Long-term outcome of microsurgical stuffing in the treatment of symptomatic sacral Tarlov cysts
Wen Zexian
Chu Weihua
Ye Xinzhen
Xue Xingsen
Yuan Jichao
Liu Wei
Chen Yaxing
Chen Fei
Feng Hua
Lin Jiangkai
Abstract：Objective To estimate the treatment efficiency of microsurgical treatment of symptomatic sacral Tarlov cysts by stuffing with fibrin glue,autologous fat and gelatin sponge.Methods Clinical data of 72 patients with symptomatic sacral Tarlov cysts were analyzed retrospectively,who received microsurgical treatment by stuffing with fibrin glue,autologous fat and gelatin sponge.Numerical rating scale (NRS) was used to assess pain intensity before and after surgery.The improvement of neurological deficits was also observed,and the therapeutic outcome was analyzed.Results The symptoms disappeared or were improved obviously,and there were no aggravations or secondary neurological deficits.The median NRS was 6(5,7),1 (0,2),1 (0,2),1 (0,3) respectively before surgery and 2 weeks,1 year,3 to 6 years after surgery.Compared with preoperative NRS,the postoperative NRS was significantly lower (all P ＜ 0.05).The NRS of 3 to 6 years after surgery was higher than that of 2 weeks and 1 year after surgery (both P ＜ 0.05).The response rates were 97.2％,90.3％,76.6％ respectively 2 weeks,1 year,3 to 6 years after surgery.The response rates of 2 weeks and 1 year after surgery were higher than those of 3 to 6 years after surgery (both P ＜ 0.05).Conclusion Microsurgical stuffing can significantly relieve pain and improve the neurologic deficits of patients with symptomatic sacral Tarlov cysts and obtain a high response rate.
Keywords：Tarlov cystssacral canalmicrosurgerystuffingpain
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 172-175 )