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CASE REPORT article

Front. Surg.

Sec. Orthopedic Surgery

Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1626636

This article is part of the Research TopicMinimally Invasive Treatments for Lumbar Spine DisordersView all 20 articles

MIS-TLIF for a Gas-containing Discal Cyst with Adjacent -Lumbar Spondylolisthesis: A Case Report and Literature Review

Provisionally accepted
Haoyun  HuangHaoyun Huang1Guangye  LiGuangye Li1Junwen  DengJunwen Deng1Rigao  ChenRigao Chen1,2*Yi  ZhouYi Zhou1,2*
  • 1Chengdu University of Traditional Chinese Medicine, Chengdu, China
  • 2Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China, Chengdu, China

The final, formatted version of the article will be published soon.

Gas-containing lumbar disc cysts are a rare cause of neurogenic pain, often considered a complication of the disk vacuum phenomenon. These cysts typically occur in middle-aged and elderly patients and are predominantly associated with lumbar disc degeneration, presenting with sensory and motor deficits in the affected dermatomes. The prevalence remains unclear due to the limited number of reported cases. Instances involving concomitant lumbar spondylolisthesis at adjacent segments are extremely rare and poorly documented in the current literature. Here, a case of an L5/S1 gas-containing disc cyst with adjacent L4/5 spondylolisthesis, successfully managed with minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) surgery, is reported. Additionally, the underlying pathogenesis and surgical approach, as discussed in the context of a literature review, have been examined.

Keywords: MIS-TLIF, Discal cyst, Gas-containing, Lumbar spondylolisthesis, adjacent segment, case report

Received: 11 May 2025; Accepted: 08 Aug 2025.

Copyright: © 2025 Huang, Li, Deng, Chen and Zhou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Rigao Chen, Chengdu University of Traditional Chinese Medicine, Chengdu, China
Yi Zhou, Chengdu University of Traditional Chinese Medicine, Chengdu, China

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