovial cysts may be more common than recognized in the elderly and suggest that preoperative diagnosis may help limit the extent of the surgical approach.

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