Percutaneous translaminar facet cyst rupture and epidural access—Description of a novel technique

David Spinner, Moris Aner, Geet Paul, Thomas Simopoulos, Jatinder Gill

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Synovial cysts of the lumbar zygapophysial joints can be treated by percutaneous injection of corticosteroids, with distension and rupture of the cyst. Some cysts can be difficult to access, particularly when they lie deep in relation to the lamina. This technical report describes a fluoroscopy-guided technique for accessing sublaminar pathology. Crucial to the safety of the technique is visualization of the ventral margin of the lamina using a contralateral oblique view, and controlling and limiting the insertion of the needle such that only its tip passes the lamina.

Original languageEnglish
Pages (from-to)410-413
Number of pages4
JournalPain Medicine
Volume18
Issue number3
DOIs
StatePublished - Mar 2017

Keywords

  • Facet Joint
  • Fluoroscopy
  • Synovial Cyst
  • Zygoapophyseal Joint

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