Microendoscopic Resection of Lumbar Discal Cysts

Abstract

Microendoscopic resection appears to be a minimally invasive and feasible surgical option for the treatment of lumbar discal cysts.

Lumbar Discal Cyst With Spontaneous Regression and Subsequent Occurrence of Lumbar Disc Herniation -Case Report-

“…7) Seven cases of discal cyst were treated by minimal invasive surgical resection using microendoscopy. 10) Only two cases of discal cyst were treated conservatively and regressed as confirmed by MR imaging. 3,5) The first case of``disc cyst'' with imaging-confirmed regression and symptomatic relief without surgery was reported in 2001, but whether any other type of medical intervention was administered is unknown.…”

Recurrence of Lumbar Disc Herniation after Microendoscopic Discectomy

“…Various randomized and nonrandomized trials have shown that MED is less invasive than conventional discectomy, [2][3][4][5][6] and microendoscopic approaches have also been applied in the treatment of other lumbar diseases, including spinal canal stenosis, 7 extraforaminal stenosis, 8 apophyseal separation, 9 and intraspinal cystic lesions. 10,11 However, several studies report complications with MED, such as dural tears and a higher rate of recurrence than after conventional discectomy. 12,13 In particular, the risk of recurrence may sometimes outweigh the advantage of a minimally invasive treatment, because patients experience recurrent pain and can require additional conservative and/or surgical treatments.…”

Transition of a herniated lumbar disc to lumbar discal cyst: A case report

“…Microsurgical resection of the cyst is recommended treatment, as is reported in the majority of published cases. [ 4 10 11 12 ] Removal of the corresponding disc along with the cyst, however, also remains controversial. [ 11 ] We did not perform discectomy in our patient and removed only the subligamentously herniated portion of the disc, which was directly communicating with the cyst.…”