Abstract | OBJECT: A series of 18 patients with symptomatic synovial cysts was analysed from May 2009 to November 2013. Different approaches were performed for their removal. MATERIAL AND METHODS: The study included 18 patients, 8 men and 10 women, aged between 50 and 77 years. An analysis was made of the variables including age, gender, symptoms, imaging studies, histopathology, surgery, follow-up, complications, and clinical outcome. RESULTS: An articular synovial cyst was diagnosed in 17 cases, and a ganglion in one cases. The most common symptom was back pain with radiculopathy (94%). Motor deficits occurred in 4 cases (22%), and 1 case (5%) presented with urinary incontinence. The most common level was L4- L5 (67%), with one atypical case observed in the D12 -L1 location. Hemi- laminectomy was performed in 14 cases, with 9 of them having an interspinous spacer (ISP) device inserted. A laminectomy with a fusion procedure was performed in 3 patients and 1 patient had a bilateral decompression using a unilateral approach. The patients were followed-up for between 6 months to 2 years. CONCLUSIONS:
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Authors | Beatriz Mansilla, Alberto Isla, Carlos Pérez-López, María Román-de Aragón, Jorge Zamorano, Javier Giner |
Journal | Neurocirugia (Asturias, Spain)
(Neurocirugia (Astur))
2017 Mar - Apr
Vol. 28
Issue 2
Pg. 88-92
ISSN: 1130-1473 [Print] Spain |
Vernacular Title | Quistes articulares espinales: evolución clínica y resultados según intervención quirúrgica. Revisión de 18 casos. |
PMID | 27616440
(Publication Type: Journal Article)
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Copyright | Copyright © 2016 Sociedad Española de Neurocirugía. Publicado por Elsevier España, S.L.U. All rights reserved. |
Topics |
- Aged
- Back Pain
(etiology)
- Decompression, Surgical
- Female
- Follow-Up Studies
- Humans
- Lumbar Vertebrae
(diagnostic imaging, surgery)
- Magnetic Resonance Imaging
- Male
- Microsurgery
(methods)
- Middle Aged
- Nerve Compression Syndromes
(etiology, surgery)
- Retrospective Studies
- Spinal Diseases
(complications, diagnostic imaging, surgery)
- Spinal Nerve Roots
(pathology)
- Synovial Cyst
(complications, diagnostic imaging, surgery)
- Treatment Outcome
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