title: [Percutaneous CT-guided destruction versus microsurgical resection of lumbar juxtafacet cysts].
abstract: BACKGROUND
  Microsurgical resection is the standard treatment of lumbar juxtafacet cysts. Percutaneous computed tomography (CT) guided destruction of the cyst could be an alternative modality for inoperable patients. Comparative prospective studies for both treatment strategies do not exist.
  
  
  METHODS
  This study involved a non-randomized, prospective trial on 45 patients suffering from sciatica or claudication caused by lumbar juxtafacet cysts. Of the patients 25 were operated on microsurgically and 20 patients were primarily treated using percutaneous CT-guided cyst destruction.
  
  
  RESULTS
  The treatment in both groups was performed without complications in all patients. All patients treated microsurgically were pain-free (mean postoperative interval 27 months) but only 8 out of 20 patients treated percutaneously recovered completely (mean post-treatment interval 24 months). The remaining 12 out of 20 patients showed no relevant improvement and were operated on microsurgically.
  
  
  CONCLUSIONS
  Minimally invasive cyst destruction is not a viable alternative to microsurgical resection considering the long-term outcome, neither in this study nor in the reviewed literature.
authors.affiliation: Abt. Neurochirurgie, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland. chr74@gmx.de
authors.forename: C
authors.initials: C
authors.lastname: Schulz
authors.forename: B
authors.initials: B
authors.lastname: Danz
authors.forename: S
authors.initials: S
authors.lastname: Waldeck
authors.forename: U
authors.initials: U
authors.lastname: Kunz
authors.forename: U M
authors.initials: UM
authors.lastname: Mauer
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001175:Arthrography; D005260:Female; D005500:Follow-Up Studies; D045888:Ganglion Cysts / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D007383:Intermittent Claudication / Q000175:diagnosis / Q000601:surgery; D008159:Lumbar Vertebrae / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010149:Postoperative Pain / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D011446:Prospective Studies; D012086:Reoperation; D012585:Sciatica / Q000175:diagnosis / Q000601:surgery; D025321:Surgery, Computer-Assisted / Q000379:methods*; D013581:Synovial Cyst / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D021801:Zygapophyseal Joint / Q000473:pathology / Q000601:surgery*