Endoscopic treatment of lumbar ligamentum flavum cyst by interlaminar approach: a minimally invasive and effective alternative to open surgery
Abstract Background and objectives Lumbar ligamentum flavum cyst is a rare spinal condition that can cause significant morbidity and neurological deficits. Traditional surgical treatment involves open surgery, which can be associated with prolonged recovery time and significant morbidity. In recent...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-03824-3 |
| _version_ | 1797827449533235200 |
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| author | Jin Tang Kui Liu Wei Xie Xugui Li Xuewen Gan Ying Li Qilin Lu Junjie Li |
| author_facet | Jin Tang Kui Liu Wei Xie Xugui Li Xuewen Gan Ying Li Qilin Lu Junjie Li |
| author_sort | Jin Tang |
| collection | DOAJ |
| description | Abstract Background and objectives Lumbar ligamentum flavum cyst is a rare spinal condition that can cause significant morbidity and neurological deficits. Traditional surgical treatment involves open surgery, which can be associated with prolonged recovery time and significant morbidity. In recent years, endoscopic treatment of lumbar ligamentum flavum cyst has emerged as a minimally invasive and effective alternative to open surgery, but only a few cases have been reported in the literature. This paper describes our experience with endoscopic resection of an L4/5 ligamentum flavum cyst through an interlaminar approach and reviews the literature on the treatment of lumbar ligamentum flavum cyst. Methods An 87-year-old man presented with lameness in the left leg, and magnetic resonance imaging (MRI) showed nerve compression by a ligamentum flavum cyst at the L4/5 intervertebral plane. The patient underwent endoscopic resection of the ligamentum flavum cyst through a left interlaminar approach with the facet joint preserved. The present study was approved by the Ethics Committee of our hospital. The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request. Text regarding patient consent is not applicable for this case. Results Postoperative clinical results improved significantly, and postoperative MRI showed complete cyst resection. Conclusion Total endoscopic resection via an interlaminar approach provides a new minimally invasive approach for the surgical treatment of lumbar ligamentum flavum cyst, which can be used as a reference by clinicians. |
| first_indexed | 2024-04-09T12:48:30Z |
| format | Article |
| id | doaj.art-848aa0ddc0504cedbd7646edbdfc66f5 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-09T12:48:30Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-848aa0ddc0504cedbd7646edbdfc66f52023-05-14T11:22:34ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-05-011811610.1186/s13018-023-03824-3Endoscopic treatment of lumbar ligamentum flavum cyst by interlaminar approach: a minimally invasive and effective alternative to open surgeryJin Tang0Kui Liu1Wei Xie2Xugui Li3Xuewen Gan4Ying Li5Qilin Lu6Junjie Li7Department of Minimally Invasive Spinal Surgery, The Affiliated Hospital of Wuhan Sports UniversityDepartment of Minimally Invasive Spinal Surgery, The Affiliated Hospital of Wuhan Sports UniversityDepartment of Minimally Invasive Spinal Surgery, The Affiliated Hospital of Wuhan Sports UniversityDepartment of Minimally Invasive Spinal Surgery, The Affiliated Hospital of Wuhan Sports UniversityDepartment of Minimally Invasive Spinal Surgery, The Affiliated Hospital of Wuhan Sports UniversityDepartment of Minimally Invasive Spinal Surgery, The Affiliated Hospital of Wuhan Sports UniversityDepartment of Minimally Invasive Spinal Surgery, The Affiliated Hospital of Wuhan Sports UniversityDepartment of Spine Surgery, The Fisrt Affiliated Hosptial, and College of Clinica Medicine of Henan University of Science and TechnologyAbstract Background and objectives Lumbar ligamentum flavum cyst is a rare spinal condition that can cause significant morbidity and neurological deficits. Traditional surgical treatment involves open surgery, which can be associated with prolonged recovery time and significant morbidity. In recent years, endoscopic treatment of lumbar ligamentum flavum cyst has emerged as a minimally invasive and effective alternative to open surgery, but only a few cases have been reported in the literature. This paper describes our experience with endoscopic resection of an L4/5 ligamentum flavum cyst through an interlaminar approach and reviews the literature on the treatment of lumbar ligamentum flavum cyst. Methods An 87-year-old man presented with lameness in the left leg, and magnetic resonance imaging (MRI) showed nerve compression by a ligamentum flavum cyst at the L4/5 intervertebral plane. The patient underwent endoscopic resection of the ligamentum flavum cyst through a left interlaminar approach with the facet joint preserved. The present study was approved by the Ethics Committee of our hospital. The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request. Text regarding patient consent is not applicable for this case. Results Postoperative clinical results improved significantly, and postoperative MRI showed complete cyst resection. Conclusion Total endoscopic resection via an interlaminar approach provides a new minimally invasive approach for the surgical treatment of lumbar ligamentum flavum cyst, which can be used as a reference by clinicians.https://doi.org/10.1186/s13018-023-03824-3Ligamentum flavum cystEndoscopicInterlaminarLamenessFacet joint |
| spellingShingle | Jin Tang Kui Liu Wei Xie Xugui Li Xuewen Gan Ying Li Qilin Lu Junjie Li Endoscopic treatment of lumbar ligamentum flavum cyst by interlaminar approach: a minimally invasive and effective alternative to open surgery Journal of Orthopaedic Surgery and Research Ligamentum flavum cyst Endoscopic Interlaminar Lameness Facet joint |
| title | Endoscopic treatment of lumbar ligamentum flavum cyst by interlaminar approach: a minimally invasive and effective alternative to open surgery |
| title_full | Endoscopic treatment of lumbar ligamentum flavum cyst by interlaminar approach: a minimally invasive and effective alternative to open surgery |
| title_fullStr | Endoscopic treatment of lumbar ligamentum flavum cyst by interlaminar approach: a minimally invasive and effective alternative to open surgery |
| title_full_unstemmed | Endoscopic treatment of lumbar ligamentum flavum cyst by interlaminar approach: a minimally invasive and effective alternative to open surgery |
| title_short | Endoscopic treatment of lumbar ligamentum flavum cyst by interlaminar approach: a minimally invasive and effective alternative to open surgery |
| title_sort | endoscopic treatment of lumbar ligamentum flavum cyst by interlaminar approach a minimally invasive and effective alternative to open surgery |
| topic | Ligamentum flavum cyst Endoscopic Interlaminar Lameness Facet joint |
| url | https://doi.org/10.1186/s13018-023-03824-3 |
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