Outcome of percutaneous rupture of lumbar synovial cysts: a case series of 101 patients

Martha, Julia; Swaim, Bryan H.; Wang, David A.; Kim, David H.; Hill, James A.; Bode, Rita; Schwartz, Carolyn E.

doi:10.1016/j.spinee.2009.06.010

Cited by 100 publications

(79 citation statements)

References 14 publications

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“…The study of Martha et al reports of successful cyst ruptures in 81% of cases. However, 54% of patients required subsequent surgery because of inadequate symptom relief [10]. Most studies recommend surgical resection [9,11].…”

Section: Introductionmentioning

confidence: 99%

Incomplete resection of lumbar synovial cysts – Evaluating the risk of recurrence

Scholz

Hubbe

Kogias

et al. 2015

Clinical Neurology and Neurosurgery

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Section: Introductionmentioning

confidence: 99%

Incomplete resection of lumbar synovial cysts – Evaluating the risk of recurrence

Scholz

Hubbe

Kogias

et al. 2015

Clinical Neurology and Neurosurgery

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“…In those patients, relief of pain was often transient, ranging between 33% 30) and 72% 1) at 6-12 months, and more than half of them required subsequent surgery. 27) For those reasons, surgery is the mainstay of treatment, as confirmed by the 877 LSCs surgically treated and histologically confirmed, which are nowadays reported.…”

Section: Discussionmentioning

confidence: 95%

Synovial Cysts of the Lumbar Spine

Ganau

Ennas

Bellisano

et al. 2013

Neurol. Med. Chir.(Tokyo)

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Symptomatic lumbar synovial cysts (LSCs) are a rare cause of degenerative narrowing of the spinal canal, with thecal sac or nerve root compression. True synovial cysts have a thick wall lined by synovial cells, containing granulation tissue, numerous histiocytes, and giant cells. In contrast, pseudo-cysts lack specialized epithelium, have a collagenous capsule filled with myxoid material, and may be classified into ganglion cysts, originating from periarticular fibrous tissues, and ligamentous cysts, arising from the ligamentum flavum or even from the posterior longitudinal ligament. Here we present the surgical series of the Chair of Neurosurgery at the University of Cagliari (Italy) including a total of 17 LSCs. Surgical technique consisted of facet sparing excision of LSC, achieved by simple hemilaminectomy/laminectomy, and diagnosis was always confirmed by histological specimen examination, which detected the typical synovial epithelium, the intracystic presence of hemosiderin, histiocytes, and calcifications. Further immunohistochemical investigation revealed positive staining for cytokeratin: CK5, CK6, and AE1/AE3. Clinically, our cohort experienced rapid and complete resolution of symptoms, without perioperative complications, or recurrence of cysts or vertebral instability at a median follow up of 28 months, when the MacNab score was generally excellent. A review of the literature, retrieving articles published from 1973, collected a total of 101 articles concerning all the cases of LSC scientifically described to date. Both clinical and histological findings described in our study support the theory of degenerative microtraumatic pathogenesis of synovial cysts.

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“…Conservative treatment was an option in older and highrisk patients, but usually yielded less favorable results. In the recent series of 101 patients after successful cyst rupture under fluoroscopic guidance, Martha found that 54 % required subsequent surgery approximately, 8.4 months after treatment [38]. In another literature review, Shah and Lutz [3] identified 139 patients treated conservatively, out of which 47 % finally received surgical treatment due to absence of sustained benefit.…”

Section: Discussionmentioning

confidence: 99%

Hemilaminoplasty for the treatment of lumbar intraspinal synovial cysts (LISCs) and literature review

ZhenBo

Wang

et al. 2014

Eur Spine J

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Outcome of percutaneous rupture of lumbar synovial cysts: a case series of 101 patients

Cited by 100 publications

References 14 publications

Incomplete resection of lumbar synovial cysts – Evaluating the risk of recurrence

Incomplete resection of lumbar synovial cysts – Evaluating the risk of recurrence

Synovial Cysts of the Lumbar Spine

Hemilaminoplasty for the treatment of lumbar intraspinal synovial cysts (LISCs) and literature review

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