Abstract
We report two cases of unusually located foraminal lumbar synovial cysts: a 46-year-old female and a 59-year-old male, both of whom experienced pain and/or associated numbness. One patient underwent decompressive laminectomy and cyst resection, while the other required concomitant interbody fusion. All patients reported symptom resolution with no recurrence of the cysts. The foraminal location for lumbar synovial cysts is relatively uncommon and lacks conclusive treatment guidelines. Notably, the necessity for arthrodesis in addition to decompression remains controversial. However, these cases suggest that surgical resection of these cysts can be successful.