LUMBAR SYNOVIAL CYST TREATED WITH OXYGEN-OZONE THERAPY: CASE REPORT

A. Vagaggini, L. Paoli, and L. Zanasi

Nursing Home, Villa Donatello, Sesto Fiorentino, Florence, Italy

*Correspondence to:
Alessandro Vagaggini, MD
Nursing Home Villa Donatello,
Via Attilio Ragionieri, 101,
50019 Sesto Fiorentino (FI), Italy
e-mail: vagagginialessandro@gmail.com

Received: 18 March 2024 Accepted: 23 April 2024 Ahead-of-Print: 26 April 2024

ISSN 2975-044X (online) ISSN 2038-4106 (print) Copyright © by BIOLIFE 2024 This publication and/or article is for individual use only and may not be further reproduced without written permission from the copyright holder. Unauthorized reproduction may result in financial and other penalties. Disclosure: All authors report no conflicts of interest relevant to this article.

ABSTRACT

                The synovial cyst of the lumbar facet joints is commonly encountered in degenerative arthropathy. It can be symptomatic when its volume narrows the spinal canal or compresses a spinal nerve root. Many treatments have been proposed for treating symptomatic synovial cysts, from manual chiropractic therapy to systemic pharmacological therapy, from local infiltrations of corticosteroids to interventional radiology treatments with CT-guided needle fenestrations of the cyst to surgical removal. We report the results of an infiltration treatment of a cyst with the oxygen-ozone mixture in a 62-year-old patient suffering from left lumbosciatica resistant to pharmacological therapy for 4 months. Clinical and radiological findings showed a stenosis of the spinal canal caused by a synovial cyst in the left L4-L5. After the intracystic infiltrative treatment with an oxygen-ozone mixture, the patient had a reduction in radicular pain, which remained unchanged at the follow-up check–up.

KEYWORDS: oxygen, ozone, therapy, synovial cyst, facet synovial cyst