Zygapophyseal Synovial Joint Cyst
Conditions
Keywords
Zygapophyseal, joint, cyst, Fluoroscopy, guided, percutaneous, Lumbar
Brief summary
Lumbar zygapophyseal joint cysts can cause lower extremity radiculopathy. These cysts can be cured by a minimally invasive technique: percutaneous cyst distention and rupture
Detailed description
Lumbar zygapophyseal joint cysts can cause lower extremity radiculopathy. These cysts can be cured by a minimally invasive technique: percutaneous cyst distention and rupture. 30 patient with lower extremity radiculopathy caused by lumbar zygapophyseal joint cysts will be included in the study.
Interventions
PROCEDUREPercutaneous zygapophyseal cyst rupture
Patients will be treated by introducing a 20G spinal needle in the inferior joint recess of the zygapophyseal joint.1 ml of celestone-chronodose,1 ml of Marcain 5 mg/ml and 1-3 ml of contrast media:Omnipaque 240 will be injected until the cyst ruptures.
Sponsors
Ullevaal University Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients with lumbar zygapophyseal joint cyst and compression of a spinal nerve root with lower extremity radiculopathy proven by MRI.
Exclusion criteria
* Infection, uncontrollable bleeding disorder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAS(Visual analogue scale)for extremity pain | 1-3 and 12 months after intervention |
Secondary
| Measure | Time frame |
|---|---|
| Roland-Morris disability index | 1-3 and 12 months after intervention |
| Reduction of cyst size based om T2 MRI | 3 and 12 months after intervention |
Countries
Norway
Outcome results
None listed