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Related Experiment Videos

[Juxta-facet cysts as space-occupying intraspinal processes]

G Antoniadis1, H P Richter, E Kast

  • 1Neurochirurgische Klinik der Universität Ulm, Günzburg.

Der Nervenarzt
|June 1, 1997
PubMed
Summary
This summary is machine-generated.

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Juxta-facet cysts, including ganglionic and synovial types, rarely cause nerve root compression. Surgical removal offers significant relief from pain and neurological deficits in most patients.

Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Radiology

Context:

  • Juxta-facet cysts (ganglionic and synovial) are uncommon causes of nerve root compression.
  • Magnetic resonance imaging (MRI) is the primary diagnostic tool.
  • Surgical excision is the definitive treatment, though conservative measures offer temporary relief.

Purpose:

  • To evaluate the incidence, clinical presentation, and surgical outcomes of juxta-facet cysts causing nerve root compression.

Summary:

  • A retrospective study identified 24 symptomatic juxta-facet cysts (10 ganglionic, 14 synovial) in 19,107 lumbar and thoracic operations.
  • Cysts were most common at L4-L5.
  • Patients presented with radicular pain (7) or neurological deficits (17).
  • Surgical resection, often combined with discectomy, was performed in 14 cases.

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  • Follow-up averaged 26.6 months for 23 patients.

    • Impact:

    • Surgical treatment resulted in significant symptom improvement.
    • 89% of patients with paresis and 73% with sensory deficits experienced resolution.
    • 74% of patients achieved complete pain relief post-operatively.