Fluoroscopy-Guided Transfacet Lumbar Epidural Steroid Injection for Symptomatic Synovial Cyst Treatment: A Case Report.

Abstract

We report the case of a patient with a right-sided L4 synovial cyst, which had been causing significant pain, who had a successful transfacet epidural steroid injection to rupture the cyst. Using fluoroscopy, the needle was advanced through the right L4 facet joint and the cyst was ruptured using saline. The needle was then advanced into the epidural space and a transfacet epidural steroid injection was done. The patient's symptoms resolved. Repeat magnetic resonance imaging (MRI) done 2 years later showed no recurrence of the cyst. We discuss the role of transfacet epidural steroid injection in synovial cysts treatment.

• Authors: Ibrahim Al-Saidi, Maeve Pascoe, Kutaiba Tabbaa
• Journal: A&A practice (A A Pract) Vol. 14 Issue 11 Pg. e01312 (Sep 2020) ISSN: 2575-3126 [Electronic] United States
• PMID: 32955207 (Publication Type: Case Reports, Journal Article)

Chemical References

• Steroids

Topics

• Fluoroscopy
• Humans
• Lumbar Vertebrae (diagnostic imaging)
• Steroids
• Synovial Cyst (diagnostic imaging, drug therapy, surgery)
• Zygapophyseal Joint (diagnostic imaging)