Epiduroscopic Removal of a Lumbar Facet Joint Cyst
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Facet joint synovial cysts are usually associated with osteoarthritis of the adjacent facet joint and/or spondy-lolisthesis. In between the conservative and operative ends of the treatment spectrum lie minimally invasive techniques such as cyst rupture using epiduroscopy. In this report, we describe an 82-year-old male patient presenting with low back pain radiating to his lower left extremity and associated paresthesia. Magnetic resonance imaging of the lumbar spine revealed a synovial cyst at left L4/5 facet joint. Using epiduroscopy, the cyst was mechanically ruptured by popping it with the tip of the scope. The patient remained symptom-free at his successive visits until 12 months after the procedure, and was opened for desired follow up. (Korean J Pain 2015; 28: 275-279)
Abstract
Facet joint synovial cysts are usually associated with osteoarthritis of the adjacent facet joint and/or spondy-lolisthesis. In between the conservative and operative ends of the treatment spectrum lie minimally invasive techniques such as cyst rupture using epiduroscopy. In this report, we describe an 82-year-old male patient presenting with low back pain radiating to his lower left extremity and associated paresthesia. Magnetic resonance imaging of the lumbar spine revealed a synovial cyst at left L4/5 facet joint. Using epiduroscopy, the cyst was mechanically ruptured by popping it with the tip of the scope. The patient remained symptom-free at his successive visits until 12 months after the procedure, and was opened for desired follow up. (Korean J Pain 2015; 28: 275-279)
참고문헌 (16)
- Trummer M, "Diagnosis and surgical management of intraspinal synovial cysts : report of 19 cases", J Neurol Neurosurg Psychiatry, 70, pp.74~77 (2001)
- Shah RV, "Lumbar intraspinal synovial cysts : conservative management and review of the world's literature", Spine J, 3, pp.479~488 (2003)
- Boviatsis EJ, "Spinal synovial cysts: pathogenesis, diagnosis and surgical treatment in a series of seven cases and literature review", Eur Spine J, 17, pp.831~837 (2008)
- Doyle AJ, "Synovial cysts of the lumbar facet joints in a symptomatic population : prevalence on magnetic resonance imaging", Spine(Phila Pa 1976), 29, pp.874~878 (2004)
- Sachdev VP, "Synovial cysts of the lumbar facet joint", Mt Sinai J Med, 58, pp.125~128 (1991)
- Epstein NE., "Lumbar synovial cysts: a review of diagnosis, surgical management, and outcome assessment", J Spinal Disord Tech, 17, pp.321~325 (2004)
- Freidberg SR, "Experience with symptomatic spinal epidural cysts", Neurosurgery, 34, pp.989~993 (1994)
- Hsu KY, "Lumbar intraspinal synovial and ganglion cysts (facet cysts). Ten-year experience in evaluation and treatment.", Spine(Phila Pa 1976), 20, pp.80~89 (1995)
- Epstein NE, "Synovial cyst of the cervical spine", J Spinal Disord, 6, pp.182~185 (1993)
- Bydon M, "Treatment of spinal synovial cysts", World Neurosurg, 79, pp.375~380 (2013)
- Cecchi PC, "Conservative treatment of an atlantoaxial degenerative articular cyst : case report", Spine J, 8, pp.687~690 (2008)
- Allen TL, "Fluoroscopic percutaneous lumbar zygapophyseal joint cyst rupture : a clinical outcome study", Spine J, 9, pp.387~395 (2009)
- Martha JF, "Outcome of percutaneous rupture of lumbar synovial cysts : a case series of 101 patients", Spine J, 9, pp.899~904 (2009)
- ., "BMC Anesthesiol", 2005, 10~
- Epter RS, "Systematic review of percutaneous adhesiolysis and management of chronic low back pain in post lumbar surgery syndrome", Pain Physician, 12, pp.361~378 (2009)
- Ishii K, "Endoscopic resection of cystic lesions in the lumbar spinal canal : a report of two cases", Minim Invasive Neurosurg, 48, pp.240~243 (2005)