Brown Holden L, Kumar Sanjeev
Anesthesiology, University of Florida College of Medicine, Gainesville, USA.
Cureus. 2021 Sep 27;13(9):e18308. doi: 10.7759/cureus.18308. eCollection 2021 Sep.
Lumbar synovial cysts (LSC) can impinge neural structures, causing radicular back pain. Conservative treatment options; however, are often ineffective, and traditional surgical techniques can cause joint instability. We describe two cases in which interventional pain physicians used transforaminal endoscopic spine surgery to treat LSC. The patients reported complete resolution of their lower back and radicular pain and the procedures preserved their motor function and sensation in their bilateral lower extremities. This technique is a viable option for remediation of LSC and can be performed by well-trained pain physicians.
腰椎滑膜囊肿(LSC)可压迫神经结构,导致神经根性背痛。然而,保守治疗方法往往无效,传统手术技术可能会导致关节不稳定。我们描述了两例介入疼痛科医生使用经椎间孔内镜脊柱手术治疗LSC的病例。患者报告其下背部和神经根性疼痛完全缓解,并且手术保留了双侧下肢的运动功能和感觉。该技术是治疗LSC的一种可行选择,并且可以由训练有素的疼痛科医生进行操作。