Percutaneous Endoscopic Lumbar Approach to a Facet Joint Synovial Cyst: Case Report and Review of the Literature
Lumbar facet joint synovial cysts are rare lesions that may cause radiculopathy, usually it does not respond well to clinical management, oftentimes requiring surgical intervention. The percutaneous endoscopic approach may be an alternative that avoids the risk of instability. On this paper we descr...
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Format: | Article |
Language: | English |
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Korean Minimally Invasive Spine Surgery Society
2020-10-01
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Series: | Journal of Minimally Invasive Spine Surgery and Technique |
Subjects: | |
Online Access: | http://www.jmisst.org/upload/pdf/jmisst-2020-00178.pdf |
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author | Leonardo Giacomini Alexandre Bossi Todeschini Carlos Eduardo Vasconcelos Miranda Roger Neves Mathias Andrei Fernandes Joaquim |
author_facet | Leonardo Giacomini Alexandre Bossi Todeschini Carlos Eduardo Vasconcelos Miranda Roger Neves Mathias Andrei Fernandes Joaquim |
author_sort | Leonardo Giacomini |
collection | DOAJ |
description | Lumbar facet joint synovial cysts are rare lesions that may cause radiculopathy, usually it does not respond well to clinical management, oftentimes requiring surgical intervention. The percutaneous endoscopic approach may be an alternative that avoids the risk of instability. On this paper we describe the percutaneous endoscopic approach to a lumbar facet joint synovial cyst in a 78-years-old, female patient. 78-years-old female with a history of rheumatoid arthritis, which caused numerous deformities in peripheral joints. She was complaining of progressive neurogenic claudication and right-side sciatica for 6 months and a limited walking ability, the MRI revealed a 12 mm L4L5 right facet joint synovial cyst. The natural history of lumbar facet joint cysts is not completely understood. It has been linked in previous studies to degenerative spine diseases, such as spondylolistheses and scoliosis. There are rare publications or studies confirming the superiority of the endoscopic approach to these cysts due to its rarity. The percutaneous endoscopic approach may be an alternative. The percutaneous endoscopic approach to the lumbar. facet joins cysts is a viable approach |
first_indexed | 2024-04-10T22:32:05Z |
format | Article |
id | doaj.art-94a70a97ac0b4189bde89a661bfa1217 |
institution | Directory Open Access Journal |
issn | 2508-2043 |
language | English |
last_indexed | 2024-04-10T22:32:05Z |
publishDate | 2020-10-01 |
publisher | Korean Minimally Invasive Spine Surgery Society |
record_format | Article |
series | Journal of Minimally Invasive Spine Surgery and Technique |
spelling | doaj.art-94a70a97ac0b4189bde89a661bfa12172023-01-17T04:30:59ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432020-10-0152818310.21182/jmisst.2020.0017877Percutaneous Endoscopic Lumbar Approach to a Facet Joint Synovial Cyst: Case Report and Review of the LiteratureLeonardo Giacomini0Alexandre Bossi Todeschini1Carlos Eduardo Vasconcelos Miranda2Roger Neves Mathias3Andrei Fernandes Joaquim4 Department of Neurosurgery, Hospital 9 de Julho, Sao Paulo-SP, Brazil Department of Neurosurgery, Hospital 9 de Julho, Sao Paulo-SP, Brazil Department of Neurosurgery, Hospital 9 de Julho, Sao Paulo-SP, Brazil Department of Neurosurgery, Hospital 9 de Julho, Sao Paulo-SP, Brazil Professor of Neurosurgery University of Campinas, Sao Paulo-SP, BrazilLumbar facet joint synovial cysts are rare lesions that may cause radiculopathy, usually it does not respond well to clinical management, oftentimes requiring surgical intervention. The percutaneous endoscopic approach may be an alternative that avoids the risk of instability. On this paper we describe the percutaneous endoscopic approach to a lumbar facet joint synovial cyst in a 78-years-old, female patient. 78-years-old female with a history of rheumatoid arthritis, which caused numerous deformities in peripheral joints. She was complaining of progressive neurogenic claudication and right-side sciatica for 6 months and a limited walking ability, the MRI revealed a 12 mm L4L5 right facet joint synovial cyst. The natural history of lumbar facet joint cysts is not completely understood. It has been linked in previous studies to degenerative spine diseases, such as spondylolistheses and scoliosis. There are rare publications or studies confirming the superiority of the endoscopic approach to these cysts due to its rarity. The percutaneous endoscopic approach may be an alternative. The percutaneous endoscopic approach to the lumbar. facet joins cysts is a viable approachhttp://www.jmisst.org/upload/pdf/jmisst-2020-00178.pdflumbar facet joint disiasepercutaneous endoscopic approachsynovial cysts |
spellingShingle | Leonardo Giacomini Alexandre Bossi Todeschini Carlos Eduardo Vasconcelos Miranda Roger Neves Mathias Andrei Fernandes Joaquim Percutaneous Endoscopic Lumbar Approach to a Facet Joint Synovial Cyst: Case Report and Review of the Literature Journal of Minimally Invasive Spine Surgery and Technique lumbar facet joint disiase percutaneous endoscopic approach synovial cysts |
title | Percutaneous Endoscopic Lumbar Approach to a Facet Joint Synovial Cyst: Case Report and Review of the Literature |
title_full | Percutaneous Endoscopic Lumbar Approach to a Facet Joint Synovial Cyst: Case Report and Review of the Literature |
title_fullStr | Percutaneous Endoscopic Lumbar Approach to a Facet Joint Synovial Cyst: Case Report and Review of the Literature |
title_full_unstemmed | Percutaneous Endoscopic Lumbar Approach to a Facet Joint Synovial Cyst: Case Report and Review of the Literature |
title_short | Percutaneous Endoscopic Lumbar Approach to a Facet Joint Synovial Cyst: Case Report and Review of the Literature |
title_sort | percutaneous endoscopic lumbar approach to a facet joint synovial cyst case report and review of the literature |
topic | lumbar facet joint disiase percutaneous endoscopic approach synovial cysts |
url | http://www.jmisst.org/upload/pdf/jmisst-2020-00178.pdf |
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