TITLE:
Lumbar Facet Cyst Causing S1 Radiculopathy with Concomittent Acute on Chronic Cervical Prolapse Intervertebral Disc, a Rare Case Report
AUTHORS:
Tan Wei How, Ed. Simor Khan
KEYWORDS:
Endoscopic Cervical Discectomy, Prolapse Intervertebral Disc, Facet Cyst, Radiculopathy, Minimally Invasive Spine Surgery
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.9 No.7,
July
15,
2021
ABSTRACT: Tandem spinal stenosis is described as concurrent symptomatic cervical and lumbar spinal stenosis. The clinical presentation includes neurogenic claudication, gait disturbance, myelopathy and polyradicuopathy in both upper and lower limbs. A 43-year-old female presented with predominant low back pain with right S1 radiculopathy leading to diagnosis of synovial facet cyst of lumbar spine. She was managed surgically after medical treatment failed. After 1 week post operatively, she presented with severe neck pain with left radiculopathy. MRI revealed acute on chronic cervical prolapsed intervertebral disc, cervical decompression surgery proceeded. Post operative improvement was noted on follow up. We report a case of tandem spinal stenosis, which both of the pathologies were managed with endoscopic approach.