Cargando…

Juxtafacet Spinal Synovial Cysts

STUDY DESIGN: This was a retrospective study. PURPOSE: To study the surgical outcome of synovial cysts of the lumbar spine through posterior laminectomy in combination with transpedicular screw fixation. OVERVIEW OF LITERATURE: Synovial cysts of the lumbar spine contribute significantly to narrowing...

Descripción completa

Detalles Bibliográficos
Autor principal: Abd El-Kader, Haitham El-Beltagy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Spine Surgery 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4764539/
https://www.ncbi.nlm.nih.gov/pubmed/26949457
http://dx.doi.org/10.4184/asj.2016.10.1.46
_version_ 1782417386961371136
author Abd El-Kader, Haitham El-Beltagy
author_facet Abd El-Kader, Haitham El-Beltagy
author_sort Abd El-Kader, Haitham El-Beltagy
collection PubMed
description STUDY DESIGN: This was a retrospective study. PURPOSE: To study the surgical outcome of synovial cysts of the lumbar spine through posterior laminectomy in combination with transpedicular screw fixation. OVERVIEW OF LITERATURE: Synovial cysts of the lumbar spine contribute significantly to narrowing of the spinal canal and lateral thecal sac and nerve root compression. Cysts form as a result of arthrotic disruption of the facet joint, leading to degenerative spondylolisthesis in up to 40% of patients. METHODS: Retrospective data from 6 patients, treated during the period of March 2007 to February 2011, were analyzed. All preoperative and postoperative manifestations, extension/flexion radiographs, magnetic resonance imaging, and computed tomography records were reviewed. All underwent surgery for synovial cysts with excision and decompression combined with posterior fixation. The result of surgery was evaluated with Macnab's classification. An excellent or good outcome was considered as satisfactory. Japanese Orthopedic Association Scale was used for evaluation of back pain. RESULTS: All patients included in this study had excellent outcomes as regarding to improvement of all preoperative manifestations and returning to normal daily activities. Only 2 cases developed postoperative transient cerebro-spinal fluid leak and were treated conservatively and improved during the follow up period. CONCLUSIONS: Although this study included a small number of cases and we could not have statistically significant results, the good outcome of decompression of synovial cysts combined with posterior fixation and fusion encouraged us to recommend this approach for patients with juxtafacet synovial cysts.
format Online
Article
Text
id pubmed-4764539
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Korean Society of Spine Surgery
record_format MEDLINE/PubMed
spelling pubmed-47645392016-03-06 Juxtafacet Spinal Synovial Cysts Abd El-Kader, Haitham El-Beltagy Asian Spine J Clinical Study STUDY DESIGN: This was a retrospective study. PURPOSE: To study the surgical outcome of synovial cysts of the lumbar spine through posterior laminectomy in combination with transpedicular screw fixation. OVERVIEW OF LITERATURE: Synovial cysts of the lumbar spine contribute significantly to narrowing of the spinal canal and lateral thecal sac and nerve root compression. Cysts form as a result of arthrotic disruption of the facet joint, leading to degenerative spondylolisthesis in up to 40% of patients. METHODS: Retrospective data from 6 patients, treated during the period of March 2007 to February 2011, were analyzed. All preoperative and postoperative manifestations, extension/flexion radiographs, magnetic resonance imaging, and computed tomography records were reviewed. All underwent surgery for synovial cysts with excision and decompression combined with posterior fixation. The result of surgery was evaluated with Macnab's classification. An excellent or good outcome was considered as satisfactory. Japanese Orthopedic Association Scale was used for evaluation of back pain. RESULTS: All patients included in this study had excellent outcomes as regarding to improvement of all preoperative manifestations and returning to normal daily activities. Only 2 cases developed postoperative transient cerebro-spinal fluid leak and were treated conservatively and improved during the follow up period. CONCLUSIONS: Although this study included a small number of cases and we could not have statistically significant results, the good outcome of decompression of synovial cysts combined with posterior fixation and fusion encouraged us to recommend this approach for patients with juxtafacet synovial cysts. Korean Society of Spine Surgery 2016-02 2016-02-16 /pmc/articles/PMC4764539/ /pubmed/26949457 http://dx.doi.org/10.4184/asj.2016.10.1.46 Text en Copyright © 2016 by Korean Society of Spine Surgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Abd El-Kader, Haitham El-Beltagy
Juxtafacet Spinal Synovial Cysts
title Juxtafacet Spinal Synovial Cysts
title_full Juxtafacet Spinal Synovial Cysts
title_fullStr Juxtafacet Spinal Synovial Cysts
title_full_unstemmed Juxtafacet Spinal Synovial Cysts
title_short Juxtafacet Spinal Synovial Cysts
title_sort juxtafacet spinal synovial cysts
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4764539/
https://www.ncbi.nlm.nih.gov/pubmed/26949457
http://dx.doi.org/10.4184/asj.2016.10.1.46
work_keys_str_mv AT abdelkaderhaithamelbeltagy juxtafacetspinalsynovialcysts