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Scientific paper - Original scientific paper
Lumbar Spine Synovial Cyst: A Case Series Report and Review of Surgical Strategies
Acta clinica Croatica, 58 (2019), 3; 491-496. https://doi.org/10.20471/acc.2019.58.03.13
Splavski, Bruno; Rotim, Ante; Brumini, Ivan; Koprek, Ivan; Gajski, Domagoj; Božić, Boris; Rotim, Krešimir

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Splavski, B., Rotim, A., Brumini, I., Koprek, I., Gajski, D., Božić, B. & Rotim, K. (2019). Lumbar Spine Synovial Cyst: A Case Series Report and Review of Surgical Strategies. Acta clinica Croatica, 58. (3), 491-496. doi: 10.20471/acc.2019.58.03.13

Splavski, Bruno, et al. "Lumbar Spine Synovial Cyst: A Case Series Report and Review of Surgical Strategies." Acta clinica Croatica, vol. 58, no. 3, 2019, pp. 491-496. https://doi.org/10.20471/acc.2019.58.03.13

Splavski, Bruno, Ante Rotim, Ivan Brumini, Ivan Koprek, Domagoj Gajski, Boris Božić and Krešimir Rotim. "Lumbar Spine Synovial Cyst: A Case Series Report and Review of Surgical Strategies." Acta clinica Croatica 58, no. 3 (2019): 491-496. https://doi.org/10.20471/acc.2019.58.03.13

Splavski, B., et al. (2019) 'Lumbar Spine Synovial Cyst: A Case Series Report and Review of Surgical Strategies', Acta clinica Croatica, 58(3), pp. 491-496. doi: 10.20471/acc.2019.58.03.13

Splavski B, Rotim A, Brumini I, Koprek I, Gajski D, Božić B, and sur.. Lumbar Spine Synovial Cyst: A Case Series Report and Review of Surgical Strategies. Acta clinica Croatica [Internet]. 2019 [cited 2024 October 27];58(3):491-496. doi: 10.20471/acc.2019.58.03.13

B. Splavski, et al., "Lumbar Spine Synovial Cyst: A Case Series Report and Review of Surgical Strategies", Acta clinica Croatica, vol. 58, no. 3, pp. 491-496, 2019. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:011665. [Accessed: 27 October 2024]

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Metadata
Title (english)Lumbar Spine Synovial Cyst: A Case Series Report and Review of Surgical Strategies
Title (croatian)Sinovijalna cista slabinske kralježnice: prikaz niza slučajeva i pregled strategija kirurškog liječenja
AuthorBruno Splavski https://orcid.org/0000-0002-4483-9364
AuthorAnte Rotim
AuthorIvan Brumini
AuthorIvan Koprek
AuthorDomagoj Gajski
AuthorBoris Božić
AuthorKrešimir Rotim
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract (english)
Lumbar spine synovial cysts are benign growths adjoining the facet joints that may induce low back pain, lumbar radiculopathy and neurological deficit. However, they are not well defined concerning their origin, cause and pathology, as well as available treatment strategies. The scope of different surgical procedures includes image-guided epidural steroid injection, direct cyst puncture by percutaneous epidural needle, spinal canal decompression and cyst resection, and spinal bone fusion with/without instrumentation. Hereby, we report institutional experience and discuss surgical strategies of lumbar spine synovial cyst treatment. Presenting symptoms, imaging findings and outcomes were retrospectively analyzed in 15 patients with lumbar spine synovial cyst, operated on during a one-year period. The leading presenting symptom was lumbar radicular pain, while the most commonly involved vertebral level was L5-S1. In a great majority of patients, a single-level interlaminectomy and cyst resection were performed. Most patients recovered without postoperative neurological and functional deficit, as well as surgery-related complications. No poor outcome was noticed in our series. Concerning our results and literature review, the optimal management for patients with symptomatic lumbar synovial cyst has to be highly personalized, which is essential to achieve a favorable outcome. Nonetheless, the best treatment strategy has yet to be affirmed.
Abstract (croatian)
Sinovijalne ciste slabinske kralježnice benigne su ekspanzivne tvorbe smještene u blizini fasetnih zglobova koje mogu uzrokovati bol u donjim leđima, lumbalnu radikulopatiju i neurološki deficit. Međutim, ishodište i uzroci njihovog nastanka kao i moguće strategije liječenja ovakvih cista još su nedovoljno poznati. Raspon različitih postu-paka kirurškog liječenja uključuje radioskopski navođenu epiduralnu steroidnu infiltraciju, perkutanu punkciju ciste epiduralnom iglom, dekompresiju kralježničnog kanala i uklanjanje ciste te spinalnu koštanu fuziju s instrumentacijom ili bez nje. U ovom radu prikazujemo naša iskustva u liječenju slabinskih sinovijalnih cista i raspravljamo razli-čite strategije njihovog kirurškog liječenja. Retrospektivno su analizirani simptomi, nalazi dijagnostičkih pretraga i uspješnost liječenja u 15 operiranih bolesnika sa slabinskom sinovijalnom cistom tijekom jednogodišnjeg razdoblja. Vodeći prezentirajući simptom bila je slabinska radikularna bol, a najčešće zahvaćena razina bila je ona na L5-S1. Jednorazinska interlaminektomija i resekcija ciste učinjena je u velike većine bolesnika koji su se uspješno oporavili bez poslijeoperacijskog neurološkog i funkcijskog deficita, kao i bez nastanka komplikacija. Temeljem naših rezultata i pregledom literature zaključujemo da optimalno liječenje bolesnika sa sinovijalnom cistom slabinske kralježnice treba biti usmjereno svakom pojedinom bolesniku kako bi se osigurao uspješan ishod. Istodobno, najbolja strategija kirurškog liječenja još nije dovoljno potvrđena.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 58, no. 3, pp. 491-496
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2019.58.03.13
URN:NBNurn:nbn:hr:220:011665
Publication2019
Document URLhttps://hrcak.srce.hr/230240
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2024-06-24 11:07:10