Minimally invasive endoscopic resection of a solitary bone cyst of the lumbar vertebrae: A case report

Kohei Matsubayashi, Osahiko Tsuji, Kota Watanabe, Naobumi Hosogane, Takashi Tsuji, Ken Ishii, Masaya Nakamura, Yoshiaki Toyama, Kazuhiro Chiba, Morio Matsumoto

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Abstract

Solitary bone cysts of the lumbar vertebrae are extremely rare. We report a 20-year-old man, who presented with a 5-year history of persistent low back pain. Radiographic examination, magnetic resonance imaging, and subsequent computed tomography revealed a well-circumscribed osteolytic and cystic lesion at the right pedicle of the L3 vertebra. On the basis of the radiologic findings, a simple bone cyst was considered the most probable diagnosis. The patient underwent a minimally invasive operation with the assistance of an endoscope. The gross total curettage resection of the lesion including the cyst walls was accomplished, followed by a combined graft consisting of granulated β-tricalcium phosphate and autologous iliac crest cancellous bone. At the 1-year follow-up, the patient's symptoms were resolved, bone union at the lesion site had been achieved, and he had returned to his previous level of physical activity.

Original languageEnglish
Pages (from-to)66-69
Number of pages4
JournalNeurosurgery Quarterly
Volume23
Issue number1
DOIs
Publication statusPublished - 01-02-2013

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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    Matsubayashi, K., Tsuji, O., Watanabe, K., Hosogane, N., Tsuji, T., Ishii, K., Nakamura, M., Toyama, Y., Chiba, K., & Matsumoto, M. (2013). Minimally invasive endoscopic resection of a solitary bone cyst of the lumbar vertebrae: A case report. Neurosurgery Quarterly, 23(1), 66-69. https://doi.org/10.1097/WNQ.0b013e31825a6aa9