Percutaneous fluoroscopic lumbar facet joint synovial cyst aspiration for manifesting with radiculopathy and low back pain.

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Kamer Dere
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Abstract

Lumbar facet joint synovial cysts are benign degenerative abnormalities of the lumbar spine and can cause lower extremity ra-diculopathy, spinal stenosis, and low back pain. Herein, we report a case with a synovial cyst treated by percutaneous fluoros-copic aspiration via the facet joint. A 46-year-old woman presented to the neurosurgery clinic complaining of a 2-month history of low back pain with left-sided radicular symptoms. Her physical examination was consistent with a left L5 radiculopathy, and MRI confirmed a left L5-S1 facet joint synovial cyst compressing the nerve root. Percutaneous fluoroscopic cyst aspiration via the facet joint was planned. The cyst was aspirated, and a total of 0.2-0.3 cc of fluid was removed. During the aspiration, the patient reported pain relief. Thus, the procedure was completed. An MRI taken after 3 weeks showed that the cyst had become smaller than before, with no evidence of nerve root compression. For 1 year, the patient has had no pain or neurological symptoms. Patients who undergo a fluoroscopic percutaneous rupture by filling of the facet joint cyst typically have successful outcomes. We conclude that aspiration of the facet joint cyst without rupture can also result in the same successful outcome.

经皮透视腰椎面关节滑膜囊肿抽吸术治疗表现为根性病变和腰痛的腰椎面关节滑膜囊肿。
腰椎面关节滑膜囊肿是腰椎的良性退行性畸形,可导致下肢二叉病、椎管狭窄和腰痛。在此,我们报告了一例经皮氟镜经关节抽吸治疗滑膜囊肿的病例。一名 46 岁的女性来到神经外科门诊,主诉其腰痛病史长达 2 个月,并伴有左侧根性症状。她的体格检查结果与左侧 L5 根性病变一致,核磁共振成像证实左侧 L5-S1 椎面关节滑膜囊肿压迫神经根。计划通过经皮透视关节囊肿抽吸术。对囊肿进行了抽吸,共抽出0.2-0.3毫升液体。在抽吸过程中,患者表示疼痛有所缓解。手术就此结束。3 周后进行的核磁共振成像显示,囊肿比之前变小了,没有压迫神经根的迹象。一年来,患者一直没有疼痛或神经症状。接受透视经皮破裂填充面关节囊肿手术的患者通常都能获得成功。我们的结论是,在不破裂的情况下抽吸面关节囊肿也能获得同样的成功结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.00
自引率
16.70%
发文量
22
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