ArticleJournal of orthopaedic surgery and research2018
A novel technique for managing symptomatic spinal cysts using epiduroscopic neural laser decompression: technical note and preliminary results.
Article in Journal of orthopaedic surgery and research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 20 citations in OpenAlex.
- Choroid plexus cyst of the spinal cord presenting with signs of spinal cord compression in a 55-year-old male: a case report.Journal of medical case reports · 2026Article
- A Comparative Evaluation of Surgical Techniques Applied in Lumbar Synovial Cysts in Accordance with the Literature.Diagnostics (Basel, Switzerland) · 2025Article
- Is trans-sacral endoscopic laser decompression truly effective? Clinical and functional assessment of a single spine center.Surgical neurology international · 2024Article
- Trans sacral Endoscopic laser Decompression- a case report, technical note and literature review.Journal of orthopaedic case reports · 2023Article
- How to locate the fistula orifice of spinal extradural arachnoid cyst: Surgical experience and clinical outcome.BMC surgery · 2023Article
- Learning curve of trans-sacral epiduroscopic laser decompression in herniated lumbar disc disease.BMC surgery · 2021Article
- Clinical Outcomes of Trans-Sacral Epiduroscopic Laser Decompression (SELD) in Patients with Lumbar Disc Herniation.Pain research & management · 2020Article
- Article
- Management of perineural (Tarlov) cysts: a population-based cohort study and algorithm for the selection of surgical candidates.Acta neurochirurgica · 2019Article
- Symptomatic Lumbar Discal Cyst: A Rare Entity that Can Mimic Other Lumbar Cystic Lesions.Cureus · 2019Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBenign spinal cysts are relatively common, but can cause significant pain. However, consensus regarding the best method for treating these cysts has not been established. We aimed to examine the usefulness of epiduroscopic neural laser decompression (ENLD), a novel percutaneous treatment, for treating lumbo-sacral cysts.
methodsTen patients (6 men, 4 women; mean age 45.5 years) with benign lumbo-sacral cysts underwent ENLD. The lumbo-sacral cysts were caused by multiple pathophysiologies and displayed different characteristics. Cysts were evaluated using a recorded epiduroscopic procedure video, magnetic resonance imaging (MRI), and electronic medical records. In all patients, MRI identified cysts with well-defined margins that were compressing the nerves in the lumbo-sacral region and were associated with the pain symptoms of the patients. Retrospectively, we reviewed a series of consecutive patients who underwent surgery (two with discal cysts, four with facet cysts, and four with Tarlov cysts). Low back/leg pain was evaluated using a 1-10 visual analog scale. Functional improvement was evaluated using Oswestry Disability Index scores. Outcomes were evaluated pre- and post-operatively and 1 year post-surgery.
resultsPatients were examined between May 2016 and August 2017. Average pain scores improved from 4.7 pre-surgery to 1.8 post-surgery (low back; p < .001) and from 5.8 pre-surgery to 1.6 post-surgery (leg; p < .001). Disability scores decreased from 27.2% pre-surgery to 14.6% post-surgery.
conclusionCurrently, no standard treatment strategy for symptomatic spinal cysts exists. These results show that ENLD using a Holmium: YAG laser can be useful in treating symptomatic benign spinal cysts.
trial registrationNot applicable as this is a retrospective chart review.
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