{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T15:14:15Z","timestamp":1785338055557,"version":"3.55.0"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>This study aimed to describe a case of a patient with a lumbar ligamentum flavum cyst combined with spinal instability who underwent cyst resection and transforaminal lumbar interbody fusion (TLIF).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We present a rare case of a patient with a lumbar ligamentum flavum cyst combined with spinal instability causing radiculopathy. The patient underwent cyst resection and transforaminal lumbar interbody fusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patient underwent follow-up for 3 years postoperatively and remained asymptomatic, with favorable radiographic results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Cysts resection and TLIF for ligamentum flavum cysts combined with spinal instability can achieve sufficient and effective decompression while simultaneously restoring spinal stability. Therefore, this approach is both an effective and safe treatment option.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2025.1481216","type":"journal-article","created":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T06:49:11Z","timestamp":1739170151000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Case Report: Surgical treatment of lumbar ligamentum flavum cysts combined with spinal instability causing radiculopathy"],"prefix":"10.3389","volume":"12","author":[{"given":"Keshi","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changbin","family":"Ji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawei","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiwei","family":"Yin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaozhe","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,2,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"536","DOI":"10.1097\/BSD.0b013e31804b4605","article-title":"Acute hemorrhagic cyst of the ligamentum flavum","volume":"20","author":"Gazzeri","year":"2007","journal-title":"J Spinal Disord Tech"},{"key":"B2","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1007\/s10195-010-0094-y","article-title":"Ligamentum flavum cyst in the lumbar spine: a case report and review of the literature","volume":"11","author":"Taha","year":"2010","journal-title":"J Orthop Traumatol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1016\/j.wneu.2017.11.075","article-title":"Midline ligamentum flavum cyst of lumbar spine","volume":"110","author":"Shah","year":"2018","journal-title":"World Neurosurg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1186\/s13018-023-03824-3","article-title":"Endoscopic treatment of lumbar ligamentum flavum cyst by interlaminar approach: a minimally invasive and effective alternative to open surgery","volume":"18","author":"Tang","year":"2023","journal-title":"J Orthop Surg Res"},{"key":"B5","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1177\/197140091302600212","article-title":"Vacuum epidural cyst with acute neurological presentation. 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