Work

Full endoscopic resection of large bilateral synovial cysts in lumbar spine

Year: 2024

Type: article

Abstract: Synovial spinal cysts cause radiculopathy and back pain, with rare reports of cauda equina syndrome. Hypermobility and instability are cornerstones for synovial cyst formation. The incidence is around 5%, and data for bilateral cysts are lacking. Surgery is indicated after conservative measures fail. Recurrence is common and is potentially due to joint violation and destabilization from open surgery. This could be prevented via ultra-minimally invasive approaches. The authors present full endoscopic removal of bilateral synovial cysts in a patient with grade 1 stable spondylolisthesis and include a 360° view for confirmation of complete decompression. Postoperatively, the patient reported immediate pain relief. The video can be found here: https://stream.cadmore.media/r10.3171/2024.1.FOCVID23208.

Source: Neurosurgical Focus Video

DOI: 10.3171/2024.1.focvid23208

Authors: Jannik Leyendecker, Nelson Sofoluke, Christoph P. Hofstetter, Sanjay Konakondla

Institutions: University of Cologne, University of Washington, Geisinger Neuroscience Institute

Language: English

Topic: Spine and Intervertebral Disc Pathology

Subfield: Pathology and Forensic Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4393376546