Symptomatic lumbar facet joint cysts treated by CT-guided intracystic and intra-articular steroid injections

被引:34
作者
Amoretti, Nicolas [1 ]
Huwart, Laurent [1 ]
Foti, Pauline [2 ]
Boileau, Pascal
Amoretti, Marie-Eve [1 ]
Pellegrin, Amelie [1 ]
Marcy, Pierre-Yves [1 ]
Hauger, Olivier [3 ]
机构
[1] Hop Archet 2, Ctr Hosp Univ Nice, Dept Radiol, F-06200 Nice, France
[2] Hop Archet 2, Ctr Hosp Univ Nice, Dept Epidemiol, F-06200 Nice, France
[3] Ctr Hosp Univ Bordeaux, Hop Pellegrin, Dept Radiol, Bordeaux, France
关键词
Intervention; Radiology; CT; Spine; Cyst; INTRASPINAL SYNOVIAL CYSTS; DIAGNOSIS; SCIATICA; PAIN;
D O I
10.1007/s00330-012-2533-z
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Objective To evaluate percutaneous computed tomography (CT)-guided intracystic and intra-articular steroid injections for the treatment of lumbar facet joint cyst causing radicular pain. Methods A single-centre prospective study involving 120 consecutive patients with symptomatic lumbar facet joint cyst-induced radicular pain was done (72 women, 48 men). The average age was 68.2 years (52-84). Patients were treated by percutaneous CT-guided intracystic and intra-articular steroid injections. The clinical course of nerve root pain was evaluated after 1 day, and 1, 3 and 6 months, with long-term follow-up after 12 months. Results Patient follow-ups in our series show supportive results: within 120 patients, 54% of patients were satisfied with a long-lasting result from the first intra-cystic and intra-articular steroid injections (n = 65), while 20.8% were satisfied with a long-lasting result from a second intervention. Combining these two results shows that 75% of patients were satisfied with a long-lasting result. Conclusions Our results showed that percutaneous treatment of vertebral lumbar facet joint cysts by double injections is an effective and economic therapeutic technical management among 75% of our patients. Thus we recommend that it should be considered as a first choice of treatment.
引用
收藏
页码:2836 / 2840
页数:5
相关论文
共 12 条
[1]   LUMBAR NERVE ROOT COMPRESSION BY SYNOVIAL CYSTS OF THE LIGAMENTUM FLAVUM - REPORT OF 4 CASES [J].
ABDULLAH, AF ;
CHAMBERS, RW ;
DAUT, DP .
JOURNAL OF NEUROSURGERY, 1984, 60 (03) :617-620
[2]   Fluoroscopic percutaneous lumbar zygapophyseal joint cyst rupture: a clinical outcome study [J].
Allen, Tracy L. ;
Tatli, Yusuf ;
Lutz, Gregory E. .
SPINE JOURNAL, 2009, 9 (05) :387-395
[3]   THE ADVANTAGE OF MAGNETIC-RESONANCE-IMAGING IN DIAGNOSIS OF A LUMBAR SYNOVIAL CYST [J].
DAVIS, R ;
ILIYA, A ;
ROQUE, C ;
PAMPATI, M .
SPINE, 1990, 15 (03) :244-246
[4]   INTRA-SPINAL SYNOVIAL CYSTS - NATURAL-HISTORY AND DIAGNOSIS BY CT [J].
HEMMINGHYTT, S ;
DANIELS, DL ;
WILLIAMS, AL ;
HAUGHTON, VM .
RADIOLOGY, 1982, 145 (02) :375-376
[5]   INTRASPINAL SYNOVIAL CYSTS - MR IMAGING [J].
JACKSON, DE ;
ATLAS, SW ;
MANI, JR ;
NORMAN, D .
RADIOLOGY, 1989, 170 (02) :527-530
[6]   REVERSIBLE CAUSE OF BACK PAIN AND SCIATICA IN RHEUMATOID-ARTHRITIS - AN APOPHYSEAL JOINT CYST [J].
JACOB, JR ;
WEISMAN, MH ;
MINK, JH ;
METZGER, AL ;
FELDMAN, GR ;
DORFMAN, HD ;
BLINDERMAN, EE ;
RESNICK, D .
ARTHRITIS AND RHEUMATISM, 1986, 29 (03) :431-435
[7]   Diagnosis and treatment of sciatica [J].
Koes, B. W. ;
van Tulder, M. W. ;
Peul, W. C. .
BMJ-BRITISH MEDICAL JOURNAL, 2007, 334 (7607) :1313-1317
[8]   Outcome of percutaneous rupture of lumbar synovial cysts: a case series of 101 patients [J].
Martha, Julia F. ;
Swaim, Bryan ;
Wang, David A. ;
Kim, David H. ;
Hill, James ;
Bode, Rita ;
Schwartz, Carolyn E. .
SPINE JOURNAL, 2009, 9 (11) :899-904
[9]   Symptomatic lumbar facet joint synovial cysts: Clinical assessment of facet joint steroid injection after 1 and 6 months and long-term follow-up in 30 patients [J].
Parlier-Cuau, C ;
Wybier, M ;
Nizard, R ;
Champsaur, P ;
Le Hir, P ;
Laredo, JD .
RADIOLOGY, 1999, 210 (02) :509-513
[10]   Procedure-based nonsurgical management of lumbar zygapophyseal joint cyst-induced radicular pain [J].
Sabers, SR ;
Ross, SR ;
Grogg, BE ;
Lauder, TD .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2005, 86 (09) :1767-1771