Synovial cysts of the lumbar spine: surgery-related results and outcome.

Details

Serval ID
serval:BIB_D627486FE529
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Synovial cysts of the lumbar spine: surgery-related results and outcome.
Journal
Journal of Neurosurgery
Author(s)
Pirotte B., Gabrovsky N., Massager N., Levivier M., David P., Brotchi J.
ISSN
0022-3085 (Print)
ISSN-L
0022-3085
Publication state
Published
Issued date
2003
Peer-reviewed
Oui
Volume
99
Number
1 Suppl.
Pages
14-19
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
OBJECT: The authors conducted a study to determine the surgery-related results and outcomes in patients with synovial cysts of the lumbar spine. They emphasize several specific characteristics useful in clinical management.
METHODS: Forty-six consecutive patients with 54 lumbar synovial cysts underwent surgery between 1990 and 2001. A retrospective analysis of the clinical presentation and follow-up data, radiological findings, and surgical techniques was performed. Clinical presentation was dominated by acute or subacute sciatic pain. No specific symptom allowed differentiation of synovial cyst from a lumbar disc herniation. Computerized tomography scanning aided in establishing the correct diagnosis in 19 of 30 cases and magnetic resonance (MR) imaging did so in all cases. Three of the 46 patients presented with bilateral lumbar synovial cysts. The L4-5 level was affected in 61%, and radiological signs of disc degeneration/spondylosis were observed in 54% of the patients. Immediate symptom relief without local recurrence was obtained by complete microsurgical excision in which bipolar coagulation was used to remove the synovial membrane and in which the interapophysial joint was preserved. During the 1st postoperative year, a newly formed symptomatic synovial cyst developed on the contralateral side or at a superior vertebral level in five patients. They underwent surgery; results were good and there was no recurrence.
CONCLUSIONS: The findings in this series suggest that synovial cysts can occur at multiple lumbar sites within a short period of time and could be predisposed to developing in certain individuals, predominantly in women older than 40 years of age. Postoperative follow up is recommended and MR imaging mandatory in cases of recurrent sciatica.
Keywords
Adult, Aged, Aged, 80 and over, Female, Humans, Lumbar Vertebrae, Magnetic Resonance Imaging, Male, Middle Aged, Orthopedic Procedures, Retrospective Studies, Sciatica/complications, Sciatica/diagnosis, Synovial Cyst/complications, Synovial Cyst/diagnosis, Treatment Outcome
Pubmed
Web of science
Create date
20/01/2008 17:35
Last modification date
20/08/2019 15:55
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