Current evidence on the safety and efficacy of therapeutic percutaneous image-guided aspiration of spinal cysts is very limited but is adequate to support the use of the procedure in the context of this rare condition, provided that normal arrangements are in place for clinical governance and audit.
During the consent process, clinicians should ensure that patients understand that there is uncertainty about the procedure's benefits and that subsequent interventions may be necessary. They should provide patients with clear written information. In addition, use of NICE's information for the public is recommended.