Author/Editor		Kozar, Sergeja; Jeromel, Miran
Title		Minimally invasive CT guided treatment of intraspinal synovial cyst
Translated title		[Minimalno invazivno računalniškotomografsko vodeno zdravljenje intraspinalne sinovalne ciste. Prikaz primera]
Type		članek
Vol. and No.		Letnik 48, št. 1
Publication year		2013
Volume		str. 29-33
ISSN		1318-2099 - Radiology and oncology
Language		eng
Abstract		Background. Intraspinal synovial cysts of vertebral facet joints are uncommon cause of radicular pain as well as neurological deficits. They can be managed both conservatively and surgically. Case report. A 77-year old polymorbid patient presented with bilateral low back pain which worsened during the course of time and did not respond to the conservative treatment. A diagnosis of intraspinal synovial cyst was made using the magnetic resonance imaging (MRI). Percutaneous computed tomography (CT) guided injection with installation of local anesthetic together with corticosteroid and rupture of the cyst was successfully used. A month after the procedure his pain improved, the usage of analgesics diminished and his over-all quality of life improved. Conclusions. Percutaneous CT guided lumbar synovial cyst treatment is safe and reliable alternative to the surgical treatment in polymorbid patients with radiculopathy who are not able to tolerate general anesthesia and operation.
Keywords		intraspinal synovial cyst polymorbid patient radiculopathy pain percutaneous CT guided treatment