Global Spine J 2014; 04(03): 175-178
DOI: 10.1055/s-0033-1363591
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Giant, Completely Calcified Lumbar Juxtafacet Cyst: Report of an Unusual Case

Kevin T. Huang1, Timothy R. Owens1, Teresa S. Wang1, Jessica R. Moreno1, Jacob H. Bagley1, Carlos A. Bagley1
  • 1Division of Neurosurgery, Duke University Medical Center, Durham, North Carolina, United States
Further Information

Publication History

04 December 2012

11 November 2013

Publication Date:
19 December 2013 (eFirst)

Abstract

Study Design Case report.

Objective To report the case of one patient who developed a giant, completely calcified, juxtafacet cyst.

Methods A 57-year-old woman presented with a 2-year history of progressively worsening lower back pain, left leg pain, weakness, and paresthesias. Imaging showed a giant, completely calcified mass arising from the left L5–S1 facet joint, with coexisting grade I L5 on S1 anterolisthesis. The patient was treated with laminectomy, excision of the mass, and L5–S1 fixation and fusion.

Results The patient had an uncomplicated postoperative course and had complete resolution of her symptoms as of 1-year follow-up.

Conclusions When presented with a solid-appearing, calcified mass arising from the facet joint, a completely calcified juxtafacet cyst should be considered as part of the differential diagnosis.