Retrospective study of 77 patients harbouring lumbar synovial cysts: Functional and neurological outcome

Métellus, Philippe; Fuentès, S.; Adetchessi, T.; Lévrier, O.; Flores-Parra, I; Talianu, D.; Dufour, Henry; Bouvier, C; Manera, L.; Grisoli, F

doi:10.1007/s00701-005-0650-z

Cited by 101 publications

(103 citation statements)

References 18 publications

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“…The fact that repetitive minor injuries may go unnoticed and not come up in the patient's medical history, along with the fact that these injuries usually happen more at the mobile parts of the spine, suggests that the pathogenetic roles of instability and trauma are intertwined. The definite association with osteoarthritis (40.5%) and spondylolisthesis (43.4%) and the reported relationship with disc degeneration (13.2%) only highlight the major role of segmental spinal instability in the pathogenesis of spinal synovial cysts [10,21,26,31,34,35,44,47] (Fig. 1).…”

Section: Discussionmentioning

confidence: 99%

“…In that context, spinal instability and spinal trauma play a major role [16]. Trauma, although not so strongly incriminated by some authors [21,26,31,35] undoubtedly exercises a cumulative effect in spinal degeneration. Yarde et al [47] reported the presence of hemosidirin in six out of eight patients with LISCs, of whom only one had a clear history of trauma.…”

Section: Discussionmentioning

confidence: 99%

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Spinal synovial cysts: pathogenesis, diagnosis and surgical treatment in a series of seven cases and literature review

et al. 2008

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Spinal synovial cysts: pathogenesis, diagnosis and surgical treatment in a series of seven cases and literature review

et al. 2008

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“…21) These lesions usually present with common symptoms of radiculopathy, neurogenic claudication, myelopathy, neurological deficit, and even cauda equina syndrome. 18,23) Here we discuss our experience with various types of lumbar spinal synovial cyst, including the evaluation, treatment modalities, and pathologies in the differential diagnosis of lumbar radiculopathy, especially in older patients.…”

Section: Introductionmentioning

confidence: 99%

Lumbar Synovial Cysts: Experience With Nine Cases

Ayberk

Ozveren

Gok

et al. 2008

Neurol. Med. Chir.(Tokyo)

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Nine patients treated surgically for lumbar spinal synovial cyst were reviewed. Four patients had synovial, two had ganglion, one had posterior longitudinal ligament, and two had ligamentum flavum cyst. Synovial cysts had a single layer of epithelial cells in the inner layer of the cyst with continuity with the facet joint. Ganglion cyst had no continuity with the facet joint and epithelial lining was present in one and absent in one case. Posterior longitudinal ligament and ligamentum flavum cysts had no continuity with the facet joint and no epithelial lining. Magnetic resonance imaging showed the cysts better than computed tomography. All patients treated for nerve root compression or lumbar spinal canal narrowing. One patient suffered recurrence 1 year later and was reoperated. Operative results were excellent in six and good in three patients. Lumbar spinal synovial cysts should be considered in differential diagnosis of lumbar radiculopathy/neurogenic claudication and is surgically treatable.

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“…Cystic lesion embedded in the inner surface of the LF with no epithelial lining or continuity with the facet joint synovium is classified as LF cyst 1,3) , and cystic lesion located in the PLL with the same properties is classified as PLL cyst 11) . These lesions usually present with common symptoms of radiculopathy, neurologic claudication, myelopathy, neurological deficit, and even cauda equina syndrome 10,12) .…”

Section: Discussionmentioning

confidence: 99%

Ganglion Cyst of the Posterior Longitudinal Ligament Causing Lumbar Radiculopathy

Cho

Rhee

Lee

et al. 2010

J Korean Neurosurg Soc

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J Korean Neurosurg Soc 47 : [298][299][300][301] 2010 Degenerated conditions such as herniated disc or spinal stenosis are common etiologies of lumbar radiculopathy. Less common etiologies include spinal extradural cyst such as synovial cysts and ganglion cysts. Ganglion cyst of the posterior longitudinal ligament (PLL) of the spine is a rare entity that can result in classical sciatica. Posterior longitudinal ligament cyst has no continuity with the facet joint and has no epithelial lining. Two young male patients presented with unilateral sciatica and were found to have intraspinal cystic lesions causing lumbar radiculopathy. Magnetic resonance imaging demonstrated rounded, cystic lesions (i.e., hypointense on T1-but hyperintense on T2-weighted images) adjacent to minimally dehydrated, nonherniated disc spaces in both cases. These patients underwent posterior decompression and cysts were excised, and their sciatic symptoms were completely resolved. Histological examination showed typical features of ganglion cysts in these cases.

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Retrospective study of 77 patients harbouring lumbar synovial cysts: Functional and neurological outcome

Cited by 101 publications

References 18 publications

Spinal synovial cysts: pathogenesis, diagnosis and surgical treatment in a series of seven cases and literature review

Spinal synovial cysts: pathogenesis, diagnosis and surgical treatment in a series of seven cases and literature review

Lumbar Synovial Cysts: Experience With Nine Cases

Ganglion Cyst of the Posterior Longitudinal Ligament Causing Lumbar Radiculopathy

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