Minimally Invasive Versus Open Surgical procedure for Lumbar Synovial Cysts.
World Neurosurg. 2017 Dec;108:555-559
Authors: Vergara P, Akhunbay-Fudge CY, Kotter MR, Charles Laing RJ
OBJECTIVE: Lumbar synovial cysts are comparatively rare. Traditionally, these benign lesions have been handled with open excision, typically related to fusion. The goal of this research is to check minimally invasive surgical procedure (MIS) with open surgical procedure (OS) for the remedy of lumbar synovial cysts.
METHODS: This was a retrospective evaluation of sufferers who underwent minimally invasive or open excision of lumbar synovial cysts. Medical outcomes, recurrence price, and surgical problems have been in contrast within the 2 teams.
RESULTS: A complete of 37 instances have been recognized, of which 24 have been MIS and 13 have been OS. MIS was considerably more practical in bettering leg ache and radicular signs. There was no statistical distinction between the two teams with regard to enhancements of again ache and neurogenic claudication. Postoperative size of hospital keep and postoperative ache have been considerably decreased within the MIS group (15 hours vs. 24 hours and zero.9/10 vs. four.7/10 respectively, P < zero.5). There have been no statistical variations in length of surgical procedure, intra- or postoperative problems, no recurrence of cyst in both of the two teams, and no sufferers required fusion at a later stage.
CONCLUSIONS: On this research, MIS for the remedy of lumbar synovial cysts seems to be more practical than OS in relieving radicular signs. Moreover, MIS is healthier tolerated by sufferers and is probably price saving for the Well being Service, as a result of discount in hospital keep and the decreased requirement for painkillers.
PMID: 28923427 [PubMed – indexed for MEDLINE]