medigraphic.com
SPANISH

Cirugía de Columna

ISSN 2992-7749 (Electronic)
ISSN 2992-7897 (Print)
Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C. y de la Sociedad Iberolatinoamericana de Columna. SILACO.

Indizada en:

Scielo
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • Políticas
    • Objetivos y Alcance
    • Carta de autorización de pacientes
    • Política publicitaria
    • Políticas éticas
    • Políticas de acceso abierto
    • Políticas de revisión de manuscritos
    • Políticas editoriales generales
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2026, Number 4

<< Back Next >>

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
Full text How to cite this article 10.35366/123553

DOI

DOI: 10.35366/123553
URL: https://dx.doi.org/10.35366/123553

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


Key words:

synovial cyst, uniportal endoscopy, lumbar spine, minimally invasive surgery, radiculopathy.

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 spinalfacet. Case report. J Neurosurg. 1974; 41: 372-376.

  2. Shah RV, Lutz GE. Lumbar intraspinal synovial cysts:conservative management and review of the world’sliterature. 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 ofdiagnosis, surgical management, and outcomeassessment. J Spinal Disord Tech. 2004; 17: 321-325.

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

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

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

  8. Khoo LT, Fessler RG. Microendoscopic decompressivelaminotomy 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 andmanagement of lumbar synovial cysts: the Mayo Clinicexperience. J Neurosurg. 2000; 93: 53-57.

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

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

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

  13. Wu B, Fan Y, Li Y, Li H, Yang S, Sun Z. Transforaminalendoscopic 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 decompressionfor lumbar foraminal stenosis using rigid working channelendoscope. World Neurosurg. 2018; 113: e129-e137.

  15. Heo DH, Park CK. Clinical and radiological outcomesof percutaneous endoscopic decompression for lumbarsynovial 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 DisordTech. 2015; 28: E586-E591.

  17. Komp M, Hahn P, Oezdemir S, Merk H, GodoliasG, Ruetten S. Bilateral spinal decompression oflumbar central stenosis with the full-endoscopicinterlaminar versus microsurgical laminotomy technique:a prospective, randomized, controlled study. PainPhysician. 2015; 18: 61-70.

  18. Kim JE, Choi DJ, Park EJ. Clinical efficacy of fullendoscopic 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. Percutaneousendoscopic treatment of lumbar facet joint cysts. MinimInvasive 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 SpineJ. 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 synovialcysts of the lumbar spine: analysis of 14 cases and reviewof the literature. J Chin Med Assoc. 2007; 70: 445-449.

  24. Cambron SC, Schneider MJ, Bullock EC. Lumbarsynovial cysts: a case series. J Manipulative PhysiolTher. 2007; 30: 405-411.

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

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

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

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

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

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

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

  32. Sclafani JA, Kim CW. Complications associated with theinitial 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 spinesurgeries: Are they worth it? Surg Neurol Int. 2017; 8: 61.

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

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




CC BY-NC-ND

2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Cir Columna. 2026;4