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Journal of Korean Neurosurgical Society 1982;11(3): 341-345. |
| Superior Facet Syndrome: Case Report. |
| Young Beag Kim, Jong Sik Suk, Duck Young Choi, Kwang Seh Rhim |
| Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea. |
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| ABSTRACT |
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The intense radicular pain of sciatica caused by a herniated disc is familiar. That similar symptoms may result from nerve root entrapment in a stenotic lateral vertebral recess without discal herniation is less well known and its possibility should be considered in the patients with root pain. We recently experienced a case of superior facet syndrome in a 57 years old female with intense sciatic pain.
On operation, the right L-5 root was found to be entrapped in a stenotic lateral recess beneath the superior articular facet of the L-5 vertebra. There was no evidence of a herniated disc. The result was clinically excellent with surgical unroofing of the lateral recess with removal of the overhanging horizontal portion of the superior facet, L-5 vertebra of right. |
| Key Words:
Sciatica; Root entrapment; Lateral recess; Superior facet |
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