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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Main Authors: Leonardo Giacomini, Alexandre Bossi Todeschini, Carlos Eduardo Vasconcelos Miranda, Roger Neves Mathias, Andrei Fernandes Joaquim
Format: Article
Language:English
Published: Korean Minimally Invasive Spine Surgery Society 2020-10-01
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
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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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AT carloseduardovasconcelosmiranda percutaneousendoscopiclumbarapproachtoafacetjointsynovialcystcasereportandreviewoftheliterature
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