Cyst of the spine
Aneurysmal bone cyst of the spine occurs predominantly in young adults. The main symptom of cysts of the spine is severe back pain. Localization of tumors can be very different: a cyst of breast, cervical, sacral, lumbar-sacral or lumbar spine. In most cases, cyst formed in arcs or roots, and only occasionally in the vertebral body.
Externally, the cyst is the formation, inside filled with blood. The main reason for the formation of a cyst hemorrhage and bone disorder hypodynamic. It is accompanied by the appearance of chronic pain in the spine, which can only appease the use of painkillers.
Diagnosis of spinal cysts
For the diagnosis of spinal cysts need to conduct some research. The patient is required to designate magnetic resonance and computer tomography, biopsy, ultrasound.
Treatment of spinal cysts
Generally, treatment is only spinal cyst surgically i.e. make removal of the cyst of the spine. Undoubtedly, an operation on the spine associated with the development of various complications, but to date no other alternative route exists.
The operation to remove a cyst of the spine is quite heavy and it must carry out only a very experienced surgeon, as this will minimize the risk of complications. During the operation it is necessary to be extremely careful, because bleeding may occur.
There are two types of surgery. When kyuretirovanii intratumoral cyst is aspirated from the content. However, after such an intervention is almost always relapse cysts. Therefore, to prevent recurrence, the most effective treatment - is a complete excision of the cyst of the spine. The operation to remove the cyst of the spine involves opening the cyst wall, suction fluid from it, after which there is complete removal of the cyst.
If spinal surgery patient, for whatever reason, is contraindicated, the doctor can send the patient to a course of radiation therapy, or radiotherapy. Such procedures involve the introduction into the body of cysts of special preparations. This procedure also involves a certain risk, as it may cause damage to the spinal cord.
If the spine there is not one but several small cysts, the patient should undergo periodic examination by a surgeon. Sometimes these small cysts resolve themselves without specific treatment. If the doctor finds that the cysts begin to grow in size, requires immediate surgery or treatment.
Types of spinal cysts
Perineural cyst of the spine
Perineural cyst is a tumor of the spine in the lumen of the spinal canal that compresses the spinal nerves, causing severe pain. These cysts are filled with mostly cerebrospinal fluid (CSF), and they are formed as a result of the expansion of the spinal nerve. There is usually a result of a spinal injury and movement disorders liquor. Perineural cyst is also called liquor or arachnoid cyst of the spine. If the formation of a fine, the symptoms of the cyst of the spine usually does not cause. But with the increase, she begins to put pressure on the nerves extending from the spinal cord that is manifested in weak or strong neurological disorders.
The main symptom of perineural cysts is pain that occurs with prolonged sitting, walking. There are also pain in the buttocks, sacrum and lower back, abdominal pain and headache. The patient may experience bladder problems, constipation, tingling and "pins and needles Run Games" on the soles of the feet and legs.
If cyst size reached 1, 5 cm or more, its removal is usually prescribed. After opening the cyst removed its contents, and splice cavity and prevention of recurrence of a special cause fibrin glue. Sometimes the root of the cyst was completely removed, capturing and thin plate vertebra. These operations are fraught with various complications: loss of CSF fluid aseptic procedure or bacterial meningitis.
Nonsurgical treatment of cysts of the spine is to appoint anti-inflammatory drugs and physical therapy. Such treatment can reduce the symptoms of the cyst of the spine, but prior to treatment should consult a doctor.
Periarticular cyst of the spine
Periarticular, or para-articular cyst of the spine - a cyst, which is located near the facet joint, or off of it growing into a bunch of yellow. These cysts are ganglion and synovial cyst of the spine.
Synovial cyst forms on the posterolateral surface of the spinal canal, and the inside is lined with synovial epithelium.
Ganglion cyst is predominantly produced in the periarticular area and is not related to the joint, and has no synovial epithelium.
The reason for the formation of a synovial cyst is a bulging of the bursa in the intervertebral joints. The result is a cavity, fills the synovial fluid. This may contribute to a variety of factors: congenital malformation, or synovial tissue inflammation, changes the intervertebral joint and others.
Synovial cyst may for a long time not to have any symptoms. Mostly it is treated by applying non-steroidal anti-inflammatory drugs, physical therapy, periarticular injections of steroids. If after treatment the patient's spinal cysts relapse occurs, surgical treatment is prescribed.