title: Surgical management of Juxtafacet cysts in the lumbar spine.
abstract: BACKGROUND
  Juxtafacet cysts of the lumbar spine are extradural degenerative lesions associated with symptoms of lower back pain and radiculopathy. The aim of this study is to evaluate the efficacy of surgery and address controversial issues in the treatment of symptomatic juxta facet cysts in the Neurosurgical Department of our hospital and review of the literature.
  
  
  METHODS
  Data from seven patients (age range 58-68 years, mean age 63 years) with low back and radicular leg pain due to a lumbar facet joint cyst were retrospectively analyzed. Demographic data, cyst level, presence of concominant local pathology, treatment and results of treatment were recorded. After surgery there was no case of a recurrent cyst during the follow-up period. The mean follow-up period of patients at the time of this study was 4 years.
  
  
  RESULTS
  All patients had back pain, while five also experienced unilateral radicular leg pain and two had bilateral leg pain. Four patients had neurogenic claudication. MRI identified the cyst and highlighted underlying pathology in all cases. All patients underwent surgical cyst excision. Post-operatively, all patients showed a total resolution of symptoms with sustained benefit at final evaluation.
  
  
  CONCLUSIONS
  Surgery is a safe and effective treatment for lumbar juxtafacet cysts.
authors.affiliation: Department of Neurosurgery, İzmir Training and Research Hospital, İzmir, Turkey. Electronic address: alayurt@superonline.com.
authors.forename: Alaattin
authors.initials: A
authors.lastname: Yurt
authors.affiliation: Department of Neurosurgery, Şehit Kamil Devlet Hastenesi, Gaziantep, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Seçer
authors.affiliation: Department of Neurosurgery, İzmir Training and Research Hospital, İzmir, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Aydın
authors.affiliation: Department of Neurosurgery, İzmir Training and Research Hospital, İzmir, Turkey.
authors.forename: Emrah
authors.initials: E
authors.lastname: Akçay
authors.affiliation: Department of Neurosurgery, İzmir Training and Research Hospital, İzmir, Turkey.
authors.forename: Ali Rıza
authors.initials: AR
authors.lastname: Ertürk
authors.affiliation: Department of Neurosurgery, İzmir Training and Research Hospital, İzmir, Turkey.
authors.forename: İsmail
authors.initials: İ
authors.lastname: Akkol
authors.affiliation: Department of Neurosurgery, İzmir Training and Research Hospital, İzmir, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Yılmaz
authors.affiliation: Department of Neurosurgery, İzmir Training and Research Hospital, İzmir, Turkey.
authors.forename: Mahmut Necdet
authors.initials: MN
authors.lastname: Palaz
mesh_terms: D000328:Adult; D000368:Aged; D003560:Cysts / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg; D017116:Low Back Pain / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011843:Radiculopathy / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D013122:Spinal Diseases / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome; D021801:Zygapophyseal Joint / Q000601:surgery
keywords: Facet joint; Ganglion cyst; Juxtafacet cyst; Surgical treatment; Synovial cyst