Three German Shepherd Dogs that were presented for investigation of chronic uni -lateral
hindlimb lameness and pain in the lumbosacral region were diagnosed with an intra
spinal, extradural synovial cyst and reactive fibrosis protruding into the foramen
of the lumbosacral articulation using magnetic resonance imaging and histology. This
extradural mass compressed the nerve root in the foramen and the cauda equina. During
a dorsal laminectomy and unilateral partial foraminotomy, the cyst and the fibrotic
tissue were removed with the aid of a 2.4 mm 30° arthroscope for visualization of
the foramen. The fibrotic tissue surrounding the cysts was in all cases confluent
with the annulus of the intervertebral disc. The histological examination confirmed
the diagnosis of a synovial cyst in all three cases by finding inflamed synovial membrane
in the samples from the wall of the cyst as well as reactive fibrosis and cartilaginous
metaplasia in the surrounding tissue. The three patients improved after the surgery
and were pain free during the follow-up evaluations.
Keywords
Synovial cyst - foraminal stenosis - lumbo -sacral - lameness - dog