Janjua M Burhan, Smith Michael L, Shenoy Kartik, Kim Yong H, Razi Afshin E
1Department of Orthopedic Surgery, 2Department of Neurological Surgery, New York University Langone Medical Center Hospital for Joint Diseases, New York, NY, USA.
J Spine Surg. 2017 Jun;3(2):294-299. doi: 10.21037/jss.2017.06.12.
Spinal cord compression due to synovial facet cyst in thoracolumbar spine is rare. Several etiologies of juxtafacet cysts (JFCs) in this location have been discussed, particularly overload of the arthritic facet joints. Due to the narrow caliber of the thoracic spine, JFC in this location can present with radicular pain or progressive myelopathy. We report an interesting case of a 67 year-old woman who presented with the signs and symptoms of thoracic myelopathy. A left-sided T11/12 JFC was identified on MRI and CT scans correlating with her myelopathy. She experienced a substantial improvement in her myelopathic symptoms after surgical excision of the JFC. The presentation, etiology, and therapeutic aspects of JFC are discussed in detail.
胸腰椎滑膜小关节囊肿导致的脊髓压迫较为罕见。关于该部位毗邻小关节囊肿（JFCs）的几种病因已被讨论，特别是关节炎性小关节的负荷过重。由于胸椎管径狭窄，该部位的JFC可表现为神经根性疼痛或进行性脊髓病。我们报告了一例有趣的病例，一名67岁女性出现了胸段脊髓病的体征和症状。MRI和CT扫描发现左侧T11/12 JFC，与她的脊髓病相关。在手术切除JFC后，她的脊髓病症状有了显著改善。本文详细讨论了JFC的临床表现、病因及治疗方面。
