Microsurgical/Endoscopic Resection or Fenestration of Spinal Canal Cyst

Surgical decompression may be considered when intraspinal cystic lesions cause persistent or progressive pain, numbness, limited walking, and imaging suggests significant nerve compression and conservative treatment is ineffective. The decision comprehensively considers the type of cyst (arachnoid, nerve root sheath, synovial, etc.), location and extent, whether there is spinal instability and adhesion, as well as overall health and anesthesia assessment, and a plan is formulated by a specialist team after weighing the factors.