Arguments on Current Management of Symptomatic Sacral Cysts

Although sacral perineural cysts are mostly seen as incidental findings on computed tomography (CT) or magnetic resonance imaging (MRI), occasionaly they may become symptomatic. Generally only follow-up is recommended in asymptomatic cases. However, there are various non-surgical or invasive interventions for the treatment of symptomatic cases, but optimal treatment strategy is not clear yet. Debates continue regarding the etiology, pathogenesis and treatment of these cysts.