Is fluoroscopy-guided percutaneous rupture of facet cyst an alternative to surgery? A case report


GÜNDÜZ O. H., ŞENCAN S., Atalay K. G., Ercalik T., Tuna H. A., Eissa H.

TURKISH JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION, cilt.64, sa.4, ss.362-365, 2018 (SCI-Expanded) identifier identifier

Özet

Lumbar intraspinal synovial cysts (LISCs) are rare cause of the lumbosacral radicular syndrome. Fluoroscopy-guided percutaneous cyst rupture (PCR) is an option in the treatment. This report introduces long-term symptom relief after fluoroscopy-guided PCR of LISC. A 73-year-old patient presented with low back pain radiating to right leg. L5 radiculopathy was suspected by physical examination; however, an intraspinal cystic mass was visualized through imaging studies. The patient reported immediate pain relief after fluoroscopy-guided PCR, which sustained for one year. In conclusion, fluoroscopy-guided PCR appears to be a safe and effective treatment option and should be considered before surgery in patients with LISCs.