Korean J Anesthesiol.  2012 Apr;62(4):375-378. 10.4097/kjae.2012.62.4.375.

Percutaneous aspiration of lumbar zygapophyseal joint synovial cyst under fluoroscopic guidance: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Kang-Dong Sacred Heart Hospital, Seoul, Korea. 69hsj@naver.com
  • 2Department of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.

Abstract

A 51-year-old man with a 1-month history of lower back pain and radiating pain visited to our pain clinic. A magnetic resonance imaging (MRI) scan demonstrated a cyst like mass at the level of the L4-5 interspace and compression of the thecal sac and the nerve root on the right side. We performed percutaneous needle aspiration of the lumbar zygapophyseal joint synovial cyst under fluoroscopic guidance. The patient felt an immediate relief of symptoms after the aspiration, and had no signs or symptoms of recurrence at the follow-up 6 months later. No demonstrable lesion was found in the 6 months follow-up MRI.

Keyword

Fluoroscopic guidance; Low back pain; Zygapophyseal joint synovial cyst

MeSH Terms

Follow-Up Studies
Humans
Low Back Pain
Magnetic Resonance Imaging
Middle Aged
Needles
Pain Clinics
Recurrence
Synovial Cyst
Zygapophyseal Joint
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