Technical and imaging report: fluoroscopic guidance for diagnosis and treatment of lumbar synovial cyst.
Lumbar synovial cysts can be a source of low back pain with or without radiculopathy depending upon the size and location of the mass. Options for treatment range from analgesics to surgery, depending upon the degree of nerve root or spinal cord impingement. Attempts at minimally invasive treatment such as computed tomography-assisted aspiration and cyst rupture are documented in the radiology literature with varying degrees of reported success. This case report is the first to document the fluoroscopically-guided management of a lumbar synovial cyst in the pain medicine literature and highlights the knowledge and technical skills required when treating such cases.
Rauchwerger
Jacob J
JJ
Pain Management Center of Long Island, Long Island, New York 11570, USA. Jacobjeffrey74@hotmail.com
Candido
Kenneth D
KD
Zoarski
Gregg H
GH
D000368:Aged; D005260:Female; D005471:Fluoroscopy / Q000379:methods*; D006801:Humans; D007268:Injections, Epidural / Q000379:methods; D017116:Low Back Pain / Q000175:diagnosis* / Q000188:drug therapy*; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000187:drug effects* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D013581:Synovial Cyst / Q000175:diagnosis* / Q000188:drug therapy* / Q000473:pathology; D016896:Treatment Outcome; D021801:Zygapophyseal Joint / Q000187:drug effects* / Q000473:pathology