Korean J Pain.  2005 Dec;18(2):246-250. 10.3344/kjp.2005.18.2.246.

Percutaneous Treatment with Steroid Injections and Distension of Facet Synovial Cyst: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital, Gangneung, Korea.ykkim@gnah.co.kr
  • 2Department of Anesthesiology and Pain Medicine, Seoul Asan Medical Center, Seoul, Korea.

Abstract

Facet joint synovial cysts are uncommon intraspinal abnormalities, which appear to be secondary to degenerative changes of the joints. They can cause chronic back pain and radiculopathy, as shown in spinal stenosis. When symptomatic cysts fail to respond to conservative measurements, surgical decompression is known as the standard treatment. Percutaneous steroid injections, and distension of the cysts under fluoroscopic guidance, may be a minimally invasive treatment option. Here, the case of a patient with a symptomatic L5-S1 facet joint synovial cyst and left S1 radiculopathy, who responded satisfactorily to percutaneous treatment, is presented.

Keyword

facet joint; percutaneous treatment; radiculopathy; spinal stenosis; synovial cyst

MeSH Terms

Back Pain
Decompression, Surgical
Humans
Joints
Radiculopathy
Spinal Stenosis
Synovial Cyst*
Zygapophyseal Joint
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