Please use this identifier to cite or link to this item: http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/3412
Title: Long Term Radiological and Clinical Outcome of Symptomatic Lumbar Intraspinal Synovial Cyst: A Retrospective 4-Year Study
Authors: Altas, Hilal
Yilmaz, Ali
Ordu Üniversitesi
Keywords: SURGICAL-MANAGEMENT; FOLLOW-UP; SPINE; FACET; DIAGNOSIS; SERIES; POPULATION; RESOLUTION; RESECTION; RUPTURE
Lumbar synovial cyst; Conservative treatment; Resolution
Issue Date: 2021
Publisher: TURKISH NEUROSURGICAL SOC BAHCELIEVLER
Citation: Altas, H., Yilmaz, A. (2021). Long Term Radiological and Clinical Outcome of Symptomatic Lumbar Intraspinal Synovial Cyst: A Retrospective 4-Year Study. Turkish Neurosurgery, 31(5), 718-724.Doi:10.5137/1019-5149.JTN.32708-20.4
Abstract: AIM: To examine the prevalence of symptomatic lumbar synovial facet cysts in lumbar spinal magnetic resonance imaging (MRI) of patients who admitted to neurosurgery clinic, retrospectively. Also, we aimed to report the clinic and radiologic outcome of patients with symptomatic spinal synovial cyst, who undergo conservative treatment. MATERIAL and METHODS: One thousand two hundred forty-three patients who admitted to Ordu University Neurosurgery outpatient clinic between 2015-2019 and underwent lumbosacral MRI and lumbosacral computed tomography examinations were reviewed retrospectively. The disappearance of cysts during radiologic follow up was accepted as spontaneous complete resolution, besides reduction in cyst dimensions and/or contrast enhancement were considered as radiologic regression. Decrease in radiculopathy, back pain and neurologic deficit complaints were also considered as clinical improvement. RESULTS: Thirteen patients (8 men, 5 women) with lumbar synovial cysts who admitted to the neurosurgery outpatient clinic with low back and radicular pain complaints were included in the study. Nine patients (69.2%) had clinical and radiological improvement, 1 female patient (7.7%) was operated due to the leg pain, progressive motor deficit and lumbar disc hernia. Radiological spontaneous complete resolution was detected in 3 patients (23.1%). Spontaneous complete resolution period was determined between 3 months to 24 months. CONCLUSION: The symptomatic lumbosacral synovial cyst treatment algorithm has not been fully demonstrated. However, as in our series, spontaneous complete resolution of cysts and effectiveness of conservative treatment in symptomatic patients should not to be underestimated and immediate invasive procedures should be postponed.
Description: WoS Categories : Clinical Neurology; Surgery Web of Science Index : Science Citation Index Expanded (SCI-EXPANDED) Research Areas : Neurosciences & Neurology; Surgery
URI: http://dx.doi.org/10.5137/1019-5149.JTN.32708-20.4
https://www.webofscience.com/wos/woscc/full-record/WOS:000714107100009
https://pubmed.ncbi.nlm.nih.gov/34169988
http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/3412
ISBN: 1019-5149
Appears in Collections:Dahili Tıp Bilimleri

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