Full Endoscopic Resection of Large Bilateral Synovial Cysts in Lumbar Spine

Overview

Journal Neurosurg Focus Video

Specialty Neurosurgery

Date 2024 Apr 15

PMID 38616908

Authors

Jannik Leyendecker

Nelson Sofoluke

Christoph P Hofstetter

Sanjay Konakondla

Affiliations

Soon will be listed here.

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.

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