Τίτλος:
Spinal synovial cysts: pathogenesis, diagnosis and surgical treatment in
a series of seven cases and literature review
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
This study is designed based on the retrospective analysis of patients
treated in the Neurosurgical Department of two major hospitals and
review of the literature. The aim of this study is to evaluate the
efficacy of surgery and address controversial issues in the treatment of
symptomatic lumbar intraspinal synovial cysts. Spinal juxtafacet cysts
(synovial and ganglion cysts) are a rare cause of low back and radicular
leg pain. Although the relevant reports in the international literature
are increasing, the controversy about conservative versus surgical
treatment and the need for concomitant fusion still exists. Data from
seven patients (age range 58-69 years, mean age 61 years) with low back
and radicular leg pain due to a lumbar facet joint cyst were
retrospectively analyzed. Demographic data, cyst level, presence of
concomitant local pathology, treatment and results of treatment were
recorded. A follow-up of at least 6 months (range 6-48 months) was
conducted and results were noted. All patients had back pain, while five
also experienced unilateral radicular leg pain and one had bilateral leg
pain. One patient had neurogenic claudication. MRI identified the cyst
and highlighted underlying pathology in all cases. All patients
underwent surgical cyst excision. No fusion was performed.
Post-operatively, all patients showed a total resolution of symptoms
with sustained benefit at final evaluation. Review of the literature
revealed a trend towards surgery, as this is correlated to a more
favorable outcome compared with conservative treatment. Fusion should be
performed on a case-by-case basis only. Surgery is a safe and effective
treatment choice in this increasingly appearing ailment. A prospective,
randomized trial should clarify issues under debate.
Συγγραφείς:
Boviatsis, Efstathios J.
Staurinou, Lampis C.
Kouyialis, Andreas
T.
Gavra, Maria M.
Stavrinou, Pantelis C.
Themistokleous,
Marios
Selviaridis, Panayiotis
Sakas, Damianos E.
Περιοδικό:
European Spine Journal
Λέξεις-κλειδιά:
intraspinal cyst; synovial cyst; surgical treatment; fusion
DOI:
10.1007/s00586-007-0563-z
