Background: Although they are uncommon in the spine, synovial cysts are common in the hands, feet, and knees. They are often seen in the lumbar area around L4-5. Synovial cysts are brought on by spinal instability and degeneration. These cysts are asymptomatic, but they cause cauda equina syndrome, myelopathy, radiculopathy, and back pain. Objective: From 2011 to 2025, we looked on the clinical outcomes of individuals with spinal synovial cysts at our hospital. Methods: A review of twenty-four individuals with spinal synovial cysts was conducted. We collected information on demographics, radiological findings, clinical symptoms, treatment approaches, and results. The McNab score was used to evaluate the success of the surgery. Results: Six men and eighteen women, all fifty-eight years of age, took part. The most frequent complaint from patients was lumbar pain. Radiculopathy accounted for 62.5%. Ten patients had cystectomies and decompression. Since there was no recurrence or segmental instability in the surgical group, therapy was successful. Conclusion: Spinal synovial cysts are uncommon but create serious symptoms that necessitate medical care. Some patients responded well to conservative care, but others needed surgery because their symptoms were severe or becoming worse. Following surgery, no instability or recurrence was discovered, indicating that it is beneficial for certain people.