{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:04:49Z","timestamp":1782864289007,"version":"3.54.5"},"reference-count":14,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>Synovial spinal cysts cause radiculopathy and back pain, with rare reports of cauda equina syndrome. Hypermobility and instability are cornerstones for synovial cyst formation. The incidence is around 5%, and data for bilateral cysts are lacking. Surgery is indicated after conservative measures fail. Recurrence is common and is potentially due to joint violation and destabilization from open surgery. This could be prevented via ultra-minimally invasive approaches. The authors present full endoscopic removal of bilateral synovial cysts in a patient with grade 1 stable spondylolisthesis and include a 360\u00b0 view for confirmation of complete decompression. Postoperatively, the patient reported immediate pain relief.<\/jats:p>\n                  <jats:p>\n                    The video can be found here:\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/stream.cadmore.media\/r10.3171\/2024.1.FOCVID23208\">https:\/\/stream.cadmore.media\/r10.3171\/2024.1.FOCVID23208<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.3171\/2024.1.focvid23208","type":"journal-article","created":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T03:00:37Z","timestamp":1711940437000},"page":"V7","source":"Crossref","is-referenced-by-count":1,"title":["Full endoscopic resection of large bilateral synovial cysts in lumbar spine"],"prefix":"10.3171","volume":"10","author":[{"given":"Jannik","family":"Leyendecker","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, University of Washington, Seattle, Washington;"},{"name":"Department of Orthopedics and Trauma Surgery, University of Cologne, Faculty of Medicine, Cologne, Germany; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson","family":"Sofoluke","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Geisinger Neuroscience Institute, Danville, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph P.","family":"Hofstetter","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Washington, Seattle, Washington;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Konakondla","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Geisinger Neuroscience Institute, Danville, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1 suppl","key":"b1","series-title":"J Neurosurg","first-page":"53","article-title":"Surgical evaluation and management of lumbar synovial cysts: the Mayo Clinic experience","volume":"93","author":"Lyons MK","year":"2000","unstructured":"Lyons MK, Atkinson JL, Wharen RE, Deen HG, Zimmerman RS, Lemens SM. Surgical evaluation and management of lumbar synovial cysts: the Mayo Clinic experience. J Neurosurg. 2000;93(1 suppl):53\u201357."},{"issue":"6","key":"b2","series-title":"J Neurosurg Spine","first-page":"843","article-title":"Awake transforaminal endoscopic lumbar facet cyst resection: technical note and case series","volume":"37","author":"Hagan MJ","year":"2022","unstructured":"Hagan MJ, Telfeian AE, Sastry R,  Awake transforaminal endoscopic lumbar facet cyst resection: technical note and case series. J Neurosurg Spine. 2022;37(6):843\u2013850."},{"issue":"8","key":"b3","series-title":"Eur Spine J","first-page":"1176","article-title":"Spinal lumbar synovial cysts. Diagnosis and management challenge","volume":"15","author":"Khan AM","year":"2006","unstructured":"Khan AM, Girardi F. Spinal lumbar synovial cysts. Diagnosis and management challenge. Eur Spine J. 2006;15(8):1176\u20131182."},{"issue":"9","key":"b4","series-title":"Spine J","first-page":"820","article-title":"Recurrent back and leg pain and cyst reformation after surgical resection of spinal synovial cysts: systematic review of reported postoperative outcomes","volume":"10","author":"Bydon A","year":"2010","unstructured":"Bydon A, Xu R, Parker SL,  Recurrent back and leg pain and cyst reformation after surgical resection of spinal synovial cysts: systematic review of reported postoperative outcomes. Spine J. 2010;10(9):820\u2013826."},{"issue":"6","key":"b5","series-title":"Oper Neurosurg (Hagerstown)","first-page":"621","article-title":"The feasibility and perioperative results of bi-portal endoscopic resection of a facet cyst along with minimizing facet joint resection in the degenerative lumbar spine","volume":"18","author":"Akbary K","year":"2020","unstructured":"Akbary K, Kim JS, Park CW, Jun SG, Hwang IC. The feasibility and perioperative results of bi-portal endoscopic resection of a facet cyst along with minimizing facet joint resection in the degenerative lumbar spine. Oper Neurosurg (Hagerstown). 2020;18(6):621\u2013628."},{"key":"b6","series-title":"World Neurosurg","first-page":"122","article-title":"Endoscopic surgical treatment of lumbar synovial cyst: detailed account of surgical technique and report of 11 consecutive patients","volume":"103","author":"Oertel JM","year":"2017","unstructured":"Oertel JM, Burkhardt BW. Endoscopic surgical treatment of lumbar synovial cyst: detailed account of surgical technique and report of 11 consecutive patients. 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The feasibility and perioperative results of bi-portal endoscopic resection of a facet cyst along with minimizing facet joint resection in the degenerative lumbar spine. Oper Neurosurg (Hagerstown). 2020;18(6):621\u2013628."},{"key":"b6","series-title":"World Neurosurg","first-page":"122","article-title":"Endoscopic surgical treatment of lumbar synovial cyst: detailed account of surgical technique and report of 11 consecutive patients","volume":"103","author":"Oertel JM","year":"2017","unstructured":"Oertel JM, Burkhardt BW. Endoscopic surgical treatment of lumbar synovial cyst: detailed account of surgical technique and report of 11 consecutive patients. 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