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 |
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Language: | German |
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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. |
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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 |
Author_xml | – sequence: 1 givenname: J surname: Franke fullname: Franke, J email: Joerg.Franke@medizin.uni-magdeburg.de organization: Orthopädische Universitätsklinik, Otto-von-Guericke-Universität Magdeburg, Germany. Joerg.Franke@medizin.uni-magdeburg.de – sequence: 2 givenname: K surname: Mahlfeld fullname: Mahlfeld, K – sequence: 3 givenname: H 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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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? |
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