Home > Journals > Journal of Neurosurgical Sciences > Past Issues > Journal of Neurosurgical Sciences 2004 March;48(1) > Journal of Neurosurgical Sciences 2004 March;48(1):29-36

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

JOURNAL OF NEUROSURGICAL SCIENCES

A Journal on Neurosurgery


Indexed/Abstracted in: e-psyche, EMBASE, PubMed/MEDLINE, Neuroscience Citation Index, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,651


eTOC

 

CASE REPORTS  


Journal of Neurosurgical Sciences 2004 March;48(1):29-36

language: English

Microsurgical ­approach to lum­bar syn­ovi­al ­cysts. Technical ­notes

Cipri S. 1, Cafarelli F. 2, Ielo A. 3, Gambardella G. 1

1 Department of Neurosurgery, Bianchi-Melacrino-Morelli Hospitals, Reggio Calabria, Italy
2 Service of Neuroradiology, Bianchi-Melacrino-Morelli Hospitals, Reggio Calabria, Italy
3 Department of Radiology, Bianchi-Melacrino-Morelli Hospitals, Reggio Calabria, Italy


PDF  


Intraspinal extrad­u­ral syn­ovi­al ­cysts are ­quite com­mon in the lum­bar ­spine. With ­respect to clin­i­cal pres­en­ta­tion and sur­gi­cal treat­ment, jux­ta-fac­et ­cysts (gan­gli­on and syn­ovi­al ­cysts) ­share iden­ti­cal char­ac­ter­is­tics and ­results. Nowadays, cur­rent treat­ment strat­e­gies of intra­spi­nal jux­ta-fac­et ­cysts con­tin­ue to ­inspire con­tro­ver­sy regard­ing appro­pri­ate sur­gi­cal approach­es, and ­include ­many tech­ni­cal ­options. The pur­pose of ­this ­report is to illus­trate the advan­tage of min­i­mal­ly inva­sive approach­es in 3 cas­es of lum­bar syn­ovi­al ­cysts. We per­formed a ­small fla­vec­to­my in the 1st ­case, a trans­ar­tic­u­lar par­tial facec­to­my, fol­lowed by eth­e­rol­o­gous ­bone ­graft ­fusion in the 2nd ­case, and a fla­vec­to­my and par­tial facec­to­my in the 3rd ­case. In our cas­es, a micro­sur­gi­cal ­approach to lum­bar syn­ovi­al ­cysts yield­ed to com­plete exci­sion of the ­lesions and excel­lent ­pain ­relief, ­with ear­ly mobil­iza­tion and hos­pi­tal dis­charge of the ­patients. In our opin­ion, min­i­mal­ly inva­sive approach­es and micro­sur­gi­cal exci­sion of lum­bar jux­ta-fac­et ­cysts are advan­ta­geous ­over con­ven­tion­al lum­bar lam­i­nec­to­my ­because ­they ­reduce lat­er devel­op­ment of seg­men­tal instabil­ity at the oper­a­tive lev­el, and there­fore a ­less inva­sive strat­e­gy for intra­spi­nal syn­ovi­al ­cysts remov­al ­should be rec­om­mend­ed.

top of page

Publication History

Cite this article as

Corresponding author e-mail