Simple Microsurgical Extirpation as a Method of Choice in Treating Symptomatic Spinal Facet Joint Cysts: A Retrospective Case Series

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F27661989%3A_____%2F23%3A10003486" target="_blank" >RIV/27661989:_____/23:10003486 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11120/23:43925831 RIV/00064173:_____/23:43925831

Result on the web

<a href="https://www.sciencedirect.com/science/article/abs/pii/S1878875023009038" target="_blank" >https://www.sciencedirect.com/science/article/abs/pii/S1878875023009038</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>

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

BackgroundFacet joint cysts (FJCs) are a cause of radiculopathy, back pain, cauda equina syndrome, and/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.MethodsWe evaluated neurologic symptoms and potential signs of spinal instability on preoperative versus postoperative radiological examination. We performed a histological assessment of the extirpated cysts. Statistical analysis was then performed.ResultsOf a total of 66 patients, 44 were included in the present study. The average age was 61.2 years. Female patients prevailed (61.4%). The mean follow-up was 5.3 years. The segment most frequently affected by a FJC was L4-L5 (65.9%). Cyst resection led to significant relief from neurologic symptoms for most patients. Thus, 95.5% of our patients reported their postoperative outcome as excellent. Preoperatively, 43.2% and 47.4% of patients had had radiographic signs of instability on magnetic resonance imaging and signs of spondylolisthesis on dynamic radiographs in the operated segment, respectively, with 54.5% manifesting signs of spondylolisthesis in the same segment on a postoperative dynamic radiograph. Despite spondylolisthesis progression, no patient required reoperation. Histologically, pseudocysts without synovium were more frequent than were synovial cysts.ConclusionsSimple 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 clinically significant spondylolisthesis in the operated segment; thus, no supplementary fusion with instrumented stabilization is required.

Czech name

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Czech description

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Type

J_SC - Article in a specialist periodical, which is included in the SCOPUS database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

—

Continuities

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

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

—

EID of the result in the Scopus database

2-s2.0-85166291691