التفاصيل البيبلوغرافية
| العنوان: |
Long-term outcomes of percutaneous lumbar facet synovial cyst rupture. |
| المؤلفون: |
Huang, Ambrose, Bos, Stijn, Torriani, Martin, Simeone, F., Chang, Connie, Pomerantz, Stuart, Bredella, Miriam, Huang, Ambrose J, Bos, Stijn A, Simeone, F Joseph, Chang, Connie Y, Pomerantz, Stuart R, Bredella, Miriam A |
| المصدر: |
Skeletal Radiology; Jan2017, Vol. 46 Issue 1, p75-80, 6p |
| مصطلحات موضوعية: |
SYNOVIAL cyst, TUMORS, SURGERY, ANTIBIOTICS, HEALTH insurance, BACK, COMPUTED tomography, FLUOROSCOPY, CYST rupture, ULTRASONIC imaging, SYNOVIAL membrane diseases, TREATMENT effectiveness, ZYGAPOPHYSEAL joint, THERAPEUTICS |
| مستخلص: |
Objective: To evaluate the therapeutic value, safety, and long-term clinical outcomes of percutaneous lumbar facet synovial cyst (LFSC) rupture.Materials and Methods: Our study was institutional review board (IRB)-approved and Health Insurance Portability and Accountability Act (HIPAA)-compliant. The study group comprised 71 patients (44 women, mean age: 65 ± 17 years) who underwent CT- or fluoroscopy-guided percutaneous LFSC rupture. The technical success of LFSC rupture, the long-term clinical outcome, including repeat procedures or surgery, and imaging findings on MRI and CT were recorded.Results: Seventy-nine LFSC ruptures were performed in 71 patients. CT guidance was used in 57 cases and fluoroscopy guidance in 22 cases. LFSC rupture was technically successful in 58 out of 79 cases (73 %). Mean injection volume for cyst rupture was 3.6 ± 2.2 mL and a combination of steroid and anesthetic was injected in all cases. Over a mean follow-up time of 44 months, 12 % of patients underwent repeat cyst rupture, and 46 % eventually underwent surgery, whereas the majority of patients (55 %) experienced symptomatic relief and did not undergo surgery. There was no significant association between a successful outcome and age, sex, level, or size of LFSC (p > 0.1). LFSCs with T2 hypointensity were more likely to require surgery (p = 0.02). There was one complication, a bacterial skin infection that completely resolved following antibiotic therapy.Conclusion: Percutaneous LFSC rupture is an effective and safe nonsurgical treatment option for LFSC. More than half of treated patients were able to avoid subsequent surgery. Therefore, percutaneous LFSC rupture should be considered before surgical intervention. [ABSTRACT FROM AUTHOR] |
|
Copyright of Skeletal Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
