• Spine · Feb 2001

    Case Reports

    Sacral cyst managed with cyst-subarachnoid shunt: a technical case report.

    • Y Morio, Y Nanjo, H Nagashima, T Minamizaki, and R Teshima.
    • Department of Orthopaedic Surgery, Tottori University, Faculty of Medicine, Yonago, Japan. yauo@grape.med.tottori-u.ac.jp
    • Spine. 2001 Feb 15; 26 (4): 451-3.

    Study DesignThis report describes the cyst-subarachnoid shunt, a novel surgical treatment, for sacral cysts.ObjectiveTo introduce a new surgical technique for sacral cysts.Summary Of Background DataThere is no consensus on the appropriate treatment for symptomatic sacral cysts. The hydrostatic and pulsatile forces of cerebrospinal fluid are attributed to the growth of the cyst and their becoming symptomatic.MethodsThe clinical and radiologic features of a 41-year-old man with a symptomatic sacral cyst are detailed. A cyst-subarachnoid shunt was set to equalize the cerebrospinal fluid pressure between the cephalad thecal sac and the cyst.ResultsImmediately after surgery, the patient had no pain in his left leg and was free of pain at 2 years. Magnetic resonance imaging 1 year after surgery showed a decrease in the size of the cyst.ConclusionAlthough this is a preliminary study, a cyst-subarachnoid shunt can be a useful alternative for symptomatic sacral cysts.

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