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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C. y de la Sociedad Iberolatinoamericana de Columna. SILACO.

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2026, Number 4

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Cir Columna 2026; 4 (4)

Uniportal endoscopic resection of lumbar facet cyst in a patient with previous surgeries: case report and technical review

Gutiérrez-Partida CF

Language: Spanish
References: 35
Page: 344-348
PDF size: 1369.88 Kb.


ABSTRACT

Lumbar facet synovial cysts are benign formations that may compress neural structures, causing radicular pain and functional impairment, particularly in patients with prior spine surgeries. We present the case of a 72-year-old male with two previous lumbar procedures who developed left-sided radiculopathy due to a synovial cyst at L3-L4. The patient underwent successful uniportal endoscopic resection, achieving complete symptom resolution, structural preservation, and rapid recovery. This minimally invasive approach avoided additional instrumentation, even in a surgically altered anatomy. We discuss the surgical technique and current literature supporting the efficacy and safety of this approach.


REFERENCES

  1. Kao CC, Winkler SS, Turner JH. Synovial cyst of spinal facet. Case report. J Neurosurg. 1974; 41: 372-376.

  2. Shah RV, Lutz GE. Lumbar intraspinal synovial cysts: conservative management and review of the world's literature. Spine J. 2003; 3: 479-488.

  3. Onofrio BM, Mih AD. Synovial cysts of the spine. Neurosurgery. 1988; 22: 642-647.

  4. Epstein NE. Lumbar synovial cysts: a review of diagnosis, surgical management, and outcome assessment. J Spinal Disord Tech. 2004; 17: 321-325.

  5. Lewandrowski KU. Endoscopic minimally invasive lumbar spine surgery: clinical experience with 1500 cases. Surg Technol Int. 2016; 29: 253-260.

  6. Ruetten S, Komp M, Merk H, Godolias G. Full-endoscopic interlaminar and transforaminal lumbar discectomy versus conventional microsurgical technique. Spine. 2008; 33: 931-939.

  7. Ahn Y. Current techniques of endoscopic decompression in spine surgery. Ann Transl Med. 2019; 7: S169.

  8. Khoo LT, Fessler RG. Microendoscopic decompressive laminotomy for the treatment of lumbar stenosis. Neurosurgery. 2002; 51: S146-S154.

  9. Lyons MK, Atkinson JL, Wharen RE, Deen HG, Zimmerman RS, Lemens SM. Surgical evaluation and management of lumbar synovial cysts: the Mayo Clinic experience. J Neurosurg. 2000; 93: 53-57.

  10. Kornberg M. Symptomatic lumbar synovial cysts: an outcome study of nonoperative and operative management. J Spinal Disord. 1995; 8: 459-464.

  11. Xu J, Xu L, Yang H, Gu R, Ma X. Surgical treatment of lumbar intraspinal synovial cysts in patients with previous spinal surgery. Orthop Surg. 2017; 9: 61-68.

  12. Choi G, Lee SH, Raiturker PP, Lee S, Choi WG, Chung DJ. Therapeutic strategies for lumbar spinal synovial cyst. J Neurosurg Spine. 2007; 6: 321-326.

  13. Wu B, Fan Y, Li Y, Li H, Yang S, Sun Z. Transforaminal endoscopic approach for lumbar facet joint cyst: technical note and case series. World Neurosurg. 2020; 137: 347-353.

  14. Kim HS, Adsul N, Kapoor A, Kim KJ, Kim JH, Jang JS, et al. A mobile outside-in technique of endoscopic decompression for lumbar foraminal stenosis using rigid working channel endoscope. World Neurosurg. 2018; 113: e129-e137.

  15. Heo DH, Park CK. Clinical and radiological outcomes of percutaneous endoscopic decompression for lumbar synovial cysts. Spine J. 2017; 17: 1261-1267.

  16. Chen SH, Lin HH, Chen HC, Lee ZL, Chen YJ. Endoscopic decompression of lumbar synovial cysts: technical note and preliminary results. J Spinal Disord Tech. 2015; 28: E586-E591.

  17. Komp M, Hahn P, Oezdemir S, Merk H, Godolias G, Ruetten S. Bilateral spinal decompression of lumbar central stenosis with the full-endoscopic interlaminar versus microsurgical laminotomy technique: a prospective, randomized, controlled study. Pain Physician. 2015; 18: 61-70.

  18. Kim JE, Choi DJ, Park EJ. Clinical efficacy of full endoscopic decompression for lumbar spinal stenosis: a systematic review and meta-analysis. Eur Spine J. 2020; 29: 2491-2499.

  19. Birkenmaier C, Komp M, Leu HF, Ruetten S. Percutaneous endoscopic treatment of lumbar facet joint cysts. Minim Invasive Neurosurg. 2009; 52: 193-196.

  20. Siepe CJ, Hitzl W, Meschede P, Heider F, Mayer MH. Intervertebral motion after total lumbar disc replacement: a comparison of different prostheses. Spine. 2006; 31: 2439-2448.

  21. Muthu S, Kumar M. Endoscopic lumbar spine surgery – current concepts and future perspectives. Asian Spine J. 2020; 14: 694-704.

  22. Mayer HM. Spine surgery: tricks of the trade. Stuttgart: Thieme; 2011.

  23. Hsu HT, Chang SJ, Yang SS, Kao TH. Intraspinal synovial cysts of the lumbar spine: analysis of 14 cases and review of the literature. J Chin Med Assoc. 2007; 70: 445-449.

  24. Cambron SC, Schneider MJ, Bullock EC. Lumbar synovial cysts: a case series. J Manipulative Physiol Ther. 2007; 30: 405-411.

  25. Domenicucci M, Ramieri A, Paolini S, Russo N, Occhiogrosso G, Missori P. Lumbar spinal synovial cysts: surgical treatment and outcome. Eur Spine J. 2007; 16: 513-518.

  26. Park SM, Kim GU, Park JH, Kim HT. Surgical treatment of lumbar facet joint synovial cysts. Clin Orthop Surg. 2015; 7: 485-492.

  27. Moon BJ, Choi DJ, Kim JE. Percutaneous endoscopic decompression in lumbar synovial cyst: a case report. Medicine (Baltimore). 2020; 99: e21924.

  28. Ahn Y, Lee SH, Park WM, Lee HY, Shin SW, Kang HY. Percutaneous endoscopic lumbar discectomy for recurrent disc herniation: surgical technique, outcome, and prognostic factors. J Neurosurg. 2004; 100: 364-370.

  29. Yeung AT. Minimally invasive disc surgery with the Yeung Endoscopic Spine System (YESS). Surg Technol Int. 1999; 8: 267-277.

  30. Kim HS, Paudel B, Jang JS, Lee SH. Percutaneous endoscopic lumbar foraminotomy for foraminal stenosis in spondylolisthesis. Clin Orthop Surg. 2015; 7: 420-426.

  31. Zhang Y, Chen X, Wang J, Wang J, Zhan H, Yang Y, et al. Safety and efficacy of full-endoscopic decompression for lumbar lateral recess stenosis. J Orthop Surg Res. 2020; 15: 1-9.

  32. Sclafani JA, Kim CW. Complications associated with the initial learning curve of minimally invasive spine surgery: a systematic review. Clin Orthop Relat Res. 2014; 472: 1711-1717.

  33. Epstein NE. Learning curves for minimally invasive spine surgeries: Are they worth it? Surg Neurol Int. 2017; 8: 61.

  34. Burkhardt BW, Oertel JM. Endoscopic treatment of lumbar synovial cysts: minimally invasive and safe. Acta Neurochir (Wien). 2021; 163: 729-738.

  35. Hsieh PC, Koski TR, O'Shaughnessy BA, Sugrue PA, Salehi SA, Liu JC, et al. Anterior lumbar interbody fusion in comparison with transforaminal lumbar interbody fusion: complications and outcomes in 200 patients. Neurosurgery. 2007; 61: 1073-1079.




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