Orthopedics 613:618–620īudris DM (1991) Radiologic case study. Neuroradiology 18:263–268ījorkengren AG, Kurz LT, Resnick D et al (1994) Symptomatic intraspinal synovial cyst. Eur Radiol 10:615–623īhushan C, Hodges FJ 3rd, Wityk JJ (1979) Synovial cyst (ganglion) of the lumbar spine simulating extradural mass.
#SYNOVIAL CYST SPINE TRIAL#
A prospective, randomized trial should clarify issues under debate.Īpostolaki E, Davies AM, Evans N et al (2000) MR imaging of lumbar facet joint synovial cysts. Surgery is a safe and effective treatment choice in this increasingly appearing ailment. Fusion should be performed on a case-by-case basis only. Review of the literature revealed a trend towards surgery, as this is correlated to a more favorable outcome compared with conservative treatment. Post-operatively, all patients showed a total resolution of symptoms with sustained benefit at final evaluation. All patients underwent surgical cyst excision. MRI identified the cyst and highlighted underlying pathology in all cases. All patients had back pain, while five also experienced unilateral radicular leg pain and one had bilateral leg pain. A follow-up of at least 6 months (range 6–48 months) was conducted and results were noted. Demographic data, cyst level, presence of concomitant local pathology, treatment and results of treatment were recorded. 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. 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. Spinal juxtafacet cysts (synovial and ganglion cysts) are a rare cause of low back and radicular leg pain. 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. 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.
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