Full-Endoscopic Resection of a Recurrent Posterior Longitudinal Ligament Cyst: Technical Note

World Neurosurg. 2021 Sep:153:2-5. doi: 10.1016/j.wneu.2021.05.104. Epub 2021 May 29.

Abstract

Background: Posterior longitudinal ligament cysts are very rare lesions and do not usually recur. Microscopic resection is commonly performed. The aim of this article was to report a case of recurrent posterior longitudinal ligament cyst that benefited from full-endoscopic resection.

Methods: We used the 25° endoscope of the RIWOspine set for interlaminar approach. A step-by-step description of the surgical technique was presented.

Results: Clinical evolution was favorable. The patient remained pain-free 1 month after surgery, and postoperative magnetic resonance imaging showed complete resection of the cyst.

Conclusions: Endoscopy is a safe and feasible approach for posterior longitudinal ligament cysts, including unusual recurrent cases.

Keywords: Endoscopic resection; Posterior longitudinal ligament cyst; Recurrent.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cysts / pathology*
  • Cysts / surgery
  • Humans
  • Longitudinal Ligaments / pathology*
  • Longitudinal Ligaments / surgery
  • Male
  • Neuroendoscopy / methods*
  • Recurrence