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Percutaneous uniportal full-endoscopic surgery for treating symptomatic lumbar facet joint cysts under local anesthesia combined with monitored anesthesia care: a preliminary report of eight cases with at least 1 year follow-up – Lumbar Spinal Stenosis

The article discusses the use of uniportal full-endoscopic (UFE) surgery as a treatment for symptomatic lumbar facet joint cysts (FJCs). Lumbar FJCs are a rare pathology that can cause radiculopathy or neurogenic claudication. The study included eight patients who underwent UFE surgery under local anesthesia combined with monitored anesthesia care. The clinical outcomes were evaluated based on measures such as the visual analog scale (VAS) score for pain and the Oswestry disability index (ODI). The results showed that UFE surgery led to significant improvements in leg pain and disability, with a good-to-excellent outcome reported for all patients at the last follow-up. The study suggests that UFE decompression may be an effective treatment option for symptomatic lumbar FJCs

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised treatment hospital in UK

Published article

CONCLUSION: Lumbar FJCs can cause severe radiating leg pain and/or neurogenic claudication due to the dural sac compression and nerve roots. As an alternative treatment, UFE decompression under local and MAC anesthesia may provide effective clinical outcomes for symptomatic lumbar FJCs.

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Front Neurol. 2023 Dec 7;14:1278562. doi: 10.3389/fneur.2023.1278562. eCollection 2023.ABSTRACTBACKGROUND: Lumbar facet joint cysts (FJCs) are a relatively rare clinical pathology that can result in radiculopathy or neurogenic claudication. Various treatments such as percutaneous aspiration and surgery have been reported to have good clinical outcomes. However, few clinical studies have aimed to treat symptomatic lumbar FJCs,

Front Neurol. 2023 Dec 7;14:1278562. doi: 10.3389/fneur.2023.1278562. eCollection 2023.

ABSTRACT

BACKGROUND: Lumbar facet joint cysts (FJCs) are a relatively rare clinical pathology that can result in radiculopathy or neurogenic claudication. Various treatments such as percutaneous aspiration and surgery have been reported to have good clinical outcomes. However, few clinical studies have aimed to treat symptomatic lumbar FJCs by using uniportal full-endoscopic (UFE) surgery. This study aimed to investigate the preliminary clinical outcomes of UFE surgery for the treatment of lumbar FJCs under local anesthesia combined with monitored anesthesia care (MAC).

METHODS: Eight patients (five males and three females) with symptomatic lumbar FJCs who underwent UFE surgery under local and MAC anesthesia were enrolled in this study between January 2018 and April 2022. The clinical characteristics, radiological features, operative information, visual analog scale (VAS) score, Oswestry disability index (ODI), and overall outcome rating based on the modified MacNab criteria were retrospectively analyzed.

RESULTS: Of the eight patients, four underwent a transforaminal approach and four underwent an interlaminar approach. Postoperatively, the mean VAS score for leg pain decreased from 6.1 before surgery to 0.6 after surgery, and the ODI decreased from 74.5% to 14.7%. All patients were followed up for more than 1 year, and the good-to-excellent rate based on the modified MacNab criteria remained 100% at the last follow-up. No complications occurred during the follow-up period.

CONCLUSION: Lumbar FJCs can cause severe radiating leg pain and/or neurogenic claudication due to the dural sac compression and nerve roots. As an alternative treatment, UFE decompression under local and MAC anesthesia may provide effective clinical outcomes for symptomatic lumbar FJCs.

PMID:38145124 | PMC:PMC10748478 | DOI:10.3389/fneur.2023.1278562

The London Spine Unit : best recognised treatment hospital in UK

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Percutaneous uniportal full-endoscopic surgery for treating symptomatic lumbar facet joint cysts under local anesthesia combined with monitored anesthesia care: a preliminary report of eight cases with at least 1 year follow-up

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Front Neurol. 2023 Dec 7;14:1278562. doi: 10.3389/fneur.2023.1278562. eCollection 2023.ABSTRACTBACKGROUND: Lumbar facet joint cysts (FJCs) are a relatively rare clinical pathology that can result in radiculopathy or neurogenic claudication. Various treatments such as percutaneous aspiration and surgery have been reported to have good clinical outcomes. However, few clinical studies have aimed to treat symptomatic lumbar FJCs

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