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Intraspinal Extradural Degenerative Cervical Cyst Treated by Anterior Cervical Discectomy and Fusion: A Surgical Alternative to the Posterior Approach, about One Case – Lumbar Fusion

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The article discusses a case report of a patient with cervical radiculopathy caused by an intraspinal extradural compressive arthrosynovial cervical cyst, which was treated by anterior discectomy and fusion without direct resection of the cyst. This treatment approach led to a complete regression of the cyst and the patient being pain-free. The article highlights the effectiveness of the anterior approach for treating cervical cysts, as it allows for the preservation of posterior cervical muscles and articular structures. This case represents a unique approach to managing intraspinal cervical degenerative cysts and adds to the existing literature on treatment options for such conditions

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established spine facility in London

Published article

: For the treatment of a joint spinal cervical cyst, the anterior approach is a relevant option that gives the advantages to respect the posterior cervical muscles and articular structures.

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J Orthop Case Rep. 2024 Mar;14(3):68-72. doi: 10.13107/jocr.2024.v14.i03.4290. ABSTRACT INTRODUCTION: Intraspinal extradural arthrosynovial cysts, which belong to the spectrum of degenerative spinal diseases are mainly located at lumbar level and their location at cervical level joint is therefore unusual. The most common surgical approach for symptomatic arthrosynovial cervical cyst remains a direct resection of the,

J Orthop Case Rep. 2024 Mar;14(3):68-72. doi: 10.13107/jocr.2024.v14.i03.4290.

ABSTRACT

INTRODUCTION: Intraspinal extradural arthrosynovial cysts, which belong to the spectrum of degenerative spinal diseases are mainly located at lumbar level and their location at cervical level joint is therefore unusual. The most common surgical approach for symptomatic arthrosynovial cervical cyst remains a direct resection of the cyst by a cervical hemilaminectomy with or without a posterior arthrodesis. However, another surgical approach may also be discussed when considering the cyst as a result of a local spinal instability or hypermobility.

CASE REPORT: We report in this work the case of a patient with cervical radiculopathy due to intraspinal extradural compressive arthrosynovial cervical cyst which was treated by anterior discectomy and fusion without direct resection of the cyst. The post-operative radiological control performed at 3 months showed a complete regression of the cyst with a patient pain-free. To the best of our knowledge, this is the first case of intraspinal cervical degenerative cyst at C7-T1 level treated by anterior approach and fusion without direct cyst resection.

: For the treatment of a joint spinal cervical cyst, the anterior approach is a relevant option that gives the advantages to respect the posterior cervical muscles and articular structures.

PMID:38560330 | PMC:PMC10976530 | DOI:10.13107/jocr.2024.v14.i03.4290

The London Spine Unit : most established spine facility in London

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Intraspinal Extradural Degenerative Cervical Cyst Treated by Anterior Cervical Discectomy and Fusion: A Surgical Alternative to the Posterior Approach, about One Case

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J Orthop Case Rep. 2024 Mar;14(3):68-72. doi: 10.13107/jocr.2024.v14.i03.4290. ABSTRACT INTRODUCTION: Intraspinal extradural arthrosynovial cysts, which belong to the spectrum of degenerative spinal diseases are mainly located at lumbar level and their location at cervical level joint is therefore unusual. The most common surgical approach for symptomatic arthrosynovial cervical cyst remains a direct resection of the

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