cervical synovial cyst

///cervical synovial cyst
cervical synovial cyst
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  • bosco
    Participant
    Post count: 1

    Hi Dr. Corenman

    On September 1, 2016 I began experiencing right neck pain which extends to the right shoulder and arm. Additionally, I am experiencing debilitating right arm pain and weakness as well as numbness of the right ring and little fingers. MRI reveals a 1.2 cm cervical synovial cyst at level C7 – T1 lying against the spinal cord with encroachment of the nerve root.
    What are the best surgical options to minimize recurrence and allow me to resume an active lifestyle?
    Is fusion necessary to decrease the potential for recurrence?
    Are these the type of procedures you perform?
    I am an active 59 yo male and would like to continue cycling, running ….

    Thank you

    Donald Corenman, MD, DC
    Moderator
    Post count: 6657

    Normally, cervical synovial cysts originate from the facets. I would assume that you have a mild cervical degenerative spondylolisthesis of C7-T1 and this is causing the cyst. With weakness and significant pain, I would agree that you need surgery.

    If the slip on flexion/extension views is not too great, a posterior partial foraminotomy and cyst excision would be the treatment. If the slip is too great leading to instability, then you could have an ACDF of that level with a posterior foraminotomy or a posterior foraminotomy and posterior fusion.

    Yes, I perform these procedures.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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