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Published in: Current Pain and Headache Reports 10/2018

01-10-2018 | Imaging (L Mecthler, Section Editor)

The Role of Imaging in the Management of Cystic Formations of the Mobile Spine (CYFMOS)

Authors: Amar Anand, Thomas J. Pfiffner, Laszlo Mechtler

Published in: Current Pain and Headache Reports | Issue 10/2018

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Abstract

Purpose of Review

The purpose of this review is to give a better understanding of the pathogenesis of cystic formations of the mobile spine (CYFMOS) and the correlating imaging findings. This would help with medical decision-making, given the plethora of conservative, interventional, and surgical treatment options.

Recent Findings

There has been a general understanding that CYFMOS are associated with degenerative spine changes. More recent articles however have suggested that identifying detailed imaging characteristics can assist in determining outcomes when CYFMOS are treated with interventional percutaneous methods or surgical decompression with or without concomitant fusion.

Summary

CYFMOS although uncommon are not a rare finding seen in the spine when there is a background of degenerative spine changes. These cystic lesions are generally symptomatic by exhibiting mass effect on adjacent structure. Most treatments are aimed at decompression by interventional percutaneous or surgical means. Various imaging characteristics of these CYFMOS described in this article including their signal intensity, presence of spinal instability, particular patterns of adjacent degenerative changes, and imaging changes following interventional treatments can help guide physicians when managing these cases.
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Metadata
Title
The Role of Imaging in the Management of Cystic Formations of the Mobile Spine (CYFMOS)
Authors
Amar Anand
Thomas J. Pfiffner
Laszlo Mechtler
Publication date
01-10-2018
Publisher
Springer US
Published in
Current Pain and Headache Reports / Issue 10/2018
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-018-0723-3

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