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[Spinal sinovial cysts: Surgical treatment and clinical outcomes in a series of 18 cases].
Neurocirugia (Astur). 2017 Mar - Apr; 28(2):88-92.N

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

Synovial cysts are a cause of radiculopathy/neurogenic claudication. Spinal cysts are commonly found at the L4-L5 level. MRI is the tool of choice for diagnosis. The most common symptom was back pain with radiculopathy. Synovial cysts resistant to conservative therapy should be treated surgically. In our series, surgical resection of symptomatic juxtafacet cysts showed a good clinical outcome, but the optimal approach for patients with juxtafacet cysts remains unclear.

Authors+Show Affiliations

Servicio de Neurocirugía, Hospital Universitario La Paz, Madrid, España. Electronic address: Beatrizmf25@gmail.com.Servicio de Neurocirugía, Hospital Universitario La Paz, Madrid, España.Servicio de Neurocirugía, Hospital Universitario La Paz, Madrid, España.Servicio de Neurocirugía, Hospital Universitario La Paz, Madrid, España.Servicio de Neurocirugía, Hospital Universitario La Paz, Madrid, España.Servicio de Neurocirugía, Hospital Universitario La Paz, Madrid, España.

Pub Type(s)

Journal Article

Language

spa

PubMed ID

27616440

Citation

Mansilla, Beatriz, et al. "[Spinal Sinovial Cysts: Surgical Treatment and Clinical Outcomes in a Series of 18 Cases]." Neurocirugia (Asturias, Spain), vol. 28, no. 2, 2017, pp. 88-92.
Mansilla B, Isla A, Pérez-López C, et al. [Spinal sinovial cysts: Surgical treatment and clinical outcomes in a series of 18 cases]. Neurocirugia (Astur). 2017;28(2):88-92.
Mansilla, B., Isla, A., Pérez-López, C., Román-de Aragón, M., Zamorano, J., & Giner, J. (2017). [Spinal sinovial cysts: Surgical treatment and clinical outcomes in a series of 18 cases]. Neurocirugia (Asturias, Spain), 28(2), 88-92. https://doi.org/10.1016/j.neucir.2016.07.001
Mansilla B, et al. [Spinal Sinovial Cysts: Surgical Treatment and Clinical Outcomes in a Series of 18 Cases]. Neurocirugia (Astur). 2017 Mar - Apr;28(2):88-92. PubMed PMID: 27616440.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Spinal sinovial cysts: Surgical treatment and clinical outcomes in a series of 18 cases]. AU - Mansilla,Beatriz, AU - Isla,Alberto, AU - Pérez-López,Carlos, AU - Román-de Aragón,María, AU - Zamorano,Jorge, AU - Giner,Javier, Y1 - 2016/09/05/ PY - 2015/06/03/received PY - 2016/06/05/revised PY - 2016/07/24/accepted PY - 2016/9/13/pubmed PY - 2018/8/14/medline PY - 2016/9/13/entrez KW - Abordaje KW - Approach KW - Articular process KW - Faceta articular KW - Juxtafacet cyst KW - Quistes articulares KW - Sinovial KW - Synovial SP - 88 EP - 92 JF - Neurocirugia (Asturias, Spain) JO - Neurocirugia (Astur) VL - 28 IS - 2 N2 - 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: Synovial cysts are a cause of radiculopathy/neurogenic claudication. Spinal cysts are commonly found at the L4-L5 level. MRI is the tool of choice for diagnosis. The most common symptom was back pain with radiculopathy. Synovial cysts resistant to conservative therapy should be treated surgically. In our series, surgical resection of symptomatic juxtafacet cysts showed a good clinical outcome, but the optimal approach for patients with juxtafacet cysts remains unclear. SN - 1130-1473 UR - https://www.unboundmedicine.com/medline/citation/27616440/[Spinal_sinovial_cysts:_Surgical_treatment_and_clinical_outcomes_in_a_series_of_18_cases]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1130-1473(16)30054-9 DB - PRIME DP - Unbound Medicine ER -