Published January 2016 | Version v1
Journal article

Percutaneous Facet Screw Fixation in the Treatment of Symptomatic Recurrent Lumbar Facet Joint Cyst: A New Technique

  • 1. Centre Hospitalier Universitaire de Nice (France)
  • 2. New York Medical College (United States)
  • 3. University General Hospital "ATTIKON" (Greece)

Description

We present a case of percutaneous treatment of symptomatic recurrent lumbar facet joint cyst resistant to all medical treatments including facet joint steroid injection. Percutaneous transfacet fixation was then performed at L4–L5 level with a cannulated screw using CT and fluoroscopy guidance. The procedure time was 30 min. Using the visual analog scale (VAS), pain decreased from 9.5, preoperatively, to 0 after the procedure. At 6-month follow-up, an asymptomatic cystic recurrence was observed, which further reduced at the 1-year follow-up. Pain remained stable (VAS at 0) during all follow-ups. CT- and fluoroscopy-guided percutaneous cyst rupture associated with facet screw fixation could be an alternative to surgery in patients suffering from a symptomatic recurrent lumbar facet joint cyst

Additional details

Identifiers

Publishing Information

Journal Title
Cardiovascular and Interventional Radiology
Journal Volume
39
Journal Issue
1
Journal Page Range
p. 127-131
ISSN
0174-1551
CODEN
CAIRDG

Conference

Title
Interventional Radiological Olbert Symposium
Acronym
IROS 2015
Dates
15-17 Jan 2015
Place
Berlin (Germany)

INIS

Country of Publication
United States
Country of Input or Organization
International Atomic Energy Agency (IAEA)
INIS RN
47039439
Subject category
S62: RADIOLOGY AND NUCLEAR MEDICINE;
Resource subtype / Literary indicator
Conference
Descriptors DEI
BONE JOINTS; COMPUTERIZED TOMOGRAPHY; CYSTS; FLUOROSCOPY; INJECTION; PAIN; PATIENTS; RUPTURES; STEROIDS; SURGERY
Descriptors DEC
BIOMEDICAL RADIOGRAPHY; BODY; DIAGNOSTIC TECHNIQUES; FAILURES; INTAKE; MEDICINE; NUCLEAR MEDICINE; ORGANIC COMPOUNDS; ORGANS; PATHOLOGICAL CHANGES; RADIOLOGY; SKELETON; SYMPTOMS; TOMOGRAPHY

Optional Information

Copyright
Copyright (c) 2016 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE)
Notes
http://www.springer-ny.com