Frontiers in Surgery (Mar 2023)

A rare gas-containing lumbar synovial cyst treated by percutaneous transforaminal endoscopic cystectomy: A case report and literature review

  • Ziran Wei,
  • Qian Lin,
  • Hao Zhang,
  • Haoyun Zhang,
  • Xuexiao Ma,
  • Chao Wang

DOI
https://doi.org/10.3389/fsurg.2023.1095572
Journal volume & issue
Vol. 10

Abstract

Read online

Spinal synovial cysts are rare entities for which standard surgical strategies are inconsistent. Here, we present an uncommon intraspinal gas-containing synovial cyst treated by percutaneous transforaminal endoscopic cystectomy. A 52-year-old man presented with radicular pain and intermittent claudication that had persisted for one month. Computed tomography revealed an intraspinal cystic lesion anteromedial to the left L4-L5 articular joint and the center of the lesion manifested gas contents. A transforaminal endoscopic procedure was performed and confirmed as a safe and minimally invasive technique for gas-containing lumbar synovial cysts. It provides a valuable substitution and supplementation to open surgery.

Keywords