A Rare Case of a Discal Cyst Following Percutaneous Endoscopic Lumbar Discectomy via a Transforaminal Approach.

Content Provider	Europe PMC
Author	MANABE, HIROAKI HIGASHINO, KOSAKU SUGIURA, KOSUKE
Copyright Year	2019
Abstract	A discal cyst is a rare lesion that causes low back pain and radiculopathy of the lower extremities. There are several reports of discal cysts occurring after surgery, but data are limited on their occurrence after percutaneous endoscopic discectomy (PED). A 21-year-old man with disc herniation at the L4-L5 disc level underwent PED via a transforaminal approach. The immediate postoperative course was uneventful and his symptoms were relieved. Six weeks after surgery, low back pain and mild pain in the left thigh recurred. Magnetic resonance imaging (MRI) revealed a cystic lesion adjacent to the left side of the L4-L5 intervertebral disc. Conservative treatment was ineffective, so we reoperated using PED with the same approach. Pain improved and MRI revealed disappearance of the cystic lesion. When symptoms relapse after PED, it is necessary to consider the occurrence of a cyst.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC6383457&blobtype=pdf
Volume Number	13
DOI	10.14444/6012
PubMed Central reference number	PMC6383457
Issue Number	1
PubMed reference number	30805291
Journal	International Journal of Spine Surgery [Int J Spine Surg]
e-ISSN	22114599
Language	English
Publisher	International Society for the Advancement of Spine Surgery
Publisher Date	2019-01-01
Access Restriction	Open
Rights License	©International Society for the Advancement of Spine Surgery 2019
Subject Keyword	discal cyst lumbar disc herniation percutaneous endoscopic lumbar discectomy transforaminal approach
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery