Fluoroscopic percutaneous lumbar zygapophyseal joint cyst rupture: a clinical outcome study

Allen, Tracy L.; Tatli, Yusuf; Lutz, Gregory E.

doi:10.1016/j.spinee.2008.08.008

Cited by 69 publications

(50 citation statements)

References 44 publications

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“…Regardless of the presence of facet joint osteoarthrosis and microinstability, facet joint cysts are relatively rare with a reported prevalence in symptomatic patients of 0.65-2.3% [1,2]. The next most common level for synovial cyst occurrence is L5-S1 followed by L3-4, followed by L2-3 [4].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous CT-Guided Treatment of Lumbar Facet Joint Synovial Cysts

Chang

2009

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Symptomatic intraspinal lumbar facet joint synovial cysts can be managed both conservatively and surgically. Diagnosis of the lumbar facet joint cyst is made through cross-sectional imaging of the spine, either by computerized tomography (CT) scan, myelography, or most commonly magnetic resonance imaging. Conservative treatment by facet joint injection can be performed under fluoroscopic or CT guidance, although only CT guidance provides direct visualization of the cyst confirming accurate needle placement. This case report illustrates the use of percutaneous CT-guided facet joint cyst treatment as a temporizing measure or alternative to surgical treatment in the proper clinical scenario.

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Section: Discussionmentioning

confidence: 99%

Percutaneous CT-Guided Treatment of Lumbar Facet Joint Synovial Cysts

Chang

2009

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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“…122 Lumbar synovial cyst rupture can be effectively treated by both tubular access 113 and percutaneous needle aspiration. 5 As discussed earlier, unintended durotomy can be a complication associated with early experience with tubular retractor use. Chou et al 23 reported a technique for repairing a lumbar CSF leak after a MAST procedure using a knot-tying instrument outside the retractor.…”

Section: Miscellaneous Applicationsmentioning

confidence: 99%

Minimally invasive spine technology and minimally invasive spine surgery: a historical review

Oppenheimer

DeCastro

McDonnell

2009

FOC

206

130

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The trend of using smaller operative corridors is seen in various surgical specialties. Neurosurgery has also recently embraced minimal access spine technique, and it has rapidly evolved over the past 2 decades. There has been a progression from needle access, small incisions with adaptation of the microscope, and automated percutaneous procedures to endoscopically and laparoscopically assisted procedures. More recently, new muscle-sparing technology has come into use with tubular access. This has now been adapted to the percutaneous placement of spinal instrumentation, including intervertebral spacers, rods, pedicle screws, facet screws, nucleus replacement devices, and artificial discs. New technologies involving hybrid procedures for the treatment of complex spine trauma are now on the horizon. Surgical corridors have been developed utilizing the interspinous space for X-STOP placement to treat lumbar stenosis in a minimally invasive fashion. The direct lateral retroperitoneal corridor has allowed for minimally invasive access to the anterior spine. In this report the authors present a chronological, historical perspective of minimal access spine technique and minimally invasive technologies in the lumbar, thoracic, and cervical spine from 1967 through 2009. Due to a low rate of complications, minimal soft tissue trauma, and reduced blood loss, more spine procedures are being performed in this manner. Spine surgery now entails shorter hospital stays and often is carried out on an outpatient basis. With education, training, and further research, more of our traditional open surgical management will be augmented or replaced by these technologies and approaches in the future.

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“…When treated by percutaneous rupture, Allen et al [16] reported a recurrence risk rate of 35 %. In patients retreated by percutaneous rupture of the cyst, the percentage of new recurrence was 55 %, suggesting that in some cases only cyst rupture cannot be completely satisfactory in the treatment of recurrence.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Facet Screw Fixation in the Treatment of Symptomatic Recurrent Lumbar Facet Joint Cyst: A New Technique

Amoretti

Gallo

Bertrand

et al. 2015

Cardiovasc Intervent Radiol

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We present a case of percutaneous treatment of symptomatic recurrent lumbar facet joint cyst resistant to all medical treatments including facet joint steroid injection. Percutaneous transfacet fixation was then performed at L4-L5 level with a cannulated screw using CT and fluoroscopy guidance. The procedure time was 30 min. Using the visual analog scale (VAS), pain decreased from 9.5, preoperatively, to 0 after the procedure. At 6-month follow-up, an asymptomatic cystic recurrence was observed, which further reduced at the 1-year follow-up. Pain remained stable (VAS at 0) during all follow-ups. CT- and fluoroscopy-guided percutaneous cyst rupture associated with facet screw fixation could be an alternative to surgery in patients suffering from a symptomatic recurrent lumbar facet joint cyst.

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Fluoroscopic percutaneous lumbar zygapophyseal joint cyst rupture: a clinical outcome study

Cited by 69 publications

References 44 publications

Percutaneous CT-Guided Treatment of Lumbar Facet Joint Synovial Cysts

Percutaneous CT-Guided Treatment of Lumbar Facet Joint Synovial Cysts

Minimally invasive spine technology and minimally invasive spine surgery: a historical review

Percutaneous Facet Screw Fixation in the Treatment of Symptomatic Recurrent Lumbar Facet Joint Cyst: A New Technique

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