Turkish Journal of Physical Medicine and Rehabilitation 2018 , Vol 64 , Num 4
Is fluoroscopy-guided percutaneous rupture of facet cyst an alternative to surgery? A case report
Osman Hakan Gündüz 1 ,Savaş Şencan 1 ,Kardelen Gencer Atalay 2 ,Tülay Erçalık 1 ,Hale Arkan Tuna 1 ,Hazem Eissa 3
1 Pain Medicine Section, Department of Physical Medicine and Rehabilitation, Marmara University Medical School, İstanbul, Turkey
2 Department of Physical Medicine and Rehabilitation, Marmara University Medical School, İstanbul, Turkey
3 Department of Pain Medicine, Ochsner Baptist Medical Center, New Orleans, USA
DOI : 10.5606/tftrd.2018.2253 Lumbar intraspinal synovial cysts (LISCs) are rare cause of the lumbosacral radicular syndrome. Fluoroscopy-guided percutaneous cyst rupture (PCR) is an option in the treatment. This report introduces long-term symptom relief after fluoroscopy-guided PCR of LISC. A 73-year-old patient presented with low back pain radiating to right leg. L5 radiculopathy was suspected by physical examination; however, an intraspinal cystic mass was visualized through imaging studies. The patient reported immediate pain relief after fluoroscopy-guided PCR, which sustained for one year. In conclusion, fluoroscopy-guided PCR appears to be a safe and effective treatment option and should be considered before surgery in patients with LISCs. Keywords : Fluoroscopy-guided percutaneous cyst rupture; low back pain; lumbar intraspinal synovial cyst