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Fluoroscopically guided aspiration of a symptomatic lumbar zygapophyseal joint cyst: a case report
Gregory E Lutz1, Timothy C Shen
1Hospital for Special Surgery, New York, NY. lutzg@hss.edu
Archives of Physical Medicine and Rehabilitation
|December 11, 2002
Abstract:
Lumbar zygapophyseal joint cysts are potential pain generators in patients with axial pain and/or lower-limb radicular pain. The traditional treatment of symptomatic cysts that do not respond to conservative measures is surgical decompression. Percutaneous needle aspiration under fluoroscopic guidance is a potential minimally invasive treatment option. We present a patient with a large symptomatic L4-5 zygapophyseal joint cyst and right L5 radiculopathy who responded well to percutaneous aspiration.

