{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:00:06Z","timestamp":1790694006367,"version":"4.1.0"},"reference-count":10,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T00:00:00Z","timestamp":1724198400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>Lumbar synovial cysts (LSC) that protrude into the spinal canal can cause lower back pain, neurogenic claudication, and radiculopathy. Often diagnosed in the elderly population (typically \u223c60 years of age) with a slight preponderance for females, their underlying etiology is thought to be due to degeneration of the adjacent facet joint, with the most common location at the level of L4\u2013L5. Treatment of LSC can be conservative (with NSAIDs and physical therapy), percutaneous (with rupture), or surgically (with decompression with or without fusion). Percutaneous treatment of LSC involves rupturing the cyst by injecting it with steroids and local anesthetics. Although this option is less invasive than surgery, multiple studies have documented recurrence with this method and patients eventually undergoing surgical intervention. In this report, we document a case where a patient who presented with a symptomatic LSC underwent successful percutaneous treatment with bleomycin.<\/jats:p>","DOI":"10.1177\/15910199241273973","type":"journal-article","created":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T19:51:48Z","timestamp":1724269908000},"page":"2839-2842","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Percutaneous treatment of lumbar synovial cysts with bleomycin: A case report"],"prefix":"10.1177","volume":"32","author":[{"given":"Sharle","family":"Newman","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Wright State Boonshoft School of Medicine, Dayton, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1374-1903","authenticated-orcid":false,"given":"Juan G","family":"Tejada","sequence":"additional","affiliation":[{"name":"Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Eskenazi Hospital, Indianapolis, IN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majid","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Radiology and Radiological Sciences, The Johns Hopkins University School of Medicine, The Johns Hopkins Hospital, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3643-4401","authenticated-orcid":false,"given":"Mesha L","family":"Martinez","sequence":"additional","affiliation":[{"name":"Department of Radiology, Baylor College of Medicine, Texas Children's Hospital, Austin, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,21]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0111695"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.210.2.r99fe60509"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-012-2533-z"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-016-2513-5"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2013-010891"},{"issue":"3","key":"e_1_3_2_7_2","article-title":"The diagnosis and management of synovial cysts: efficacy of surgery versus cyst aspiration","volume":"3","author":"Epstein NE","year":"2012","unstructured":"Epstein NE, Baisden J. The diagnosis and management of synovial cysts: efficacy of surgery versus cyst aspiration. Surg Neurol Int 2012;3(Suppl 3):S157\u2013S166.","journal-title":"Surg Neurol Int"},{"key":"e_1_3_2_8_2","first-page":"971","article-title":"Radiologic recognition of symptomatic spinal synovial cysts","volume":"6","author":"Casselman ES","year":"1985","unstructured":"Casselman ES. Radiologic recognition of symptomatic spinal synovial cysts. AJNR Am J Neuroradiol 1985; 6: 971\u2013973.","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/ons\/opy361"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-005-1208-3"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001924"}],"container-title":["Interventional Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199241273973","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15910199241273973","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199241273973","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:31:40Z","timestamp":1790692300000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15910199241273973"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,21]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/15910199241273973"],"URL":"https:\/\/doi.org\/10.1177\/15910199241273973","relation":{},"ISSN":["1591-0199","2385-2011"],"issn-type":[{"value":"1591-0199","type":"print"},{"value":"2385-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,21]]}}}