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Revista Cubana de Anestesiología y Reanimación
versão On-line ISSN 1726-6718
Resumo
VALDES LLERENA, Ricardo; VELAZQUEZ GONZALEZ, Katia e AGUADO BARRENA, Obdulia. Percutaneous treatment with ozone for the treatment of the lumbar facet joint cyst: a case series. Rev cuba anestesiol reanim [online]. 2017, vol.16, n.2, pp. 69-75. ISSN 1726-6718.
Synovial cysts of the lumbar facet joints are intraspinal, but extradural. These extradural cysts can be located in the intraspinal ligament, the facet joint, the yellow ligament or the anterior longitudinal ligament. They occur more commonly in the fourth or fifth decades of life and are more frequent in women than they are in men. Many treatment alternatives for facet joint cysts have been published, including follow-up, steroid injection, percutaneous cyst aspiration, bilateral hemilaminectomy or laminectomy with or without fixation, and minimally invasive incision. The aim of this study was to describe the clinical and anesthesiological evolution of a series of patients with facet joint cysts, who received medical treatment with ozone, without the need for surgical intervention. The clinical evolution was presented of the two patients who were aspirated their respective facet joint cysts and injected with ozone. One of them relapsed and was given the same treatment, and whose evolution has been satisfactory so far. Percutaneous aspiration of facet joint cysts, an efficient and minimally invasive procedure, avoids surgical intervention in the spine and its evolution is satisfactory.
Palavras-chave : Facet joint cyst; treatment; complications; ozone; percutaneous aspiration.