• Turk J Phys Med Rehabil · Dec 2018

    Case Reports

    Is fluoroscopy-guided percutaneous rupture of facet cyst an alternative to surgery? A case report.

    • Osman Hakan Gündüz, Savaş Şencan, Kardelen Gencer Atalay, Tülay Erçalık, Hale Arkan Tuna, and Hazem Eissa.
    • Pain Medicine Section, Department of Physical Medicine and Rehabilitation, Marmara University Medical School, İstanbul, Turkey.
    • Turk J Phys Med Rehabil. 2018 Dec 1; 64 (4): 362-365.

    AbstractLumbar 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.

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