Degenerative Intraspinal Cyst of the Cervical Spine

Shima, Yoshihiro; Rothman, Stephan; Yasura, Kou; Takahashi, Shinobu

doi:10.1097/00007632-200201010-00029

Cited by 66 publications

(70 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Laminectomy or hemilaminectomy without canal stenosis is usually performed to excise the cyst. 3,5,15,19) Recurrence is unlikely, even after partial excision. 5) Conservative treatment may lead to reduction in the size of cysts, using bed rest, analgesics, orthosis, and CT-guided aspiration of the cyst.…”

Section: Discussionmentioning

confidence: 99%

Cervical Juxtafacet Cyst With Myelopathy Due to Postoperative Instability -Case Report-

Moon

Kim

et al. 2010

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

A 74-year-old man presented with a cervical juxtafacet cyst on the right side of C5-6 and prominent myelopathy. He had been treated with anterior cervical discectomy and fusion at C4-5 as well as anterior foraminotomy of the right C5-6 lesion 20 months previously. The patient underwent complete surgical excision of the lesion. The patient recovered uneventfully, and the myelopathy resolved. Reexamination of the images revealed that we failed to investigate a suspicious minimal cervical juxtafacet cyst on the initial preoperative images and that the degree of subluxation at C5-6 on flexion radiography had increased postoperatively. Therefore, the surgeon should be aware that juxtafacet cyst can be progressive in planning of cervical spinal surgery which can cause or aggravate instability in the presence of an incidental, suspicious juxtafacet cyst on preoperative imaging at the same level, even if the lesion is very small and subclinical.

show abstract

Section: Discussionmentioning

confidence: 99%

Cervical Juxtafacet Cyst With Myelopathy Due to Postoperative Instability -Case Report-

Moon

Kim

et al. 2010

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

show abstract

“…30 Ganglion cysts, in contrast, have been called "pseudo-cysts" and are not directly connected to the joint; they have a fibrous connective tissue capsule instead of synovial tissue, and a gelatinous fluid. 56 Nonetheless, the presenting symptoms, management, and prognosis of these 2 types of lesions are the virtually the same. 23 In the spine, these cysts may occur at the juxtafacet joints, median atlantoaxial joints, atlantoocciptal joints, and/or ligamentous structures.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4]6,[8][9][10][11][12]15,17,[19][20][21][22][25][26][27][28][29][30][31]33,34,36,38,39,42,43,[45][46][47][48][49][50][51][52][53][54][56][57][58][60][61][62][63][64][66][67][68][69] We also included our own 17 cases from the present study in the analysis, bringing the total number of articles to 54 and the total number of patients to 101. Ther...…”

Section: Meta-analysismentioning

confidence: 99%

The role of spinal fusion in the treatment of cervical synovial cysts: a series of 17 cases and meta-analysis

Bydon

Lin

Ramos

et al. 2014

SPI

View full text Add to dashboard Cite

Object This study was undertaken to compare surgical outcomes between patients with atlantoaxial versus subaxial cervical synovial cysts (CSCs) and to compare outcomes between patients who underwent decompression alone versus decompression and fusion for the treatment of CSCs. Methods The authors present a series of 17 cases involving patients treated at their institution and report the surgical outcomes. Due to the rarity of CSCs, a meta-analysis was conducted, and results of the literature search were combined with the case series to enhance the power of the study. Results Seventeen patients underwent surgical treatment for CSCs at our institution: 3 patients (17.6%) had atlantoaxial cysts and 14 (82.3%) had subaxial cysts. Of the 17 patients, 16 underwent a decompression and fusion; most patients experienced symptom resolution at last follow-up, and there were no cyst recurrences. A total of 54 articles (including the current series) and 101 patients were included in the meta-analysis. The mean age at presentation was 64 ± 13.9 years, and the most common symptoms were motor and sensory deficits. Forty-one patients (40.6%) presented with atlantoaxial cysts, and 60 (59.4%) with subaxial cysts. There were no significant differences between groups in terms of presenting symptoms, Nurick scores, surgical treatment, or surgical outcomes. Fifty-two patients (51.4%) underwent surgical decompression without fusion, while 49 patients (48.6%) underwent fusion. The preoperative Nurick scores were significantly lower in the fused group (p = 0.001), with an average score of 1.32 compared with 2.75 in the nonfused group. After a mean follow-up of 16.5 months, a difference of means analysis between final and preoperative Nurick scores revealed that patients who received a decompression alone improved on average 1.66 points (95% CI 1.03–2.29) compared with 0.8 points (95% CI 0.23–1.39) in the fused group (p = 0.004). However, there was no statistically significant difference in symptom resolution between the groups, and the rate of cyst recurrence was found to be 0%. Conclusions In this study, patients with CSCs had similar outcomes regardless of cyst location and regardless of whether they underwent decompression only or fusion. In the authors' institutional experience, 16 of 17 patients underwent fusion due to underlying spinal instability. While there were no reports of cyst recurrence in their series or in the literature in patients who only received decompression, this is likely due to the limited follow-up time available for the study population. Longer follow-up and prospective and biomechanical studies are needed to corroborate these findings.

show abstract

“…Fewer cervical ganglion cysts than synovial cysts have been reported. To the authors' knowledge, only 14 cases of a cervical ganglion cyst have been reported [1][2][3][4][5][6][7][8][9][10][11]. Moreover, there are fewer reports of a cervical ganglion cyst arising at the C3-4 with less motion compared to other cervical joints.…”

Section: Introductionmentioning

confidence: 99%

Cervical intraspinal extradural ganglion cyst: a case report and review of literature

Seo

2011

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

Intraspinal extradural ganglion cysts rarely occur in the cervical spine, and their etiology is unknown. A 77-year-old female complaining of right upper extremity weakness presented with a cystic mass located in the spinal canal of the right C3-4 facet joint. A C3-4 right hemilaminectomy and excision of the cysts were performed. The cyst contained a translucent viscous material and was easily decompressed. No communication between the cyst and facet joints was found in the surgical Weld. The neurologic symptoms improved rapidly after surgery. The histology examination showed that the cystic wall was composed of dense Wbrous tissue without a synovial cell lining concordant with a ganglion cyst. This report describes a rare case of a ganglion cyst of the cervical spine arising at the C3-4. This case highlights the need to consider a ganglion cyst as one of the causes of cervical radiculo-myelopathy.

show abstract

Degenerative Intraspinal Cyst of the Cervical Spine

Cited by 66 publications

References 19 publications

Cervical Juxtafacet Cyst With Myelopathy Due to Postoperative Instability -Case Report-

Cervical Juxtafacet Cyst With Myelopathy Due to Postoperative Instability -Case Report-

The role of spinal fusion in the treatment of cervical synovial cysts: a series of 17 cases and meta-analysis

Cervical intraspinal extradural ganglion cyst: a case report and review of literature

Contact Info

Product

Resources

About