{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T04:46:03Z","timestamp":1784609163254,"version":"3.55.0"},"reference-count":34,"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>The aim of this study was to describe a minimally invasive transforaminal surgical technique for treating awake patients presenting with lumbar radiculopathy and compressive facet cysts.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>Awake transforaminal endoscopic decompression surgery was performed in 645 patients over a 6-year period from 2014 to 2020. Transforaminal endoscopic decompression surgery utilizing a high-speed endoscopic drill was performed in 25 patients who had lumbar facet cysts. All surgeries were performed as outpatient procedures in awake patients. Nine of the 25 patients had previously undergone laminectomies at the treated level. A retrospective chart review of patient-reported outcome measures is presented.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>At the 2-year follow-up, the mean (\u00b1 standard deviation) preoperative visual analog scale leg score and Oswestry Disability Index improved from 7.6 \u00b1 1.3 to 2.3 \u00b1 1.4 and 39.7% \u00b1 8.1% to 13.0% \u00b1 7.4%, respectively. There were no complications, readmissions, or recurrence of symptoms during the 2-year follow-up period.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>A minimally invasive awake procedure is presented for the treatment of lumbar facet cysts in patients with lumbar radiculopathy. Approximately one-third of the treated patients (9 of 25) had postlaminectomy facet cysts.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2022.6.spine22451","type":"journal-article","created":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T08:36:10Z","timestamp":1660898170000},"page":"843-850","source":"Crossref","is-referenced-by-count":9,"title":["Awake transforaminal endoscopic lumbar facet cyst resection: technical note and case series"],"prefix":"10.3171","volume":"37","author":[{"given":"Matthew J.","family":"Hagan","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert E.","family":"Telfeian","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Sastry","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohaid","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai-Uwe","family":"Lewandrowski","sequence":"additional","affiliation":[{"name":"Center for Advanced Spine Care of Southern Arizona, Tucson, Arizona;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Konakondla","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Geisinger Medical Center, Danville, Pennsylvania; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Barber","sequence":"additional","affiliation":[{"name":"Houston Methodist Department of Neurosurgery, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendall","family":"Lane","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziya L.","family":"Gokaslan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"8","key":"b1","series-title":"Spine (Phila Pa 1976)","first-page":"874","article-title":"Synovial cysts of the lumbar facet joints in a symptomatic population: prevalence on magnetic resonance imaging","volume":"29","author":"Doyle AJ","year":"2004","unstructured":"Doyle AJ, Merrilees M. 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