Treatment of spinal synovial cysts

Mohamad Bydon, Kyriakos Papadimitriou, Timothy Witham, Jean Paul Wolinsky, Daniel Sciubba, Ziya Gokaslan, Ali Bydon

Research output: Contribution to journalReview article

12 Citations (Scopus)

Abstract

Background: Spinal synovial cysts are a known cause of back pain and radiculopathy. With the advent of high-resolution imaging techniques, synovial cysts are increasingly diagnosed. There are a variety of treatment options for these lesions. Methods: A systematic literature review of published articles reporting outcomes after nonsurgical and surgical management of spinal synovial cysts was performed. Results: There were 51 published studies regarding the treatment of synovial cysts identified. Treatment modalities include observation, steroid injections, percutaneous cyst aspiration, hemilaminectomy or bilateral laminectomy with and without instrumented fusion, and minimally invasive cyst excision. Conclusions: Based on review of the treatment modalities and outcomes, recommendations for the management of patients with synovial cysts are proposed. Observation can be considered in cases where there is no intractable pain. High-risk surgical patients with intractable pain may consider corticosteroid injection or percutaneous cyst aspiration; however, the failure rate of such a procedure approaches 50%. Patients with intractable pain are candidates for surgical resection of the symptomatic cyst. In cases of significant neurologic deficit, motor weakness, back pain, multiple synovial cysts, or spondylolisthesis, bilateral laminectomy and instrumented fusion may offer the best long-term outcome.

Original languageEnglish (US)
Pages (from-to)375-380
Number of pages6
JournalWorld Neurosurgery
Volume79
Issue number2
DOIs
StatePublished - Feb 2013
Externally publishedYes

Fingerprint

Synovial Cyst
Intractable Pain
Cysts
Laminectomy
Back Pain
Therapeutics
Observation
Spondylolisthesis
Injections
Radiculopathy
Neurologic Manifestations
Adrenal Cortex Hormones
Steroids

Keywords

  • Ganglion cyst
  • Intraspinal cyst
  • Juxtafacet cyst
  • Radicular pain

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Bydon, M., Papadimitriou, K., Witham, T., Wolinsky, J. P., Sciubba, D., Gokaslan, Z., & Bydon, A. (2013). Treatment of spinal synovial cysts. World Neurosurgery, 79(2), 375-380. https://doi.org/10.1016/j.wneu.2012.08.016

Treatment of spinal synovial cysts. / Bydon, Mohamad; Papadimitriou, Kyriakos; Witham, Timothy; Wolinsky, Jean Paul; Sciubba, Daniel; Gokaslan, Ziya; Bydon, Ali.

In: World Neurosurgery, Vol. 79, No. 2, 02.2013, p. 375-380.

Research output: Contribution to journalReview article

Bydon, M, Papadimitriou, K, Witham, T, Wolinsky, JP, Sciubba, D, Gokaslan, Z & Bydon, A 2013, 'Treatment of spinal synovial cysts', World Neurosurgery, vol. 79, no. 2, pp. 375-380. https://doi.org/10.1016/j.wneu.2012.08.016
Bydon M, Papadimitriou K, Witham T, Wolinsky JP, Sciubba D, Gokaslan Z et al. Treatment of spinal synovial cysts. World Neurosurgery. 2013 Feb;79(2):375-380. https://doi.org/10.1016/j.wneu.2012.08.016
Bydon, Mohamad ; Papadimitriou, Kyriakos ; Witham, Timothy ; Wolinsky, Jean Paul ; Sciubba, Daniel ; Gokaslan, Ziya ; Bydon, Ali. / Treatment of spinal synovial cysts. In: World Neurosurgery. 2013 ; Vol. 79, No. 2. pp. 375-380.
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