Results after resection of juxta-facet-cysts - Which role does a segmental instability play?

This study demonstrates the results after operative treatment of patients suffering from a lumbar Juxta-Facet-Cyst. We point out diagnostical aspects, possible concomitant problems and deriving therapeutical consequences. Between 01. 01. 1998 and 31. 03. 2001 9 patients were operated on a synovial c...

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Published in:Zentralblatt für Chirurgie Vol. 127; no. 6; p. 497
Main Authors: Franke, J, Mahlfeld, K, Grasshoff, H
Format: Journal Article
Language:German
Published: Germany 01-06-2002
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Abstract This study demonstrates the results after operative treatment of patients suffering from a lumbar Juxta-Facet-Cyst. We point out diagnostical aspects, possible concomitant problems and deriving therapeutical consequences. Between 01. 01. 1998 and 31. 03. 2001 9 patients were operated on a synovial cyst or a ganglion of the facet joint at our department. 5 patients were female, 4 patients male with a mean age of 61 (45-70) years. The average clinical and radiological follow up was 11 (5-18) months postoperatively. The clinical examination revealed in 5 out of 9 patients a sensible deficit, in 3 out of 9 patients motoric disturbances. There was no positive sign of Lasegue. The resection of the cyst or ganglion was performed in all cases via a dorsal approach. 8 patients underwent for a spinal stenosis and/or an existing instability a laminectomy and a spondylodesis with an internal fixateur. The histological findings showed a synovial cyst in 6 cases and a ganglion cyst in 3 cases. At the follow up all preoperative sensible or motorical deficits had resolved. Juxta-Facet-Cysts are discovered in some cases intraoperatively by chance, the radiological methods (CT, MRT) are especially in case of a concomitant spinal stenosis uncertain. During all operations, which are performed for a spinal stenosis, one should look for a cyst. The resection of the cyst leads to good functional results, a possible instability should by addressed by a spondylodesis.
AbstractList This study demonstrates the results after operative treatment of patients suffering from a lumbar Juxta-Facet-Cyst. We point out diagnostical aspects, possible concomitant problems and deriving therapeutical consequences. Between 01. 01. 1998 and 31. 03. 2001 9 patients were operated on a synovial cyst or a ganglion of the facet joint at our department. 5 patients were female, 4 patients male with a mean age of 61 (45-70) years. The average clinical and radiological follow up was 11 (5-18) months postoperatively. The clinical examination revealed in 5 out of 9 patients a sensible deficit, in 3 out of 9 patients motoric disturbances. There was no positive sign of Lasegue. The resection of the cyst or ganglion was performed in all cases via a dorsal approach. 8 patients underwent for a spinal stenosis and/or an existing instability a laminectomy and a spondylodesis with an internal fixateur. The histological findings showed a synovial cyst in 6 cases and a ganglion cyst in 3 cases. At the follow up all preoperative sensible or motorical deficits had resolved. Juxta-Facet-Cysts are discovered in some cases intraoperatively by chance, the radiological methods (CT, MRT) are especially in case of a concomitant spinal stenosis uncertain. During all operations, which are performed for a spinal stenosis, one should look for a cyst. The resection of the cyst leads to good functional results, a possible instability should by addressed by a spondylodesis.
Author Grasshoff, H
Mahlfeld, K
Franke, J
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  email: Joerg.Franke@medizin.uni-magdeburg.de
  organization: Orthopädische Universitätsklinik, Otto-von-Guericke-Universität Magdeburg, Germany. Joerg.Franke@medizin.uni-magdeburg.de
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  surname: Grasshoff
  fullname: Grasshoff, H
BackLink https://www.ncbi.nlm.nih.gov/pubmed/12094274$$D View this record in MEDLINE/PubMed
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DocumentTitleAlternate Ergebnisse nach Resektion von lumbalen Juxta-Facett-Zysten - Welche Rolle spielt die segmentale Instabilität?
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Snippet This study demonstrates the results after operative treatment of patients suffering from a lumbar Juxta-Facet-Cyst. We point out diagnostical aspects, possible...
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StartPage 497
SubjectTerms Aged
Female
Humans
Laminectomy
Lumbar Vertebrae - surgery
Magnetic Resonance Imaging
Male
Middle Aged
Postoperative Complications - diagnosis
Spinal Diseases - diagnosis
Spinal Diseases - surgery
Spinal Fusion
Spinal Stenosis - diagnosis
Spinal Stenosis - surgery
Synovial Cyst - diagnosis
Synovial Cyst - surgery
Tomography, X-Ray Computed
Title Results after resection of juxta-facet-cysts - Which role does a segmental instability play?
URI https://www.ncbi.nlm.nih.gov/pubmed/12094274
Volume 127
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