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Development of Bilateral Facet Cysts Causing Recurrent Symptoms After Decompression and the Placement of an Intralaminar Implant

A Case Report

Kleck, Christopher J., MD1,a; Burger, Evalina L., MD1

doi: 10.2106/JBJS.CC.17.00009
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Case: We report the development of bilateral symptomatic facet joint cysts in a 78-year-old man who had been treated with decompression and placement of a coflex device (Paradigm Spine) at L3-L4 and L4-L5. Preoperative imaging clearly demonstrated fluid in the facet joints without cysts. He underwent standard surgical treatment, but developed symptomatic facet joint cysts at 4 months postoperatively. The patient was treated with a revision decompression and replacement of the devices; there were no issues at the 32-month follow-up.

Conclusion: While the coflex device has possible long-term biomechanical advantages, vigilance with adherence to appropriate decompression surgical technique is necessary.

1Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, Colorado

aE-mail address for C.J. Kleck: christopher.kleck@ucdenver.edu

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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