Evidence map›Paper›PMID 39064544›Full record

ReviewMedicina (Kaunas, Lithuania)2024

Spontaneous Resolution of Symptomatic Synovial Cysts of the Lumbar Spine: A Comprehensive Review with Two Illustrative Cases.

Raffaele Scrofani, Matteo De Simone, Filippo Migliorini, Ettore Amoroso, Nicola Maffulli, Nicola Narciso, Giorgio Iaconetta

Abstract readCase ReportsReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Active and passive physical therapy in patients with chronic low-back pain: a level I Bayesian network meta-analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025
    Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Raffaele ScrofaniDepartment of Clinical Neurosurgery, AOU San Giovanni di Dio e Ruggi D'Aragona, University of Salerno, Via San Leonardo 1, 84131 Salerno, Italy.ORCID 0000-0002-8700-0198
Matteo De SimoneDepartment of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Via S. Allende, 84081 Baronissi, Italy.ORCID 0000-0001-8172-6134
Filippo MiglioriniDepartment of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH University Hospital, 52074 Aachen, Germany.ORCID 0000-0001-7220-1221
Ettore AmorosoDepartment of Clinical Neurosurgery, AOU San Giovanni di Dio e Ruggi D'Aragona, University of Salerno, Via San Leonardo 1, 84131 Salerno, Italy.
Nicola MaffulliDepartment of Orthopaedics, Faculty of Medicine and Psychology, University of Rome "La Sapienza", 00185 Rome, Italy.
Nicola NarcisoDepartment of Clinical Neurosurgery, AOU San Giovanni di Dio e Ruggi D'Aragona, University of Salerno, Via San Leonardo 1, 84131 Salerno, Italy.
Giorgio IaconettaDepartment of Clinical Neurosurgery, AOU San Giovanni di Dio e Ruggi D'Aragona, University of Salerno, Via San Leonardo 1, 84131 Salerno, Italy.ORCID 0000-0001-6924-3551

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although lumbar synovial cysts (LSCs) are frequently described in the literature, they are a relatively uncommon cause of low back and radicular leg pain. Furthermore, their spontaneous resolution is an even rarer event. The standard treatment of the lumbar synovial cyst is surgical excision. Spontaneous resolution in the literature is a sporadic event. In our experience, we have had two cases where the lumbar synovial cyst disappeared spontaneously. To date, only nine cases of spontaneous resolution of synovial cysts have been documented in the literature. In this discussion, we highlight a pathology that typically suggests surgical intervention, yet conservative treatment can be a viable alternative. We present two cases of large synovial cysts that were initially scheduled for surgery but ultimately resolved spontaneously without any treatment. While the spontaneous resolution of lumbar synovial cysts is extremely rare, conservative strategies are an option that should not be overlooked. Our cases contribute to the growing body of evidence on the spontaneous regression of symptomatic LSC, potentially enhancing the understanding of the disease's natural progression in the future.

Indexed as

Lumbar VertebraeRemission, SpontaneousSynovial CystHumansLow Back Painlow back painlumbar spinespine surgeryspontaneous resolutionsynovial cysts

Identifiers

PMID39064544
PMCPMC11278635

What OpenQuestion holds

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Registered trials

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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.