Fluoroscopically guided aspiration of a symptomatic lumbar zygapophyseal joint cyst: a case report.
Lumbar zygapophyseal joint cysts are potential pain generators in patients with axial pain and/or lower-limb radicular pain. The traditional treatment of symptomatic cysts that do not respond to conservative measures is surgical decompression. Percutaneous needle aspiration under fluoroscopic guidance is a potential minimally invasive treatment option. We present a patient with a large symptomatic L4-5 zygapophyseal joint cyst and right L5 radiculopathy who responded well to percutaneous aspiration.
Lutz
Gregory E
GE
Hospital for Special Surgery, New York, NY. lutzg@hss.edu
Shen
Timothy C
TC
D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013396:Suction / Q000379:methods*; D013581:Synovial Cyst / Q000150:complications / Q000628:therapy*; D016896:Treatment Outcome; D021801:Zygapophyseal Joint