Degenerative spondylolisthesis, synovial cyst of the zygapophyseal joints, and sciatic syndrome: report of two cases and review of the literature

Two cases of sciatica secondary to nerve root compression by a "synovial cyst" of a zygapophyseal joint are described. In light of these 2 cases and on reviewing the literature, it appears that zygapophyseal joint osteoarthritis with degenerative (or articular) spondylolisthesis can be a p...

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Published inArthritis and rheumatism Vol. 31; no. 2; p. 288
Main Authors Reust, P, Wendling, D, Lagier, R, Pageaut, G, Reverdin, A, Jacquet, G, Guidet, M, Fallet, G H
Format Journal Article
LanguageEnglish
Published United States 01.02.1988
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Summary:Two cases of sciatica secondary to nerve root compression by a "synovial cyst" of a zygapophyseal joint are described. In light of these 2 cases and on reviewing the literature, it appears that zygapophyseal joint osteoarthritis with degenerative (or articular) spondylolisthesis can be a predisposing factor to the formation of such synovial expansions and, consequently, the cause of nerve root compression. The coexistence of a lumbar degenerative spondylolisthesis with a radicular syndrome should therefore encourage early investigation by computed tomography scan, so that conservative treatment would not be unnecessarily prolonged.
ISSN:0004-3591
DOI:10.1002/art.1780310220