case_images: PMC6453832_01
case_images: A) Pre-operative MRI (sagittal-top, axial-bottom) demonstrates bilateral juxtafacet cysts (left > right). B) Pre-operative CT (sagittal-top, axial-bottom) shows calcification of the smaller right-sided cyst.
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case_images: PMC6453832_01_gr1.jpg
case_images: fig0005
case_images: As shown in Fig. 1, lumbar MRI demonstrated severe thecal sac stenosis at L3-L4 secondary to bilateral, left greater than right juxtafacet cysts causing compression of the cauda equina nerve roots.
case_images: Intraoperative view prior to ILD placement at the completion of partial L3 and L4 laminectomies, bilateral cyst resection, and mesial facetectomies showing a decompressed thecal sac.
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case_images: PMC6453832_01_gr2.jpg
case_images: fig0010
case_images: Decompression of the thecal sac at L3-4 was accomplished via partial inferior L3 and superior L4 laminectomies and mesial facetectomies via a standard midline approach in the usual fashion (Fig. 2).
case_images: A) Post-operative X-Rays (lateral-top, antero-posterior-bottom) showing ILD at L3-4 obtained on post-operative day 1. B) 6-month post-operative CT (sagittal-top, axial-bottom) shows hardware in place with no evidence of cyst recurrence.
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case_images: PMC6453832_01_gr3.jpg
case_images: fig0015
case_images: Fig. 3 demonstrates post-operative standing films and 6-month post-operative CT.