Evidence map›Paper›PMID 38097764›Full record

ArticleSkeletal radiology2024

CT-guided lumbar facet cyst rupture and corticosteroid injection: technique, approach, and procedural and clinical success rates.

Ronald W Mercer, Joao R T Vicentini, Steven J Staffa, Ukasha Habib, Rosa Cho, Connie Y Chang

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Article in Skeletal radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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0 citing papers in PubMed, 0 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Ronald W MercerDepartment of Radiology, Division of Musculoskeletal Imaging and Intervention, Massachusetts General Hospital, Yawkey 6E, 55 Fruit Street, Boston, MA, 02114, USA.
Joao R T VicentiniDepartment of Radiology, Division of Musculoskeletal Imaging and Intervention, Massachusetts General Hospital, Yawkey 6E, 55 Fruit Street, Boston, MA, 02114, USA.
Steven J StaffaDepartment of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, 300 Longwood Ave, Boston, MA, 02115, USA.
Ukasha HabibDepartment of Radiology, Division of Musculoskeletal Imaging and Intervention, Massachusetts General Hospital, Yawkey 6E, 55 Fruit Street, Boston, MA, 02114, USA.
Rosa ChoDepartment of Physical Medicine and Rehabilition, Division of Spine Care and Pain Management, Spaulding Rehabilitation Hospital, 300 First Ave, Charlestown, MA, 02129, USA.
Connie Y ChangDepartment of Radiology, Division of Musculoskeletal Imaging and Intervention, Massachusetts General Hospital, Yawkey 6E, 55 Fruit Street, Boston, MA, 02114, USA. cychang@mgh.harvard.edu.ORCID http://orcid.org/0000-0003-1304-1576
Massachusetts General Hospital · USBoston Children's Hospital · USSpaulding Rehabilitation Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate success rates of computed tomography (CT)-guided lumbar facet synovial cyst (LFC) rupture. MATERIALS AND

methodsWe retrospectively reviewed all LFC ruptures performed by a single musculoskeletal radiologist with > 10 years of experience, using posterior facet approach and/or direct puncture by ipsilateral/contralateral interlaminar, or transforaminal approach. All patients also received a corticosteroid injection. Rupture rates were calculated, and clinical success rate was determined through medical record review. Pre-procedure magnetic resonance imaging (MRI) images and CT procedure images were also reviewed for LFC and facet joint imaging features that may predict rupture.

resultsThere were 37 patients, 17 (46%) female and 20 (54%) male, ages 62 ± 12 (range 39-87) years. Thirty-four (92%) of LFC were successfully ruptured, 17 (50%) by facet approach and 17 (50%) by direct cyst puncture. At least one direct puncture approach was possible in 35 (95%) patients. No MRI or CT LFC or facet joint features predicted cyst rupture. Thirty-one (91%) of patients reported immediate pain relief, and 19 (53%) did not have further intervention for LFC-related pain. Sixteen (84%) of these patients remained pain-free for an average follow-up time period of 28 months. Fourteen (39%) of patients required surgical intervention. There were no complications.

conclusionOur systematic approach to CT-guided LFC rupture is safe and has high technical and clinical success rates similar to prior studies. Since there are no definitive imaging features that determine rupture success, this procedure can almost always be attempted as a first-line treatment for LFC.

Indexed as

CystsZygapophyseal JointAdrenal Cortex HormonesFemaleHumansLumbar VertebraeMalePainRetrospective StudiesRuptureTomography, X-Ray ComputedAdrenal Cortex HormonesCystsSpineTherapeuticsTomographyZygapophyseal joint

Identifiers

PMID38097764
OpenAlexW4389767453

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.