Lumbar Synovial Cyst. A Case Report and Literature Review

Yıl 2018, Cilt: 5 Sayı: 3, 42 - 45, 04.12.2018

Halil İbrahim Süner , Aylin Güneşli , Soner Çivi Özgür Kardeş Emre Durdağ Kadir Tufan Fazilet Kayaselçuk

Öz

Lumbar intraspinal
synovial cysts (LISK) are rare and benign lesions that usually develop due to
lumbar segmental instability. LISK must be treated because they cause low back
pain, radiculopathy, and neurological deficits. It should not be forgotten that
Lomber surgical decompression may cause instability and synovial cysts. It is
necessary to follow minimal invasive surgery approaches and fusion surgery
should be performed in cases with instability in order to prevent this
situation.

Anahtar Kelimeler

Cyst, Instability, Spinal, Synovial

Lomber Sinovial Kist. Vaka Takdimi ve Literatür Gözden Geçirme

Öz

Lomber intraspinal sinovial kistler (LISK),
nadir görülen, genellikle lomber vertebra segmentindeki instabilite nedeniyle
gelişen benign lezyonlardır. LISK, sebep olduğu bel ağrısı, radikülopati ve
nörolojik defisitler nedeniyle tedavi edilmelidirler. Lomber cerrahi
dekompresyonun da instabiliteye neden olabileceği ve buna bağlı olarak da
synovial kistlerin gelişebileceği unutulmamalıdır. Bu duruma engel olmak için
minimal invaziv cerrahi yaklaşımların tercih edilmesi gerekmekte, instabilite
izlenen vakalara da füzyon cerrahisi uygulanmalıdır.

Anahtar Kelimeler

İnstabilite, Kist, Sinovial, Spinal

Kaynakça

• 1. Doyle AJ, Merrilees M. Synovial cysts of the lumbar facet joints in a symptomatic population prevalence on MRI. Spine. 2004;29(8):874–8.
• 2. Kato M, Konishi S, Matsumura A, et al. Clinical characteristics of intraspinal facet cysts following microsurgical bilateral decompression via a unilateral approach for treatment of degenerative lumbar disease. Eur Spine J. 2013;22(8):1750-7.
• 3. Themistoklis KM, Papasilekas TI, Boviatsis KA, et al. Spinal synovial cysts. A case series and current treatment options. J Clin Neurosci. 2018;pii: S0967-5868(18)30688-X.
• 4. Epstein NE. Lumbar Synovial Cysts: A Review of Diagnosis, Surgical Management, and Outcome Assessment. J Spinal Disord Tech. 2004;17:321–5.
• 5. Lyons MK, Atkinson JL, Wharen RE et al. Surgical evaluation and management of lumbar synovial cysts. J Neurosurg. 2000;93(1):53–7.
• 6. Bydon M, Papadimitriou K, Witham T, et al. Treatment of spinal synovial cysts. World Neurosurg. 2013;79(2):375-80.
• 7. Ikuta K, Tono O, Oga M. Prevalence and clinical features of intraspinal facet cysts after decompression surgery for lumbar spinal stenosis. J Neurosurg Spine. 2009;10(6):617–22.