Percutaneous CT-Guided Treatment of Lumbar Facet Joint Synovial Cysts

Chang, Anthony

doi:10.1007/s11420-009-9124-9

Cited by 8 publications

(16 citation statements)

References 8 publications

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“…Intraspinal synovial cysts are continuous with the facet joints and lined with epithelial lining. They are typically located posterior to the thecal sac; this is thought to be related to the presence of ligamentum flavum which represents a barrier to anterior cyst formation 3. Majority of these cysts occur in the segments of lumbar spine with the predilection for the fourth and fifth lumbar vertebra as described in our patient 1,4–6.…”

Section: Discussionmentioning

confidence: 59%

“…Consequently formation of the cavity filled with synovial fluid occurs 1,2,5. Therefore, the pathognomic imaging finding is a direct communication between the cyst and the facet joint 3,5. This was clearly demonstrated in our case as well.…”

Section: Discussionmentioning

confidence: 99%

“…Recent reports in literature show that true incidence of the lumbar intraspinal synovial cysts is higher. Higher incidence reflects the improved diagnostic methods 3. The disease is more common in older population and in women and is supposed to be related to degenerative changes of the lumbar spine 1,4…”

Section: Introductionmentioning

confidence: 99%

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Minimally invasive CT guided treatment of intraspinal synovial cyst

Kozar¹,

Jeromel²

2014

Radiology and Oncology

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BackgroundIntraspinal synovial cysts of vertebral facet joints are uncommon cause of radicular pain as well as neurological deficits. They can be managed both conservatively and surgically.Case reportA 77-year old polymorbid patient presented with bilateral low back pain which worsened during the course of time and did not respond to the conservative treatment. A diagnosis of intraspinal synovial cyst was made using the magnetic resonance imaging (MRI). Percutaneous computed tomography (CT) guided injection with installation of local anesthetic together with corticosteroid and rupture of the cyst was successfully used. A month after the procedure his pain improved, the usage of analgesics diminished and his over-all quality of life improved.ConclusionsPercutaneous CT guided lumbar synovial cyst treatment is safe and reliable alternative to the surgical treatment in polymorbid patients with radiculopathy who are not able to tolerate general anesthesia and operation.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

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Minimally invasive CT guided treatment of intraspinal synovial cyst

Kozar¹,

Jeromel²

2014

Radiology and Oncology

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“…They are thought to be relatively uncommon, with symptoms including radiculopathy, neurogenic claudication, neurologic deficit, and less commonly cauda equina syndrome [3].…”

Section: Introductionmentioning

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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“…6 Facet joint synovial cyst rupture using single-needle distention has been reported in the literature; however, attempts were not successful in all cases. [6][7][8][9][10][11][12][13][14] In a retrospective review involving 101 patients with symptomatic facet cysts who underwent single-needle percutaneous rupture, Martha et al 6 reported a failure rate of approximately 20%.…”

mentioning

confidence: 99%