Operative Treatment of Tarlov Cysts - Outcomes and Predictors of Improvement after Surgery : A Series of 97 Consecutive Patients and a Systematic Review of Literature
STUDY DESIGN: A register-based retrospective series and a systematic review of literature.
OBJECTIVES: Tarlov cysts are meningeal cysts typically found in the sacral region. They have a dualistic nature ranging from an incidental finding to a symptomatic pathology. There are no established treatment protocols and predictors of operative outcome. Therefore, we aimed to study the outcome of surgical treatment for Tarlov cysts and to characterize patient-, and treatment-related factors predicting outcomes.
METHODS: A systematic review of previous literature was performed and a retrospective cohort of all patients operated on for Tarlov cysts at BLINDED between 1995 and 2020 was collected. Patient records were evaluated along with radiological images.
RESULTS: Ninety-seven consecutive patients were identified with follow-up data available for 96. Improvement of symptoms after surgery was observed in 76.0% of patients (excellent or good patient-reported outcome) and the complication rate was 17.5%. Sacral or lower back pain as a preoperative symptom was associated with improvement after surgery (P = .007), whereas previous lower back surgery was more common in patients who did not benefit from surgery (P = .034). No independent predictors of outcome were identified in a regression analysis.
CONCLUSIONS: This is the second-largest study on the treatment of Tarlov cysts ever published. Operative treatment in a selected patient population will likely produce improvement in the symptoms when balanced with the complication rate and profile of surgery. Preoperative lower back or sacral pain is a potential indicator for improvement after surgery.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2023 |
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| Enthalten in: |
Global spine journal - (2023) vom: 09. Dez., Seite 21925682231221538 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Abdi, Delshad [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Revised 09.12.2023 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1177/21925682231221538 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM365605948 |
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| 245 | 1 | 0 | |a Operative Treatment of Tarlov Cysts - Outcomes and Predictors of Improvement after Surgery |b A Series of 97 Consecutive Patients and a Systematic Review of Literature |
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| 500 | |a Date Revised 09.12.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a STUDY DESIGN: A register-based retrospective series and a systematic review of literature | ||
| 520 | |a OBJECTIVES: Tarlov cysts are meningeal cysts typically found in the sacral region. They have a dualistic nature ranging from an incidental finding to a symptomatic pathology. There are no established treatment protocols and predictors of operative outcome. Therefore, we aimed to study the outcome of surgical treatment for Tarlov cysts and to characterize patient-, and treatment-related factors predicting outcomes | ||
| 520 | |a METHODS: A systematic review of previous literature was performed and a retrospective cohort of all patients operated on for Tarlov cysts at BLINDED between 1995 and 2020 was collected. Patient records were evaluated along with radiological images | ||
| 520 | |a RESULTS: Ninety-seven consecutive patients were identified with follow-up data available for 96. Improvement of symptoms after surgery was observed in 76.0% of patients (excellent or good patient-reported outcome) and the complication rate was 17.5%. Sacral or lower back pain as a preoperative symptom was associated with improvement after surgery (P = .007), whereas previous lower back surgery was more common in patients who did not benefit from surgery (P = .034). No independent predictors of outcome were identified in a regression analysis | ||
| 520 | |a CONCLUSIONS: This is the second-largest study on the treatment of Tarlov cysts ever published. Operative treatment in a selected patient population will likely produce improvement in the symptoms when balanced with the complication rate and profile of surgery. Preoperative lower back or sacral pain is a potential indicator for improvement after surgery | ||
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| 700 | 1 | |a Leinonen, Ville |e verfasserin |4 aut | |
| 700 | 1 | |a Savolainen, Sakari |e verfasserin |4 aut | |
| 700 | 1 | |a Danner, Nils |e verfasserin |4 aut | |
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