Compressive epidural autologous free fat graft in a patient with failed back syndrome: case report.
A patient who had undergone surgery twice previously for lumbar spine disease presented with paraparesis and urinary sphincter problems. Imaging showed a large epidural compressive lesion with the consistency of fat at the L3/4 level. At operation a large mass of compressing epidural fat was removed. This was an epidural autologous free fat graft placed in a previous operation when stabilizing the lumbar spine. The merits of a free fat graft in relation to the prevention of epidural scar and the failed back syndrome are discussed, and the significance of this complication was considered.
Israel
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Department of Neurosurgery, Hadassah Hebrew University Hospital, Jerusalem, Israel.
Constantini
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S
D000328:Adult; D005223:Fats; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017116:Low Back Pain / Q000601:surgery*; D008161:Lumbosacral Region / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D014182:Transplantation, Autologous
D005223:Fats