PDF(Pubmed)
Abstract：
Synovial spinal cysts cause radiculopathy and back pain, with rare reports of cauda equina syndrome. Hypermobility and instability are cornerstones for synovial cyst formation. The incidence is around 5%, and data for bilateral cysts are lacking. Surgery is indicated after conservative measures fail. Recurrence is common and is potentially due to joint violation and destabilization from open surgery. This could be prevented via ultra-minimally invasive approaches. The authors present full endoscopic removal of bilateral synovial cysts in a patient with grade 1 stable spondylolisthesis and include a 360° view for confirmation of complete decompression. Postoperatively, the patient reported immediate pain relief. The video can be found here: https://stream.cadmore.media/r10.3171/2024.1.FOCVID23208.
摘要：
滑膜脊髓囊肿引起神经根病和背痛，马尾综合症的罕见报道。过度移动和不稳定是滑膜囊肿形成的基石。发病率约为5%，缺乏双侧囊肿的数据。保守措施失败后需要手术。复发很常见，可能是由于开放手术引起的关节侵犯和不稳定。这可以通过超微创方法来防止。作者介绍了1级稳定型脊椎滑脱患者的双侧滑膜囊肿的完全内窥镜清除，并包括360°视图以确认完全减压。术后,患者报告疼痛立即缓解。视频可以在这里找到：https://stream。cadmore.媒体/r10.3171/2024.1。FOCVID23208。
