Base de dados : MEDLINE
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  1 / 1934 MEDLINE  
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[PMID]:29443754
[Au] Autor:Zhang J; Wang J; Mao X; Li Z
[Ad] Endereço:Department of Radiology, the First Affiliated Hospital, School of Medicine, Zhejiang University.
[Ti] Título:Multiple extra-articular synovial cysts accompanied by rheumatoid arthritis in the bilateral elbow joints: A case report.
[So] Source:Medicine (Baltimore);97(7):e9879, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Synovial cysts are well known in rheumatoid arthritis (RA), and most common in the popliteal fossa. They may produce lots of local symptoms and complaints, which may present initially as an unrelated clinical condition. Few studies have reported multiple extra-articular synovial cysts (MESCs) in the RA patients. Early diagnosis is crucial for patient treatment. PATIENT CONCERNS: A 50-year-old man without any special clinical histories found a soya bean size bump at the left elbow medially, then multiple lumps were found at bilateral elbows and gradually increasing. No pain, no activity, no redness, and swelling. Magnetic resonance imaging (MRI) showed multiple cystic lesions in the bursa and surrounding soft tissue of bilateral elbow joints. In addition, the elbow joint bursa was swollen and the synovial membrane was significantly thickened. DIAGNOSES: The man was diagnosed as RA with multiple extra-articular synovial cysts formation. INTERVENTIONS: The patient was performed tylectomy of the right elbow. Other lumps were punctured and injected with compound betamethasone injection. OUTCOMES: The bumps were reduced in size and the swelling relieved, and the patient was sent to the department of rheumatology and immunology for further treatment. LESSONS: In this case, it is difficult for the diagnosis of RA because of no relative histories and simultaneously multiple cystic lesions in multiple joints. Imaging examinations can show the characteristics of such kind of disease and be very helpful for the diagnosis and differentiate diagnosis.
[Mh] Termos MeSH primário: Artrite Reumatoide/complicações
Betametasona/administração & dosagem
Articulação do Cotovelo
Cisto Sinovial
[Mh] Termos MeSH secundário: Anti-Inflamatórios/administração & dosagem
Artrite Reumatoide/diagnóstico
Artrite Reumatoide/fisiopatologia
Diagnóstico Diferencial
Articulação do Cotovelo/diagnóstico por imagem
Articulação do Cotovelo/patologia
Seres Humanos
Injeções Intralesionais
Imagem por Ressonância Magnética/métodos
Masculino
Meia-Idade
Cisto Sinovial/diagnóstico
Cisto Sinovial/etiologia
Cisto Sinovial/fisiopatologia
Cisto Sinovial/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Inflammatory Agents); 9842X06Q6M (Betamethasone)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009879


  2 / 1934 MEDLINE  
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[PMID]:29252636
[Au] Autor:Briem T; Haemmerle G; Kramers-de Quervain I; Leunig M
[Ad] Endereço:Departments of Orthopaedics-Lower Extremities (T.B. and M.L.), Manual Medicine (G.H.), and Rheumatology (I.K.-de Q.), Schulthess Clinic, Zurich, Switzerland.
[Ti] Título:Synovial Ganglion of the Hip as a Rare Cause of L5 Radiculopathy: A Case Report.
[So] Source:JBJS Case Connect;6(3):e59, 2016 Jul-Sep.
[Is] ISSN:2160-3251
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CASE: We report a rare case of a dorsal synovial ganglion of the left hip causing L5 radiculopathy in a 48-year-old woman. After a 12-month history of intermittent pain in the groin, left buttock, and left lower limb, magnetic resonance imaging (MRI) of the pelvis revealed a 10-cm-long cystic ganglion. The lesion originated from the posterior aspect of the hip joint capsule and extended through the sciatic notch toward the L5 nerve root, causing severe nerve compression. Open resection of the ganglion via surgical hip subluxation was performed. CONCLUSION: Combined presentation of symptoms attributable to intrinsic hip disease and peripheral radiculopathy should raise suspicion for a shared cause of these entities.
[Mh] Termos MeSH primário: Cistos Glanglionares/diagnóstico
Articulação do Quadril/diagnóstico por imagem
Radiculopatia/etiologia
Cisto Sinovial/diagnóstico
[Mh] Termos MeSH secundário: Feminino
Cistos Glanglionares/complicações
Articulação do Quadril/cirurgia
Seres Humanos
Meia-Idade
Cisto Sinovial/complicações
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.CC.15.00234


  3 / 1934 MEDLINE  
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[PMID]:28686146
[Au] Autor:Bruder M; Cattani A; Gessler F; Droste C; Setzer M; Seifert V; Marquardt G
[Ad] Endereço:Department of Neurosurgery, Goethe University, Frankfurt, Germany.
[Ti] Título:Synovial cysts of the spine: long-term follow-up after surgical treatment of 141 cases in a single-center series and comprehensive literature review of 2900 degenerative spinal cysts.
[So] Source:J Neurosurg Spine;27(3):256-267, 2017 Sep.
[Is] ISSN:1547-5646
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE Synovial cysts of the spine are rare lesions, predominantly arising in the lumbar region. Despite their generally benign behavior, they can cause severe symptoms due to compression of neural structures in the spinal canal. Treatment strategies are still a matter of discussion. The authors performed a single-center survey and literature search focusing on long-term results after minimally invasive surgery. METHODS A total of 141 consecutive patients treated for synovial cysts of the lumbar spine between 1997 and 2014 in the authors' department were analyzed. Medical reports with regard to signs and symptoms, operative findings, complications, and short-term outcome were reviewed. Assessment of long-term outcome was performed with a standardized telephone questionnaire based on the Oswestry Disability Index (ODI). Furthermore, patients were questioned about persisting pain, symptoms, and further operative procedures, if any. Subjective satisfaction was classified as excellent, good, fair, or poor based on the Macnab classification. RESULTS The approach most often used for synovial cyst treatment was partial hemilaminectomy in 70%; hemilaminectomy was necessary in 27%. At short-term follow-up, the presence of severe and moderate leg pain had decreased from 93% to 5%. The presence of low-back pain decreased from 90% to 5%. Rates of motor and sensory deficits were reduced from 40% to 14% and from 45% to 6%, respectively. The follow-up rate was 58%, and the mean follow-up period was 9.3 years. Both leg pain and low-back pain were still absent in 78%. Outcome based on the Macnab classification was excellent in 80%, good in 14%, fair in 1%, and poor in 5%. According to the ODI, 78% of patients had no or only minimal disability, 16% had moderate disability, and 6% had severe disability at the time of follow-up. In this cohort, 7% needed surgery due to cyst recurrence, and 9% required a delayed stabilization procedure after the initial operation. CONCLUSIONS Surgical treatment with resection of the cyst provides favorable results in outcome. Excellent or good outcome persisting for a long-term follow-up period can be achieved in the vast majority of cases. Complication rates are low despite an increased risk of dural injury. With facet-sparing techniques, the stability of the segment can be preserved, and resection of spinal synovial cysts does not necessarily require segmental fusion.
[Mh] Termos MeSH primário: Vértebras Lombares/cirurgia
Doenças da Coluna Vertebral/cirurgia
Cisto Sinovial/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Descompressão Cirúrgica
Feminino
Seguimentos
Seres Humanos
Laminectomia
Masculino
Meia-Idade
Procedimentos Cirúrgicos Minimamente Invasivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170708
[St] Status:MEDLINE
[do] DOI:10.3171/2016.12.SPINE16756


  4 / 1934 MEDLINE  
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[PMID]:28395102
[Au] Autor:Spinner D; Aner M; Paul G; Simopoulos T; Gill J
[Ad] Endereço:Department of Rehabilitation Medicine, Mount Sinai Hospital, New York, NY, USA.
[Ti] Título:Percutaneous Translaminar Facet Cyst Rupture and Epidural Access-Description of a Novel Technique.
[So] Source:Pain Med;18(3):410-413, 2017 03 01.
[Is] ISSN:1526-4637
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Synovial cysts of the lumbar zygapophysial joints can be treated by percutaneous injection of corticosteroids, with distension and rupture of the cyst. Some cysts can be difficult to access, particularly when they lie deep in relation to the lamina. This technical report describes a fluoroscopy-guided technique for accessing sublaminar pathology. Crucial to the safety of the technique is visualization of the ventral margin of the lamina using a contralateral oblique view, and controlling and limiting the insertion of the needle such that only its tip passes the lamina.
[Mh] Termos MeSH primário: Procedimentos Neurocirúrgicos/métodos
Cirurgia Assistida por Computador/métodos
Cisto Sinovial/cirurgia
Articulação Zigapofisária/cirurgia
[Mh] Termos MeSH secundário: Corticosteroides/administração & dosagem
Adulto
Feminino
Fluoroscopia
Seres Humanos
Procedimentos Neurocirúrgicos/instrumentação
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170411
[St] Status:MEDLINE
[do] DOI:10.1093/pm/pnw141


  5 / 1934 MEDLINE  
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[PMID]:28333544
[Au] Autor:Avenarius DFM; Ording Müller LS; Rosendahl K
[Ad] Endereço:1 Faculty of Health Sciences, University of Tromsø, Breivika 9037, Tromsø, Norway.
[Ti] Título:Joint Fluid, Bone Marrow Edemalike Changes, and Ganglion Cysts in the Pediatric Wrist: Features That May Mimic Pathologic Abnormalities-Follow-Up of a Healthy Cohort.
[So] Source:AJR Am J Roentgenol;208(6):1352-1357, 2017 Jun.
[Is] ISSN:1546-3141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The presence of findings at wrist MRI that may mimic disease is a diagnostic problem. The purpose of this study is to examine the occurrence of bone marrow changes resembling edema, joint fluid, and ganglion cysts over time, in a cohort of healthy children. MATERIALS AND METHODS: Seventy-four of 89 healthy children included in a study of normal MRI findings of the wrists were reexamined after a period of 4 years, using the same 1.5-T MRI technique-namely, a coronal T1-weighted and a T2-weighted fat-saturated sequence. A history of handedness, diseases, and sports activity was noted. RESULTS: Bone marrow edema or edemalike changes were seen in 29 of 74 (39.2%) wrists in 2013 as compared with 35 of 72 (48.6%) wrists in 2009 (p = 0.153), all in different locations. Changes were found in central parts of the bone, on both sides of a joint, or near bony depressions. Fifty percent of all subjects had at least one fluid pocket greater than or equal to 2 mm. The location was unchanged in 47% of the joints. In 24% of the individuals, at least one ganglion cyst was seen. Six ganglion cysts present on the first scan were not seen on the follow-up scan, and 11 new ganglion cysts had appeared. CONCLUSION: Awareness of normal MRI appearances of the growing skeleton is crucial when interpreting MRI of children, and such findings must not be interpreted as pathologic abnormalities.
[Mh] Termos MeSH primário: Doenças da Medula Óssea/diagnóstico por imagem
Edema/diagnóstico por imagem
Cistos Glanglionares/diagnóstico por imagem
Imagem por Ressonância Magnética
Cisto Sinovial/diagnóstico por imagem
Punho/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Doenças da Medula Óssea/patologia
Criança
Estudos de Coortes
Diagnóstico Diferencial
Edema/patologia
Reações Falso-Positivas
Feminino
Seguimentos
Cistos Glanglionares/patologia
Seres Humanos
Masculino
Noruega
Valores de Referência
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
Cisto Sinovial/patologia
Líquido Sinovial/citologia
Punho/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE
[do] DOI:10.2214/AJR.16.17263


  6 / 1934 MEDLINE  
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[PMID]:28272086
[Au] Autor:Balakirski G; Loeser C; Baron JM; Dippel E; Schmitt L
[Ad] Endereço:*Department of Dermatology and Allergology, University Hospital of RWTH Aachen, Aachen, Germany; †Department of Dermatology, Ludwigshafen City Hospital, Ludwigshafen, Germany.
[Ti] Título:Effectiveness and Safety of Surgical Excision in the Treatment of Digital Mucoid Cysts.
[So] Source:Dermatol Surg;43(7):928-933, 2017 Jul.
[Is] ISSN:1524-4725
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Digital mucoid cysts have a tendency for recurrence after operative intervention. Several procedures are in use. OBJECTIVE: Retrospective evaluation for effectiveness, safety and patient satisfaction by using a questionnaire after treatment for digital mucoid cysts with targeted surgical excision and closure by flap-design. MATERIALS AND METHODS: All patients treated with surgical excision for digital mucoid cysts at the Dermatology Department of the Ludwigshafen City Hospital between 2007 and 2011 were evaluated using a specially designed questionnaire. RESULTS: We evaluated 31 patients. The patient group consisted of 65% women, the median age was 61 years. Seventy-eight percent of patients with nail involvement had a marked improvement or complete resolution of this complaint after surgery. A few complications (e.g., redness, pain or hematoma) were observed after treatment, but no patients required oral antibiotics. Patient evaluation of cosmetic outcome revealed high satisfaction with the procedure, nevertheless recurrence of the digital mucoid cysts was observed in 22.5% of all cases. CONCLUSION: Surgical excision in treatment of digital mucoid cysts was shown to be effective and safe. However, possible advantages and disadvantages of this treatment option should be discussed with the patients before a decision on the kind of therapy is reached.
[Mh] Termos MeSH primário: Cisto Sinovial/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Procedimentos Cirúrgicos Dermatológicos/efeitos adversos
Procedimentos Cirúrgicos Dermatológicos/métodos
Feminino
Dedos
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170721
[Lr] Data última revisão:
170721
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE
[do] DOI:10.1097/DSS.0000000000001096


  7 / 1934 MEDLINE  
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[PMID]:28249826
[Au] Autor:Oertel JM; Burkhardt BW
[Ad] Endereço:Department of Neurosurgery, Saarland University Medical Center and Saarland University Faculty of Medicine, Homburg-Saar, Germany. Electronic address: oertelj@freenet.de.
[Ti] Título:Endoscopic Surgical Treatment of Lumbar Synovial Cyst: Detailed Account of Surgical Technique and Report of 11 Consecutive Patients.
[So] Source:World Neurosurg;103:122-132, 2017 Jul.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Lumbar synovial cysts (LSCs) are an uncommon cause of radiculopathy and back pain. Open surgical treatment is associated with extensive bone resection and muscle trauma. The endoscopic tubular-assisted LSC resection has not been described in detail. Here the authors assessed the effectiveness of this technique for LSC resection. METHODS: Eleven patients (4 female and 7 male patients) were operated on via an ipsilateral approach for resection of LSC using an endoscopic tubular retractor system. Preoperative magnetic resonance imaging was evaluated for signs of degeneration and instability. At follow-up a standardized questionnaire including the Oswestry Disability Index and functional outcome according to MacNab criteria was conducted. Additionally, a personal examination with particular reference to back and leg pain was performed. RESULTS: The mean follow-up was 10.5 months. Preoperatively, spondylolisthesis grade 1 was noted in 4 patients (36.4%). Ten patients had bilateral facet joint effusion (90.9%). At follow-up 10 patients reported being free of leg pain (90.9%), eight patients reported no back pain (72.7%), ten patients had full motor strength (90.9%), and 9 patients had no sensory deficit (81.8%). Nine patients reported an excellent or a good clinical outcome (81.8%). The mean Oswestry Disability Index was 4.7%. None of the patients developed new mechanical low back pain or required subsequent fusion procedure. CONCLUSION: The endoscopic tubular-assisted procedure is a safe way to treat LSC. It offers complete resection of LSC and achieves good clinical outcome by preserving muscle and ligamentous and bony structures, which prevents delayed instability.
[Mh] Termos MeSH primário: Vértebras Lombares
Neuroendoscopia/métodos
Estenose Espinal/cirurgia
Cisto Sinovial/cirurgia
Articulação Zigapofisária/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Bases de Dados Factuais
Feminino
Seres Humanos
Dor Lombar/etiologia
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Radiculopatia/etiologia
Estudos Retrospectivos
Estenose Espinal/etiologia
Espondilolistese/complicações
Espondilolistese/diagnóstico por imagem
Cisto Sinovial/complicações
Cisto Sinovial/diagnóstico por imagem
Resultado do Tratamento
Articulação Zigapofisária/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170303
[St] Status:MEDLINE


  8 / 1934 MEDLINE  
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[PMID]:28012354
[Au] Autor:Scholz C; Hubbe U; Kogias E; Roelz R; Klingler JH
[Ad] Endereço:Department of Neurosurgery, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Str. 64, D-79106 Freiburg, Germany. Electronic address: christoph.scholz@uniklinik-freiburg.de.
[Ti] Título:Microsurgical resection of juxtafacet cysts without concomitant fusion-Long-term follow-up of 74 patients.
[So] Source:Clin Neurol Neurosurg;153:35-40, 2017 Feb.
[Is] ISSN:1872-6968
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECT: We report on our experience with treating juxtafacet cysts focusing on clinical outcome, rate of recurrence and secondary surgery, especially fusion. METHODS: This retrospective study evaluates patients who underwent surgical resection of juxtafacet cysts without concomitant fusion from 2002 to 2013 with a minimum follow-up of one year. RESULTS: Complete follow-up is available in 74 patients. Mean follow-up in all 74 patients was 69±34months (range, 14-140 months). Mean ODI was 14.9%. 68 patients (91.9%) were pleased with the results and would undergo surgery again. Three patients (4.1%) underwent secondary resection because of cyst recurrence at the same site. Four patients (5.4%) needed secondary fusion. CONCLUSIONS: In patients without evident clinical and radiological criteria of instability we regard surgical resection of juxtafacet cysts without concomitant fusion as adequate primary treatment due to good outcome and low incidence of secondary symptomatic instability.
[Mh] Termos MeSH primário: Cistos Glanglionares/cirurgia
Microcirurgia/métodos
Procedimentos Ortopédicos/métodos
Avaliação de Resultados (Cuidados de Saúde)
Doenças da Coluna Vertebral/cirurgia
Cisto Sinovial/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161225
[St] Status:MEDLINE


  9 / 1934 MEDLINE  
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[PMID]:27867129
[Au] Autor:Campbell RJ; Mobbs RJ; Rao PJ; Phan K
[Ad] Endereço:Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia; NeuroSpine Surgery Research Group, Prince of Wales Private Hospital, Sydney, NSW, Australia.
[Ti] Título:Interventions for Lumbar Synovial Facet Joint Cysts: A Comparison of Percutaneous, Surgical Decompression and Fusion Approaches.
[So] Source:World Neurosurg;98:492-502, 2017 Feb.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Facet joint cysts (FJCs) of the lumbar spine are an increasingly reported cause of radiculopathy, lower back pain, and neurologic deficits. Currently, there is a lack of conclusive evidence outlining when a particular treatment should be undertaken and what patient indications suit a particular approach. The present systematic review and meta-analysis aims to evaluate the efficacy of percutaneous treatment and surgical decompression with or without fusion. METHODS: A systematic literature search of scientific databases from their inception to February 2016 was performed by 2 reviewers. Studies pertaining to percutaneous procedures, decompressive surgeries, or decompressive surgeries with fusion for the treatment of lumbar facet joint cysts were identified. Data for resolution of symptoms, repeat procedures, and subsequent fusion were extracted and analyzed. RESULTS: Fifty studies comprising 870 patients with lumbar FJCs were identified for inclusion. Decompressive procedures were performed in 62.8% of patients, whereas 36.1% were treated by percutaneous aspiration or rupture, and only 1.1% were treated by decompression with fusion. Pooled analysis showed the rate of cyst resolution to be 90% for decompressive procedures with or without fusion and 58% for percutaneous procedures. Repeat procedures were required in 29% of percutaneous procedures, but less than 1% for all decompression operations. CONCLUSIONS: Evaluation of the literature shows surgical intervention to be advantageous over percutaneous procedures for the treatment of lumbar FJCs. There is no evidence suggesting when fusion should be undertaken because of the limited data available.
[Mh] Termos MeSH primário: Descompressão Cirúrgica/métodos
Vértebras Lombares/cirurgia
Fusão Vertebral/métodos
Cisto Sinovial/cirurgia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Dor Lombar/etiologia
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Tomografia Computadorizada por Raios X
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161122
[St] Status:MEDLINE


  10 / 1934 MEDLINE  
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[PMID]:27717625
[Au] Autor:Lista-Martínez O; Moreno-Barrueco VM; Castro-Castro J; Varela-Rois P; Pastor-Zapata A
[Ad] Endereço:Servicio de Neurocirugía, Complejo Hospitalario Universitario de Orense, Orense, España. Electronic address: olallalista@hotmail.com.
[Ti] Título:Lumbar synovial cysts: presentation of a series of 10 cases and literature review.
[Ti] Título:Quistes sinoviales lumbares: presentación de una serie de 10 casos y revisión de la literatura..
[So] Source:Rev Esp Cir Ortop Traumatol;61(1):28-34, 2017 Jan - Feb.
[Is] ISSN:1988-8856
[Cp] País de publicação:Spain
[La] Idioma:eng; spa
[Ab] Resumo:INTRODUCTION: Although they are freqqently described in the literature, lumbar synovial cysts are a relative uncommon cause of low back and radicular leg pain. OBJECTIVE: To evaluate the treatment and surgical outcomes of the lumbar synovial cysts operated on in our hospital during a 5 year period. MATERIAL AND METHODS: A retrospective study was conducted on patients surgically treated in our department from August 2009 to September 2014, using a visual analogue scale for the clinical follow-up in the first year after surgery. RESULTS: After the surgical treatment (surgical removal of the synovial cyst with or without instrumented arthrodesis with transpedicular screws) of 10 patients (5 female and 5 male) with a mean age of 70.2 years (range 50-80), the clinical outcome was satisfactory in 80% of the patients, with the resolving of their symptoms. CONCLUSIONS: Lumbar synovial cysts have to be considered in the differential diagnosis in patients with low back and radicular leg pain. The majority of the patients are in their sixties and have lumbar degenerative spondylopathy. Nowadays, surgical resection of the lumbar synovial cysts and spinal fusion are the recommended treatment, because it is thought that the increased movement of the spine is one to the causes of the cyst formation. More studies are still needed, hence the relevance of this article.
[Mh] Termos MeSH primário: Vértebras Lombares/cirurgia
Procedimentos Ortopédicos
Cisto Sinovial/cirurgia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170517
[Lr] Data última revisão:
170517
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161009
[St] Status:MEDLINE



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