Health information on Tarlov cyst and relative disorders
Minimally-invasive sacral cyst surgery helps patients soon return to work
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A middle-aged female patient, who is a senior financial executive at a prominent company, has been experiencing lumbar and sacral pain for three months. Over the past month, she has also been suffering from aggravated buttock pain, making it difficult for her to stand for extended periods of time, which has significantly impacted her work performance.
Preoperative magnetic resonance imaging showed sacral 1-3 sacral canal cysts.
Preoperative CT scan showed significant bone erosion in the sacral canal, with posterior wall penetration.
Dr. Zheng’s team conducted an analysis and determined that the patient’s single sacral cyst is large in volume, exhibits typical symptoms, and has clear surgical indications. Therefore, they have planned to perform a sacral cyst leak closure surgery. To facilitate the patient’s swift recovery and return to work, the surgery will adhere to the principles of minimal invasion and anti-adhesion. Utilizing precise locating of the leak, the surgery will involve using the original bone defects of the disease to complete the leak closure through a small bone window.
With sufficient preoperative preparation, Zheng’s team successfully completed the surgery. After sealing the leakage of the sacral canal cyst, there was no CSF leakage. At the same time, intraoperative electrophysiological monitoring showed that there was no interference with the nerve roots.
Postoperative magnetic resonance imaging showed satisfactory closure of the sacral cyst leak.
The postoperative CT scan revealed that the sacral canal bone window was exceptionally small, aligning perfectly with the preoperative planning. Following the repair with a small titanium plate, the posterior wall of the sacral canal was strengthened.
Dr. Zheng emphasized that surgery for sacral canal cysts should prioritize small bone windows and minimal exposure of nerve roots to minimize any disruption or interference to these critical structures. Adhering to the principles of minimally invasive and anti-adhesion surgery is highly beneficial for patients, enabling them to recover and return to their working state as swiftly as possible.
