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Acquired Simple Bone Cyst Associated With Lumbar Spinal Canal Stenosis Progression: A Case Report – Lumbar Spinal Stenosis

The article discusses a rare case of a simple bone cyst (SBC) in the posterior lumbar bone structure, specifically at the L5 lumbar lamina, in a 59-year-old woman with symptoms of low back pain and bilateral sciatica. The patient underwent lumbar decompression surgery, which improved her symptoms. The SBC in the L5 lamina was found to be associated with venous obstruction and ligamentum flavum thickening, leading to a diagnosis of venous infarction. The article suggests that increased venous perfusion and venous obstruction were involved in the formation of the bone cyst, highlighting the importance of recognizing such rare presentations in patients with lumbar spinal canal stenosis

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised spine centre on Harley Street UK

Published article

A simple bone cyst (SBC) in the posterior lumbar bone structure is very rare. Here, we report a case of SBC at the L5 lumbar lamina with venous obstruction associated with ligamentum flavum thickening. A 59-year-old woman presented with intermittent claudication due to low back pain and bilateral sciatica. A lumbar MRI showed L4-5 lumbar spinal canal stenosis and a T2-weighted image hyperintense lesion in the L5 lamina. Imaging four years earlier showed no lesions in the L5 lamina. Her symptoms…

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Cureus. 2024 Mar 23;16(3):e56795. doi: 10.7759/cureus.56795. eCollection 2024 Mar. ABSTRACT A simple bone cyst (SBC) in the posterior lumbar bone structure is very rare. Here, we report a case of SBC at the L5 lumbar lamina with venous obstruction associated with ligamentum flavum thickening. A 59-year-old woman presented with intermittent claudication due to low back,

Cureus. 2024 Mar 23;16(3):e56795. doi: 10.7759/cureus.56795. eCollection 2024 Mar.

ABSTRACT

A simple bone cyst (SBC) in the posterior lumbar bone structure is very rare. Here, we report a case of SBC at the L5 lumbar lamina with venous obstruction associated with ligamentum flavum thickening. A 59-year-old woman presented with intermittent claudication due to low back pain and bilateral sciatica. A lumbar MRI showed L4-5 lumbar spinal canal stenosis and a T2-weighted image hyperintense lesion in the L5 lamina. Imaging four years earlier showed no lesions in the L5 lamina. Her symptoms improved after lumbar decompression surgery. The L5 lamina lesion was SBC, leading to a diagnosis of venous infarction. The involvement of neovascularization in the mechanism of degenerative hypertrophy in the ligamentum flavum was suggested. In this case, increased venous perfusion and venous obstruction were involved in the formation of the bone cyst.

PMID:38654773 | PMC:PMC11035498 | DOI:10.7759/cureus.56795

The London Spine Unit : most specialised spine centre on Harley Street UK

Read the original publication:

Acquired Simple Bone Cyst Associated With Lumbar Spinal Canal Stenosis Progression: A Case Report

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Cureus. 2024 Mar 23;16(3):e56795. doi: 10.7759/cureus.56795. eCollection 2024 Mar. ABSTRACT A simple bone cyst (SBC) in the posterior lumbar bone structure is very rare. Here, we report a case of SBC at the L5 lumbar lamina with venous obstruction associated with ligamentum flavum thickening. A 59-year-old woman presented with intermittent claudication due to low back

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