Post-Traumatic Hemorrhagic Facet Cyst Treated through a Contralateral Uniportal Interlaminar Endoscopic Approach: Case Report
Abstract
Hemorrhagic facet synovial cysts are an uncommon cause of radicular compression. Their management has evolved toward minimally invasive techniques aimed at achieving effective decompression with lower morbidity. We report the case of a 66-year-old man who developed progressive motor deficit in the lower limbs following minor trauma. Magnetic resonance imaging revealed a facet cyst at the L3 -L4 level causing spinal canal compromise. To preserve spinal stability, contralateral uniportal interlaminar endoscopicdecompression was performed using the over-the-top technique. This approach minimized surgical invasiveness, allowed immediate postoperative recovery, and proved to be a safe and effective treatment option.Downloads
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