An Unusual Case of Radicular Pain Caused by Bilateral Lumbar Synovial Cyst: A Case Report and Review of the Literature
المؤلفون المشاركون
Ruiz-Picazo, David
Ramírez-Villaescusa, José
Verdejo-González, Ana
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-07-17
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Introduction.
Spinal synovial cysts (SSCs) constitute an uncommon degenerative lesion of the spine.
They are usually asymptomatic but they may also cause symptoms of variable severity.
SSCs are benign growths adjoining the facet joints that may induce low back pain, lumbar radiculopathy, and neurological deficit.
There are different treatment options that range from conservative management to interventions like image-guided epidural steroid injection or direct cyst puncture and finally to open or endoscopic spinal canal decompression and spinal bone fusion with/without instrumentation.
A discussion of current management options for this unusual disease is presented.
Material and Methods.
A 52-year-old female patient presented with low back pain and left leg pain.
Plain radiography demonstrated instability at the L4-L5 level.
Magnetic resonance images (MRIs) revealed a bilateral cystic lesion at the L4-L5 level with associated instability and degenerative disc disease at the level L5-S1.
Initially, conservative treatment was performed by aspiration of the left cyst and infiltration with corticosteroids with improvement of the pain for 1 year.
After this period, the radicular and the low back pain reoccurred.
Results.
Following leg pain recurrence, a hybrid L4-S1 fusion was performed.
After surgery, there was clinical improvement and six months later, the patient returned to daily activities.
The radiological study after five-year follow-up shows adequate implant position, without signs of loosening, compatible with solid fusion.
Conclusion.
After reviewing the literature, the optimal management for patients with symptomatic lumbar synovial cyst must be very individualized, which is essential to achieve a favorable outcome.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ruiz-Picazo, David& Ramírez-Villaescusa, José& Verdejo-González, Ana. 2020. An Unusual Case of Radicular Pain Caused by Bilateral Lumbar Synovial Cyst: A Case Report and Review of the Literature. Case Reports in Orthopedics،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1150050
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ruiz-Picazo, David…[et al.]. An Unusual Case of Radicular Pain Caused by Bilateral Lumbar Synovial Cyst: A Case Report and Review of the Literature. Case Reports in Orthopedics No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1150050
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ruiz-Picazo, David& Ramírez-Villaescusa, José& Verdejo-González, Ana. An Unusual Case of Radicular Pain Caused by Bilateral Lumbar Synovial Cyst: A Case Report and Review of the Literature. Case Reports in Orthopedics. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1150050
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1150050
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر