Percutaneous Epidural Neuroplasty for Symptomatic Lumbar Juxtafacet Cysts

Author:

Heo Juneyoung1,Park Hyung-Ki2,Baek Ji-Hoon3,Ahn Hye-Sun3,Lee Su-Chan3

Affiliation:

1. Joint & Arthritis Research, Department of Neurosurgery, Himchan Hospital, Seoul 21337, Republic of Korea

2. Department of Neurosurgery, Soonchunhyang University College of Medicine, Seoul 31538, Republic of Korea

3. Joint & Arthritis Research, Department of Orthopaedic Surgery, Himchan Hospital, Seoul 07999, Republic of Korea

Abstract

Background and Objectives: The term “Juxtafacet cyst” refers to both synovial cysts and ganglion pseudocysts associated with the lumbar facet joint. As conservative treatment for the juxtafacet cyst has a minimal effect, complete excision through surgery is considered the first choice of treatment. In this study, we retrospectively reviewed the clinical outcomes of percutaneous epidural neuroplasty for symptomatic lumbar juxtafacet cysts. Materials and Methods: We conducted a retrospective review of 34 patients with symptomatic juxtafacet cysts who visited a single institute from January 2010 to September 2023. Patients who received conservative treatment for at least 6 weeks but experienced no or insufficient effects were eligible for this study. After neuroplasty, a medical history check and neurological examination were performed during follow-up at 2 weeks, 1 month, 2 months, 3 months, 6 months, and once a year thereafter. Results: The pain improved for all patients to a VAS score of 3 or less immediately after neuroplasty; however, four of those patients (11%) had pain that worsened eventually to the same level as before the procedure and required surgery. The results showed that, regardless of cyst size, in cases with severe stenosis of the spinal canal, the outcome of neuroplasty was poor and often eventually required surgery. The cyst size was not associated with the procedure results. In addition, if the cyst was present at the L4–L5 level, or if diabetes mellitus was present, the likelihood of future surgery was significant (p-value = 0.003). Conclusions: Percutaneous neuroplasty showed a better success rate than other non-surgical treatments. In addition, severe spinal stenosis (Schizas grade C or higher), L4–L5 level, or diabetes mellitus produced a high possibility of surgery due to recurrence.

Publisher

MDPI AG

Reference31 articles.

1. Synovial cyst of spinal facet. Case report;Kao;J. Neurosurg.,1974

2. Rhoton, A., Kao, C., and Uihlein, A. (1976). Extradural ganglion cyst. Handbook of Clinical Neurology, North-Holland Pub Co.

3. Spinal synovial cysts: Pathogenesis, diagnosis and surgical treatment in a series of seven cases and literature review;Boviatsis;Eur. Spine J.,2008

4. Synovial excrescences and cysts of the spine: Clinicopathological features and contributions to spinal stenosis;Sze;Clin. Neuropathol.,2004

5. Cyst of the ligamentum flavum;Baker;Spine,1994

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3