Should We Label All Synovial Cysts as Unstable?

Kulkarni, Arvind G; Dutta, Shumayou; Dhruv, Abhilash; Bassi, Anupreet

doi:10.1177/2192568217700103

Cited by 18 publications

(4 citation statements)

References 28 publications

(46 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Whether fusion is needed has also been discussed in patients with lumbar FJCs undergoing decompressive operation ( 26 ). The NeuroSpine Surgery Research Group proposed a classification system (grades 1–5) for lumbar FJCs based on the percentage of the vertebral canal occupied by the cyst on MRI and the degree of spondylolisthesis in the involved segment.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous uniportal full-endoscopic surgery for treating symptomatic lumbar facet joint cysts under local anesthesia combined with monitored anesthesia care: a preliminary report of eight cases with at least 1 year follow-up

Tan,

Yu,

et al. 2023

Front. Neurol.

View full text Add to dashboard Cite

BackgroundLumbar facet joint cysts (FJCs) are a relatively rare clinical pathology that can result in radiculopathy or neurogenic claudication. Various treatments such as percutaneous aspiration and surgery have been reported to have good clinical outcomes. However, few clinical studies have aimed to treat symptomatic lumbar FJCs by using uniportal full-endoscopic (UFE) surgery. This study aimed to investigate the preliminary clinical outcomes of UFE surgery for the treatment of lumbar FJCs under local anesthesia combined with monitored anesthesia care (MAC).MethodsEight patients (five males and three females) with symptomatic lumbar FJCs who underwent UFE surgery under local and MAC anesthesia were enrolled in this study between January 2018 and April 2022. The clinical characteristics, radiological features, operative information, visual analog scale (VAS) score, Oswestry disability index (ODI), and overall outcome rating based on the modified MacNab criteria were retrospectively analyzed.ResultsOf the eight patients, four underwent a transforaminal approach and four underwent an interlaminar approach. Postoperatively, the mean VAS score for leg pain decreased from 6.1 before surgery to 0.6 after surgery, and the ODI decreased from 74.5% to 14.7%. All patients were followed up for more than 1 year, and the good-to-excellent rate based on the modified MacNab criteria remained 100% at the last follow-up. No complications occurred during the follow-up period.ConclusionLumbar FJCs can cause severe radiating leg pain and/or neurogenic claudication due to the dural sac compression and nerve roots. As an alternative treatment, UFE decompression under local and MAC anesthesia may provide effective clinical outcomes for symptomatic lumbar FJCs.

show abstract

Section: Discussionmentioning

confidence: 99%

Percutaneous uniportal full-endoscopic surgery for treating symptomatic lumbar facet joint cysts under local anesthesia combined with monitored anesthesia care: a preliminary report of eight cases with at least 1 year follow-up

Tan,

Yu,

et al. 2023

Front. Neurol.

View full text Add to dashboard Cite

show abstract

“…Intradural pathology and tumors of the spine can be managed by minimally invasive techniques conserving the bony and musculoligamentous tissues essential for stability of spine. There are studies reporting the usage of microtubular technique to excise focal tumors like osteoid osteoma from C2 vertebra 24,37,38) . The tubular retractors provide adequate window for tumor surgery which is still not completely established with full endoscopy.…”

Section: Synovial Cysts and Tumorsmentioning

confidence: 99%

Full Endoscopic Spine Surgery in the View of Tubular Endoscopic Spine Surgery

Kulkarni

Yeshwanth

2021

J Minim Invasive Spine Surg Tech

View full text Add to dashboard Cite

Integration of technological advancements across multiple modalities enabled different surgical specialties to embrace various minimally invasive approaches. Such advancements related to spine surgery are gaining popularity due to focal nature of majority of the spine pathologies. Tubular retractors of various types and dimensions have proved their worth by giving very good results when used with either microscope or endoscope. They enable surgical decompression and fusion with minimal alteration of the normal musculoligamentous anatomy of back and have proven their versatility by delivering excellent outcomes for different conditions. The evolution of the techniques of full endoscopy opened new paths which seem promising to further refinement of spine surgery. This progress has brought us to the crossroads of either carrying out the satisfactory techniques of tubular retractors or to try something different by taking another steep learning curve and shifting to full endoscopic techniques. It has to be seen whether the transition to full endoscopic intervention is worth exploring new horizons by taking a longer trajectory of learning when similar advantages are being achieved by existing tubular techniques. In this report, we discuss the pathologies dealt with and the changing trends for developing to full endoscopic techniques under the experience of tubular endoscopic spine surgery.

show abstract

“…Several studies have identified specific MRI features, such as intraspinal synovial cyst, facet fluid, and facet orientation, which may be suggestive of spondylolisthesis [3][4][5]. Extensive literature is available for the lumbar spine which states that the presence of facet fluid is correlated with the likelihood of lumbar spondylolisthesis [5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Significance of Facet Fluid Index in Anterior Cervical Degenerative Spondylolisthesis

Lee,

Heard,

Lambrechts

et al. 2024

Asian Spine J

View full text Add to dashboard Cite

Study Design: Retrospective cohort study.Purpose: To correlate cervical facet fluid characteristics to radiographic spondylolisthesis, determine if facet fluid is associated with instability in cervical degenerative spondylolisthesis, and examine whether vertebral levels with certain facet fluid characteristics and spondylolisthesis are more likely to be operated on.Overview of Literature: The relationship between facet fluid and lumbar spondylolisthesis is well-documented; however, there is a paucity of literature investigating facet fluid in degenerative cervical spondylolisthesis.Methods: Patients diagnosed with cervical degenerative spondylolisthesis were identified from a hospital’s medical records. Demographic and surgical characteristics were collected through a structured query language search and manual chart review. Radiographic measurements were made on preoperative MRIs for all vertebral levels diagnosed with spondylolisthesis and adjacent undiagnosed levels between C3 and C6. The facet fluid index was calculated by dividing the facet fluid measurement by the width of the facet. Bivariate analysis was conducted to compare facet characteristics based on radiographic spondylolisthesis and spondylolisthesis stability.Results: We included 154 patients, for whom 149 levels were classified as having spondylolisthesis and 206 levels did not. The average facet fluid index was significantly higher in patients with spondylolisthesis (0.26±0.07 vs. 0.23±0.08, p <0.001). In addition, both fluid width and facet width were significantly larger in patients with spondylolisthesis (p <0.001 each). Cervical levels in the fusion construct demonstrated a greater facet fluid index and were more likely to have unstable spondylolisthesis than stable spondylolisthesis (p <0.001 each).Conclusions: Facet fluid index is associated with cervical spondylolisthesis and an increased facet size and fluid width are associated with unstable spondylolisthesis. While cervical spondylolisthesis continues to be an inconclusive finding, vertebral levels with spondylolisthesis, especially the unstable ones, were more likely to be included in the fusion procedure than those without spondylolisthesis.

show abstract

Should We Label All Synovial Cysts as Unstable?

Cited by 18 publications

References 28 publications

Percutaneous uniportal full-endoscopic surgery for treating symptomatic lumbar facet joint cysts under local anesthesia combined with monitored anesthesia care: a preliminary report of eight cases with at least 1 year follow-up

Percutaneous uniportal full-endoscopic surgery for treating symptomatic lumbar facet joint cysts under local anesthesia combined with monitored anesthesia care: a preliminary report of eight cases with at least 1 year follow-up

Full Endoscopic Spine Surgery in the View of Tubular Endoscopic Spine Surgery

Significance of Facet Fluid Index in Anterior Cervical Degenerative Spondylolisthesis

Contact Info

Product

Resources

About