On follow-up X-rays, there was no loss of correction or progression of kyphosis and graft incorporated successfully without spinal instability
However, the literature data suggest that surgical cyst excision may bear some serious risks including dural laceration, cerebrospinal fluid leak, epidural hematoma, spinal instability
, discitis, neurological injury, and other problems caused by general anesthesia.[9,10] Thus, our case who tolerated the procedure well without any complication, demonstrates that the facet joint cyst rupture may be an alternative to surgery.
Stabilization is recommended in spinal instability
, neurologic involvement, and intractable pain.
Subsequently, patients with refractory symptoms from degenerative central LSS were included, while those with spinal instability
, history of previous lumbar surgery, congenital lumbar stenosis, degenerative lumbar spondylolisthesis and degenerative or acquired lumbar scoliosis due to trauma, infection or abnormal bone metabolism were excluded from the study.
Surgery is needed only if there is a neurologic deficit or spinal instability
. These lesions respond rapidly to anti-tuberculosis drugs.
The laminectomy treats the neurologic symptoms, while the fusion treats the spinal instability
. Be prepared for a four- to six-week recovery period, with full recovery taking a bit longer.
The indication for surgical intervention includes compression of neural elements, spinal instability
due to extensive bony destruction, severe kyphosis, or failure of conservative treatment .
Denis, "Spinal instability
as defined by the three-column spine concept in acute spinal trauma," Clinical Orthopaedics and Related Research, no.
and deformity due to neoplastic conditions.
The current treatment approaches for spinal metastatic tumors include chemotherapy, radiotherapy and surgery.4 Radiotherapy is the most common therapy; but it cannot improve neurological function, especially spinal paralysis, by relieving spinal instability
induced by tumors.
Concept of spinal instability
is determined by considering the severity of the spinal damage and adopting a management strategy, as according to various authors, unstable spinal fractures require surgical intervention.