Efficacy of Fluoroscopy- Guided Lumbar Facet Joint Synovial Cyst Rupture with Intra-Articular Steroid Injection after Laminectomy
Purpose We retrospectively evaluated the technical success rate and long-term efficacy of fluoroscopy- guided synovial cyst rupture followed by an intra-articular steroid injection at the post-laminectomy lumbar facet. Materials and Methods We selected subjects who had undergone a fluoroscopy-gui...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2021-01-01
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| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2019.0184 |
| _version_ | 1818413104502931456 |
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| author | Hyo Jin Kim Eugene Lee Joon Woo Lee Yusuhn Kang Joong Mo Ahn |
| author_facet | Hyo Jin Kim Eugene Lee Joon Woo Lee Yusuhn Kang Joong Mo Ahn |
| author_sort | Hyo Jin Kim |
| collection | DOAJ |
| description | Purpose We retrospectively evaluated the technical success rate and long-term efficacy of fluoroscopy-
guided synovial cyst rupture followed by an intra-articular steroid injection at the
post-laminectomy lumbar facet.
Materials and Methods We selected subjects who had undergone a fluoroscopy-guided synovial
cyst rupture with simultaneous intra-articular steroid injection within 6 months of MRI and
demonstrated a symptomatic facet joint synovial cyst at the level of a previous lumbar laminectomy.
Fourteen patients were enrolled, and we determined whether cyst rupture and symptom
improvement were achieved after each procedure. The degrees of symptom improvement
were categorized into 4: 1) symptoms improved (30% or more reduction, based on pre-procedural
and post-procedural Numerical Pain Rating Scale scores), 2) symptoms not improved, 3) patient
underwent surgery after injection, and 4) loss of follow-up.
Results The success rate of percutaneous synovial cyst rupture decreased with repeated procedures
(62.5% for the first procedure and 0% to 33.3% for additional procedures). However,
80% of the patients had symptom improvement with the procedures, overall. The surgery rate
was 14.3% in 14 patients.
Conclusion For patients with post-laminectomy symptomatic lumbar facet joint synovial
cysts, fluoroscopy-guided synovial cyst rupture with intra-articular steroid injection may be
an effective and less invasive treatment before considering a surgical approach. |
| first_indexed | 2024-12-14T10:57:54Z |
| format | Article |
| id | doaj.art-71a8431a8ff54c3fa37960f689caf3ff |
| institution | Directory Open Access Journal |
| issn | 2288-2928 |
| language | English |
| last_indexed | 2024-12-14T10:57:54Z |
| publishDate | 2021-01-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | 대한영상의학회지 |
| spelling | doaj.art-71a8431a8ff54c3fa37960f689caf3ff2022-12-21T23:04:51ZengThe Korean Society of Radiology대한영상의학회지2288-29282021-01-01821162172https://doi.org/10.3348/jksr.2019.0184Efficacy of Fluoroscopy- Guided Lumbar Facet Joint Synovial Cyst Rupture with Intra-Articular Steroid Injection after LaminectomyHyo Jin Kim0Eugene Lee1Joon Woo Lee2Yusuhn Kang3Joong Mo Ahn4Department of Radiology, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Radiology, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Radiology, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Radiology, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Radiology, Seoul National University Bundang Hospital, Seongnam, KoreaPurpose We retrospectively evaluated the technical success rate and long-term efficacy of fluoroscopy- guided synovial cyst rupture followed by an intra-articular steroid injection at the post-laminectomy lumbar facet. Materials and Methods We selected subjects who had undergone a fluoroscopy-guided synovial cyst rupture with simultaneous intra-articular steroid injection within 6 months of MRI and demonstrated a symptomatic facet joint synovial cyst at the level of a previous lumbar laminectomy. Fourteen patients were enrolled, and we determined whether cyst rupture and symptom improvement were achieved after each procedure. The degrees of symptom improvement were categorized into 4: 1) symptoms improved (30% or more reduction, based on pre-procedural and post-procedural Numerical Pain Rating Scale scores), 2) symptoms not improved, 3) patient underwent surgery after injection, and 4) loss of follow-up. Results The success rate of percutaneous synovial cyst rupture decreased with repeated procedures (62.5% for the first procedure and 0% to 33.3% for additional procedures). However, 80% of the patients had symptom improvement with the procedures, overall. The surgery rate was 14.3% in 14 patients. Conclusion For patients with post-laminectomy symptomatic lumbar facet joint synovial cysts, fluoroscopy-guided synovial cyst rupture with intra-articular steroid injection may be an effective and less invasive treatment before considering a surgical approach.https://doi.org/10.3348/jksr.2019.0184spinesynovial cystradiculopathyfluoroscopylaminectomy |
| spellingShingle | Hyo Jin Kim Eugene Lee Joon Woo Lee Yusuhn Kang Joong Mo Ahn Efficacy of Fluoroscopy- Guided Lumbar Facet Joint Synovial Cyst Rupture with Intra-Articular Steroid Injection after Laminectomy 대한영상의학회지 spine synovial cyst radiculopathy fluoroscopy laminectomy |
| title | Efficacy of Fluoroscopy- Guided Lumbar Facet Joint Synovial Cyst Rupture with Intra-Articular Steroid Injection after Laminectomy |
| title_full | Efficacy of Fluoroscopy- Guided Lumbar Facet Joint Synovial Cyst Rupture with Intra-Articular Steroid Injection after Laminectomy |
| title_fullStr | Efficacy of Fluoroscopy- Guided Lumbar Facet Joint Synovial Cyst Rupture with Intra-Articular Steroid Injection after Laminectomy |
| title_full_unstemmed | Efficacy of Fluoroscopy- Guided Lumbar Facet Joint Synovial Cyst Rupture with Intra-Articular Steroid Injection after Laminectomy |
| title_short | Efficacy of Fluoroscopy- Guided Lumbar Facet Joint Synovial Cyst Rupture with Intra-Articular Steroid Injection after Laminectomy |
| title_sort | efficacy of fluoroscopy guided lumbar facet joint synovial cyst rupture with intra articular steroid injection after laminectomy |
| topic | spine synovial cyst radiculopathy fluoroscopy laminectomy |
| url | https://doi.org/10.3348/jksr.2019.0184 |
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