{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T02:00:31Z","timestamp":1792461631687,"version":"4.5.0"},"reference-count":26,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Tarlov cysts (TCs) are a common cystic entity in the sacral canal, with a reported prevalence between 1.5% and 13.2%; 10%\u201320% of patients are symptomatic and need appropriate clinical intervention. However, the choice of treatment remains controversial. The goal of this study was to describe a new microsurgical sealing technique for symptomatic sacral TCs (SSTCs) as well as its long-term outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Microsurgical sealing was performed using a short incision, leakage coverage with a piece of autologous fat, and cyst sealing with fibrin glue. Postoperative data were collected at three stages: discharge, 1-year follow-up, and a follow-up of 3 years or more. According to the improvement in neurological deficits and degree of pain relief, outcomes were divided into four levels: excellent, good, unchanged, and deteriorated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A total of 265 patients with SSTCs were treated with microsurgical sealing from January 2003 to December 2020. The mean follow-up was 44.69 months. The percentages of patients who benefited from the operation (excellent and good) at the three stages were 87.55%, 84.89%, and 80.73%, respectively, while those who received no benefit (unchanged and deteriorated) were 12.45%, 15.11%, and 19.27%, respectively. Of the patients with postoperative MRI, the cysts were reduced in size or disappeared in 209 patients (94.14%). CSF leakage from the wound was observed in 15 patients, and 4 patients experienced an infection at the incision. There were no cases of new-onset nerve injury or aseptic meningitis after the operation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>SSTC patients undergoing microsurgical sealing had persistently high rates of symptom relief and few postoperative complications. Microsurgical sealing is an effective, simple, and low-risk method for treating SSTCs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2022.3.spine211437","type":"journal-article","created":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T04:59:13Z","timestamp":1657256353000},"page":"905-913","source":"Crossref","is-referenced-by-count":17,"title":["Microsurgical sealing for symptomatic sacral Tarlov cysts: a series of 265 cases"],"prefix":"10.3171","volume":"37","author":[{"given":"Weihua","family":"Chu","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zexian","family":"Wen","sequence":"additional","affiliation":[{"name":"Department of Cerebrovascular Disease, Dazhou Central Hospital, Dazhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingsen","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangjian","family":"He","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongyan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingjing","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiangkai","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"J Spinal Disord Tech","first-page":"29","article-title":"The clinical relevance of Tarlov cysts","volume":"18","author":"Langdown AJ","year":"2005","unstructured":"Langdown AJ, Grundy JRB, Birch NC. 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