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. 2016 Oct 24;10:37. doi: 10.14444/3037

Table 4.

Review of published case series on minimally invasive resection of synovial cysts through tubular retractor.

Present study Sandhu et al, 2004 Sehati et al, 2006 James et al, 2012 Sukkarieh et al, 2015
Patients characteristics
n of patients 53 17 19 16 13
Mean age 63 64 64 67 66
% of synovial cyst at L4-5 75% 82% 84% 56% 69%
% of Grade 1 spondylolisthesis 34% 47% 11% 56% 31%
Operative Data
Approach Ipsilateral Ipsilateral Ipsilateral Contralateral Contralateral
Operative time (min) 182 97 158 105 123
Average blood loss (ml) 41 35 31 <40 44
% patients discharged within 24 hours from surgery 80% 82% 68% 50% >50%
Mean length of follow-up (months) 14.8 ± 33.7 13 ± 11.0 16 (range 4-29 mo) 14 ± 9.4 20.8 ± 16.9
Outcome (Macnab modified criteria)
Excellent 70% 82% 53% 69% 69%
Good 19% 12% 42% 31% 8%
Fair 9% 0% 5% 0% ? *
Poor 2% 6% 0% 0% ? *
Complications
Intraoperative CSF leak 4% 6% 11% 12.5% 0%
Postoperative symptomatic csf leak 2% 0% 0% 0% 0%
Postoperative instability requiring lumbar fusion 6% 6% 0% 0% 0%
Recurrence or new synovial cyst at the same level 4% 0% 0% 0% 0%
*

Authors reported patients as having persistent pain without specifying if the pain improved or stayed the same.