Multiple Loose Bodies in the Lumbar Facet Joint: Case Report

DOI Web Site 参考文献11件
  • Yamasaki Yuhei
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan
  • Tezuka Fumitake
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan
  • Yamashita Kazuta
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan
  • Takata Yoichiro
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan
  • Sakai Toshinori
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan
  • Maeda Toru
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan
  • Sairyo Koichi
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan

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抄録

<p>We describe here a patient diagnosed with multiple loose bodies in the lumbar facet joint. The patient was a 52-year-old woman who presented with left sciatic pain. Neurological findings indicated L5 radiculopathy. Radiological findings revealed lateral recess stenosis at the L4–L5 level, and loose bodies in the left L4–L5 facet joint were noted that compressed the left L5 nerve root. We performed laminotomy at the left L4–L5 level, and removed five loose bodies located on the dorsal side of the ligamentum flavum. Following removal of the loose bodies and flavectomy, the L5 nerve root was decompressed. Postoperatively, the patient’s symptoms improved markedly. Symptomatic multiple loose bodies in the lumbar facet joint are very rare, and can cause lumbar radiculopathy. It is important for spine surgeons to recognize this pathology.</p>

収録刊行物

  • NMC Case Report Journal

    NMC Case Report Journal 6 (3), 79-81, 2019

    一般社団法人 日本脳神経外科学会

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