scholarly journals Lumbar spinal stenosis combined with obesity-induced idiopathic spinal epidural lipomatosis treated with posterior lumbar fusion: case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiao Han ◽  
Derong Xu ◽  
ZhiNan Ren ◽  
Xin Chen ◽  
Zheng Li ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Lumbar Fusion ◽  
Severe Case ◽  
Modified Technique ◽  
Spinal Epidural Lipomatosis ◽  
Posterior Lumbar Fusion ◽  
Epidural Lipomatosis ◽  
Lumbar Spinal ◽  
Spinal Epidural

Abstract Background Spinal epidural lipomatosis is a rare cause of lumbar spinal stenosis. While conservative therapy is applicable for most of cases, surgical intervention is necessary for severe ones. This is the first time we apply this modified technique to this disease. Case presentation The case is a 53-year-old man. He is 175 cm tall and weighs 102 kg (body mass index 33.3 kg/cm2), presenting with low back pain and bilateral legs pain and numbness. Radiological examination showed severe lumbar spinal stenosis resulting from adipose hyperplasia, combined with hyperosteogeny and hypertrophy of ligaments, which are common etiological factors. Posterior decompression, internal fixation and a modified articular fusion technique was performed on this patient, and regular follow-up that up o 22 months showed outstanding clinical outcomes. Conclusions A suitable style of posterior lumbar fusion should be considered to especially severe case with lumbar spinal stenosis and idiopathic spinal epidural lipomatosis.

Patient-reported outcome of surgical treatment for lumbar spinal epidural lipomatosis

2016 ◽  
Vol 16 (11) ◽  
pp. 1333-1341 ◽  
Author(s):  
Peter W. Ferlic ◽  
Anne F. Mannion ◽  
Deszö Jeszenszky ◽  
François Porchet ◽  
Tamás F. Fekete ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Patient Reported Outcome ◽  
Spinal Epidural Lipomatosis ◽  
Epidural Lipomatosis ◽  
Patient Reported ◽  
Lumbar Spinal ◽  
Spinal Epidural

scholarly journals Lumbar laminotomy and replantation for the treatment of lumbar spinal epidural lipomatosis

Medicine ◽  
2021 ◽  
Vol 100 (30) ◽  
pp. e26795
Author(s):  
Keshi Yang ◽  
Changbin Ji ◽  
Dawei Luo ◽  
Kunpeng Li ◽  
Hui Xu
Keyword(s):  
Spinal Epidural Lipomatosis ◽  
Epidural Lipomatosis ◽  
Lumbar Spinal ◽  
Spinal Epidural

Evaluation of postoperative spinal epidural hematoma after microendoscopic posterior decompression for lumbar spinal stenosis: a clinical and magnetic resonance imaging study

2006 ◽  
Vol 5 (5) ◽  
pp. 404-409 ◽  
Author(s):  
Ko Ikuta ◽  
Osamu Tono ◽  
Takayuki Tanaka ◽  
Junichi Arima ◽  
Soichiro Nakano ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Spinal Epidural Hematoma ◽  
Posterior Decompression ◽  
Dural Sac ◽  
Group 2 ◽  
Lumbar Spinal ◽  
Spinal Epidural ◽  
Group 1

Object The incidence of postoperative spinal epidural hematoma (SEH) is low, and to the best of the authors’ knowledge, no researchers have evaluated its actual incidence and clinical features. The purpose of this study was to investigate the clinical consequences of SEH after microendoscopic posterior decompression (MEPD) in patients with lumbar spinal stenosis. Methods Data obtained in 30 patients undergoing MEPD for lumbar spinal stenosis were reviewed. At 1 week after surgery, magnetic resonance (MR) imaging documented SEHs in 10 patients (33% [Group 1]) and no evidence of SEHs in 20 patients (67% [Group 2]). The authors compared MR imaging findings, postoperative morbidities, and clinical outcomes between the groups. Three Group 1 patients had symptomatic SEHs. All symptoms were mild without associated neurological deterioration and spontaneously subsided within 3 weeks of surgery. Magnetic resonance imaging demonstrated spontaneous regression of the SEH in all patients at 3 months after surgery. In Group 1 patients, however, the authors observed less expansion of the dural sac after 1 year despite sufficient widening of the osseous spinal canal. Low-back pain within 1 week of surgery was moderate in Group 1 and mild in Group 2. Improvements at the final follow up were greater in Group 2 patients. Conclusions The incidence of postoperative SEHs may be greater than reported. Postoperative SEHs caused poor expansion of the dural sac despite its spontaneous regression. In addition, postoperative SEHs caused a delay in the patient’s recovery and led to a poor clinical improvement. The prevention of postoperative SEHs might be required to prevent not only neurological deterioration but also a delay in the patient’s recovery.

scholarly journals Incidence of spinal epidural lipomatosis in patients with spinal stenosis

2018 ◽  
Vol 15 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Jason Bradley Malone ◽  
Patrick Jon Bevan ◽  
Todd Jay Lewis ◽  
Andrew David Nelson ◽  
Doug Edward Blaty ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Spinal Epidural Lipomatosis ◽  
Epidural Lipomatosis ◽  
Spinal Epidural

scholarly journals Five-Level Unilateral Laminectomy Bilateral Decompression (ULBD) by Two-Stage Unilateral Biportal Endoscopy (UBE)

2021 ◽  
Author(s):  
Wenlong Wang ◽  
Zheng Liu
Keyword(s):  
Back Pain ◽  
Minimally Invasive ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Lumbar Fusion ◽  
Invasive Procedure ◽  
Rigid Fixation ◽  
Minimally Invasive Procedure ◽  
Two Stage ◽  
Lumbar Spinal

Abstract Background Unilateral biportal endoscopy (UBE) is a relatively new yet common minimally invasive procedure in spine surgery, capable of achieving adequate decompression for lumbar spinal stenosis through unilateral laminectomy bilateral decompression (ULBD). Neither additional fusion nor rigid fixation is required, as UBE-ULBD rarely causes iatrogenic lumbar instability. However, to our knowledge, five-level ULBD via two-stage UBE without lumbar fusion has been yet to be reported in the treatment of multilevel lumbar spinal stenosis.Case description We present a case of an 80-year-old female patient who developed progressive paralysis of the lower extremities. Radiographic examinations showed multilevel degenerative lumbar spinal stenosis and extensive compression of the dural sac and nerve roots from L1-2 to L5-S1. The patient underwent five-level ULBD through two-stage UBE without lumbar fusion or fixation. One week after the final procedure, the patient could ambulate with walking aids and braces. Moreover, no back pain or limited lumbar motion was observed at the 6-month follow-up.Conclusions Multilevel ULBD through UBE may provide elderly patients with an alternative, minimally invasive procedure for treating spinal stenosis. This procedure could be achieved by staging surgeries. In this case, we reported complaints of little back pain, despite not needing to perform lumbar fusion or fixation.

scholarly journals Awake Endospine Disektomi pada Pasien Lumbar Spinal Stenosis karena Hernia Nucleus Pulposus

2020 ◽  
Vol 9 (2) ◽  
pp. 173-182
Author(s):  
Nuzulul Widyadining Laras ◽  
◽  
Himawan Sasongko ◽  
Keyword(s):  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Sedative Effect ◽  
Stable Phase ◽  
Low Back ◽  
Major Health Problem ◽  
Major Health ◽  
Lumbar Spinal ◽  
Spinal Epidural ◽  
Anesthesia Spinal

Lumbar spinal stenosis (LSS) are symptoms from degradation canalis spinalis vertebrae’s size which pressured nerve inside it. Based on its cause, there are two types of LSS, congenital and degenerative. The patient can experience an unpredictable pain phase as well as a stable phase without pain. Bulging of intervertebralis disc or HNP is one of degenerative LSS. HNP disease is one of the causes of low back pain and is a major health problem. HNP prevalention is 1-2 % from population. One of therapy use to medicate LSS is endospine discectomy. This operation done with general anesthesia (GA) or neuroaxial anesthesia (spinal, epidural). GA preferably used because it caused less side effect like airway obstruction or neural injury. Dexmedetomidine has a sedative effect without the risk of respiratory depression and has an analgesic effect. It can be used to awake endospine methods in dissectomy. In this case report, the writer did awake endospine method to accommodate operator so they could know level of pain and motoric function of patient durante operation.

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