neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"neurosurgery-130Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEКисты межпозвонковых дисков поясничного отдела позвоночникаThe cysts of lumbar intervertebral discsКрутькоАлександр ВладимировичKrut’KoA. V.orto-ped@mail.ruЕвсюковАлексей ВладимировичEvsyukovA. V.alexevsukov@mail.ru; a_evsyukov@neuronsk.ruФГБУ «ННИИТО им. Я. Л. Цивьяна» Минздрава РоссииRussian FederationФГБУ “Федеральный центр нейрохирургии” Минздрава РоссииRussian Federation201405102017046065Copyright © Крутько А.В., Евсюков А.В., 20172017Крутько А.В., Евсюков А.В.Krut’Ko A.V., Evsyukov A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/130

Приведено описание клинических наблюдений пациентов, оперированных по поводу редко встречаемой патологии поясничного отдела позвоночника - дисковых кистах. В настоящей статье описывается опыт диагностики и лечения 5 пациентов с дисковыми кистами, которые были прооперированы в отделении нейроортопедии Новосибирского НИИТО за период с 2009 г. по 2012 г. Средний возраст пациентов составил 38,2±12,9 года (3 мужчин, 2 женщин). Всех пациентов беспокоил корешковый болевой синдром, не поддающийся консервативному лечению, вызванный дисковыми кистами, которые были верифицированы МРТ. В дальнейшем болевой синдром не рецидивировал. В литературе сообщается только об отдельных пациентах с этой нозологией. В заключении проводится обсуждение этиологии, патогенеза и методов лечения дисковых кист на основании собственных наблюдений и данных специальной литературы.

Authors describe the clinical cases of patients operated on because of rare lumbar spine pathology (discal cysts). This article presents the experience of diagnostics and surgical treatment of 5 patients with discal cysts who were operated on at the base of neurological orthopedic department of Novosibirsk Scientific Research Institute of Traumatology and Orthopedics from 2009 till 2012. The average age was 38,2±12,9 years old (3 men, 2 women). All patients suffered from radicular pain syndrome resistant to conservative treatment and caused by discal cysts revealed by MRI. There were no relapses of pain syndrome during follow-up. The literature data describe only sporadic clinical cases concerning such pathology. The discussion about etiology and pathogenesis of discal cysts and analysis of various treatment methods based on literature data are presented in conclusion.

дисковая кистакорешковый болевой синдромоперативное лечениеdiscal cystradicular pain syndromesurgical treatmentReferencesChiba K., Toyama Y., Matsumoto M. et al. Intraspinal cyst communicating with the intervertebral disc in the lumbar spine: discal cyst. Spine (Phila Pa 1976). 2001; 26(19):2112- 2118.Chiba K., Toyama Y., Matsumoto M. et al. Intraspinal cyst communicating with the intervertebral disc in the lumbar spine: discal cyst. Spine (Phila Pa 1976). 2001; 26(19):2112- 2118.Chou D., Smith J.S., Chin C.T. Spontaneous regression of a discal cyst. Case report. J Neurosurg Spine. 2007;6:81-84. [PubMed].Chou D., Smith J.S., Chin C.T. Spontaneous regression of a discal cyst. Case report. J Neurosurg Spine. 2007;6:81-84. [PubMed].Coscia M.F., Broshears J.R. Lumbar spine intracanalicular discal cysts : two case reports J Spinal Disord Tech. 2002;15:431-435. [PubMed].Coscia M.F., Broshears J.R. Lumbar spine intracanalicular discal cysts : two case reports J Spinal Disord Tech. 2002;15:431-435. [PubMed].by Hiroyuki Tsuchie, MD; Tomio Nishi, MD; Takayuki Tani, MD; Shigeto Maekawa, MD; Yoichi Shimada, MD (2011) Lumbar Diskal Cyst Containing Intervertebral Disk Materials SPINE ORTHOPEDICS 34(11):784.by Hiroyuki Tsuchie, MD; Tomio Nishi, MD; Takayuki Tani, MD; Shigeto Maekawa, MD; Yoichi Shimada, MD (2011) Lumbar Diskal Cyst Containing Intervertebral Disk Materials SPINE ORTHOPEDICS 34(11):784.Ishii K., Matsumoto M., Watanabe K. et al. Endoscopic resection of cystic lesions in the lumbar spinal canal : a report of two cases. Minim Invasive Neurosurg. 2005;48:240-243. [PubMed]Ishii K., Matsumoto M., Watanabe K. et al. Endoscopic resection of cystic lesions in the lumbar spinal canal : a report of two cases. Minim Invasive Neurosurg. 2005;48:240-243. [PubMed]Jae Ha Hwang, In Sung Park, Dong-Ho Kang, and Jin-Myung Jung. Discal Cyst of the Lumbar Spine. J Korean Neurosurg Soc. 2008 October; 44(4): 262-264.Jae Ha Hwang, In Sung Park, Dong-Ho Kang, and Jin-Myung Jung. Discal Cyst of the Lumbar Spine. J Korean Neurosurg Soc. 2008 October; 44(4): 262-264.Jeong G.K., Bendo J.A. Lumbar intervertebral disc cyst as a cause of radiculopathy. Spine J. 2003;3:242-246. [PubMed] ], [Tokunaga M, Aizawa T, Hyodo H, Sasaki H, Tanaka Y, Sato T. Lumbar discal cyst followed by intervertebral disc herniation : MRI findings of two cases. J Orthop Sci. 2006;11:81-84. [PubMed] ].Jeong G.K., Bendo J.A. Lumbar intervertebral disc cyst as a cause of radiculopathy. Spine J. 2003;3:242-246. [PubMed] ], [Tokunaga M, Aizawa T, Hyodo H, Sasaki H, Tanaka Y, Sato T. Lumbar discal cyst followed by intervertebral disc herniation : MRI findings of two cases. J Orthop Sci. 2006;11:81-84. [PubMed] ].Kang H., Liu W.C., Lee S.H., Paeng S.S. Midterm results of percutaneous CT-guided aspiration of symptomatic lumbar discal cysts. AJR Am J Roentgenol. 2008 May;190(5):W310-4. [PubMed].Kang H., Liu W.C., Lee S.H., Paeng S.S. Midterm results of percutaneous CT-guided aspiration of symptomatic lumbar discal cysts. AJR Am J Roentgenol. 2008 May;190(5):W310-4. [PubMed].Kishen T.J., Shetty A.P., Rajasekaran S. Variant of a lumbar disc cyst in a 13-year-old girl: a case report Journal of Orthopaedic Surgery 2006;14(2):184-6.Kishen T.J., Shetty A.P., Rajasekaran S. Variant of a lumbar disc cyst in a 13-year-old girl: a case report Journal of Orthopaedic Surgery 2006;14(2):184-6.Kono K., Nakamura H., Inoue Y. et al. Intraspinal extradural cysts communicating with adjacent herniated discs: imaging characteristics and possible pathogenesis. AJNR Am J Neuroradiol. 1999 Aug;20(7):1373-7.Kono K., Nakamura H., Inoue Y. et al. Intraspinal extradural cysts communicating with adjacent herniated discs: imaging characteristics and possible pathogenesis. AJNR Am J Neuroradiol. 1999 Aug;20(7):1373-7.Koga H., Yone K., Yamamoto T., Komiya S. Percutaneous CT-guided puncture and steroid injection for the treatment of lumbar discal cyst : a case report. Spine. 2003;28:E212- E216. [PubMed];Koga H., Yone K., Yamamoto T., Komiya S. Percutaneous CT-guided puncture and steroid injection for the treatment of lumbar discal cyst : a case report. Spine. 2003;28:E212- E216. [PubMed];Lee H.K., Lee D.H., Choi C.G. et al. Discal cyst of the lumbar spine : MR imaging features. Clinical Imaging. 2006;30:326-330. [PubMed].Lee H.K., Lee D.H., Choi C.G. et al. Discal cyst of the lumbar spine : MR imaging features. Clinical Imaging. 2006;30:326-330. [PubMed].Murata K., Ikenaga M., Tanaka C. et al. Discal cysts of the lumbar spine: a case report. J Orthop Surg (Hong Kong). 2007; 15(3):376-379.]; [TJ Kishen, AP Shetty, S Rajasekaran Variant of a lumbar disc cyst in a 13-year-old girl: a case report Journal of Orthopaedic Surgery 2006;14(2):184-6.Murata K., Ikenaga M., Tanaka C. et al. Discal cysts of the lumbar spine: a case report. J Orthop Surg (Hong Kong). 2007; 15(3):376-379.]; [TJ Kishen, AP Shetty, S Rajasekaran Variant of a lumbar disc cyst in a 13-year-old girl: a case report Journal of Orthopaedic Surgery 2006;14(2):184-6.Prasad G., Kabir S.M., Saifuddin A., Casey A.T. Spontaneous resolution of discal cyst around L5 nerve root: case report and review of literature. Br J Neurosurg. 2011 Dec;25(6):761-3Prasad G., Kabir S.M., Saifuddin A., Casey A.T. Spontaneous resolution of discal cyst around L5 nerve root: case report and review of literature. Br J Neurosurg. 2011 Dec;25(6):761-3Sabri A., Bashar A., Hakan Y. et al. (2010) Discal cysts of the lumbar spine: report of five cases and review of the literature Eur Spine J (19):1621-1626.Sabri A., Bashar A., Hakan Y. et al. (2010) Discal cysts of the lumbar spine: report of five cases and review of the literature Eur Spine J (19):1621-1626.Takeshima Y., Takahashi T., Hanakita J. et al. Lumbar discal cyst with spontaneous regression and subsequent occurrence of lumbar disc herniation. Neurol Med Chir (Tokyo). 2011;51(11):809-11. [PubMed].Takeshima Y., Takahashi T., Hanakita J. et al. Lumbar discal cyst with spontaneous regression and subsequent occurrence of lumbar disc herniation. Neurol Med Chir (Tokyo). 2011;51(11):809-11. [PubMed].Toyama Y., Kamata M., Matsumoto M. et al. Pathogenesis and diagnostic title of intraspinal cyst communicating with intervertebral disc in the lumbar spine [in Japanese]. Rinsho Seikei Geka. 1997; (32):393-400.Toyama Y., Kamata M., Matsumoto M. et al. Pathogenesis and diagnostic title of intraspinal cyst communicating with intervertebral disc in the lumbar spine [in Japanese]. Rinsho Seikei Geka. 1997; (32):393-400.Tokunaga M., Aizawa T., Hyodo H. et al. Lumbar discal cyst followed by intervertebral disc herniation : MRI findings of two cases. J Orthop Sci. 2006;11:81-84. [PubMed]Tokunaga M., Aizawa T., Hyodo H. et al. Lumbar discal cyst followed by intervertebral disc herniation : MRI findings of two cases. J Orthop Sci. 2006;11:81-84. [PubMed]

The authors declare that there are no conflicts of interest present.