Simple microsurgical extirpation as a method of choice in treating symptomatic spinal facet joint cysts, a retrospective case series
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F23%3A43925831" target="_blank" >RIV/00064173:_____/23:43925831 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11120/23:43925831
Result on the web
<a href="https://doi.org/10.1016/j.wneu.2023.06.120" target="_blank" >https://doi.org/10.1016/j.wneu.2023.06.120</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.wneu.2023.06.120" target="_blank" >10.1016/j.wneu.2023.06.120</a>
Alternative languages
Result language
angličtina
Original language name
Simple microsurgical extirpation as a method of choice in treating symptomatic spinal facet joint cysts, a retrospective case series
Original language description
BACKGROUND: Facet joint cysts (FJCs) are a cause of radiculopathy, back pain, cauda equina syndrome, or claudication. They mostly affect the lumbar spine in the elderly, prevailing in women, and are connected to spinal degeneration and instability. We aimed to evaluate the safety and efficacy of open surgical decompression and cyst excision without a subsequent fusion. METHODS: We evaluated neurologic symptoms and potential signs of spinal instability on preoperative vs postoperative radiological examination. We performed a histological assessment of the extirpated cysts. Statistical analysis was then performed. RESULTS: Forty-four patients (out of total 66) were included. Average age was 61.2 years. Female patients prevailed (61.4%). Mean follow-up was 5.3 years. The segment most frequently affected by FJCs was L4/5 (65.9%). Resection of the cyst led to significant relief from neurological symptoms in most cases. Thus, 95.5% of patients reported their postoperative outcome as excellent. Pre-operation, 43.2% and 47.4% patients demonstrated radiographic signs of instability on an MRI scan and signs of spondylolisthesis on a dynamic X-ray scan in the operated segment, respectively, with 54.5% manifesting signs of spondylolisthesis in the same segment on a postoperative dynamic X-ray scan. Despite spondylolisthesis progression, zero patients required reoperation. Histologically, pseudocysts without synovium were more frequent than synovial cysts. CONCLUSIONS: Simple FJC extirpation is a safe and effective method for resolving radicular symptoms, with excellent long-term outcomes. It does not lead to the development of a clinically significant spondylolisthesis in the operated segment, and thus no supplementary fusion with instrumented stabilisation is required.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30212 - Surgery
Result continuities
Project
—
Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2023
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
World Neurosurgery
ISSN
1878-8750
e-ISSN
1878-8769
Volume of the periodical
177
Issue of the periodical within the volume
September
Country of publishing house
US - UNITED STATES
Number of pages
8
Pages from-to
"e665"-"e672"
UT code for WoS article
001076105900001
EID of the result in the Scopus database
2-s2.0-85166291691